As you might be aware diabetes can affect both the circulation and sensation in your feet placing you at higher risk of complications such as infections, ulcers, or even in extreme cases, amputations. Under the right circumstances, circulation and sensation can change quickly and as such the doctors and the medical associations recommend that diabetic feet be checked at least every 6 months.
Circulation Testing: - Checking pulses for good pressure in the feet. Good blood flow to diabetic feet is vital. If needed a small ultrasound machine is placed against the blood vessels as a way of hearing for minor changes in the blood vessel and looking at the velocity of the blood through the artery. - Minor blood vessels are also assessed by a quick pressure test (SVPFT) - Visual inspection. Decreased circulation comes with it a number a visual clues such as varicose veins, thinned skin, changes in skin colour and temperature, loss of hairs on the toes and more. We check the feet for these visual clues to give us and idea of what might be going on under the surface. Sensation testing - Pressure testing. Loss of this 10gram sensation in a diabetic is a strong warning that a person may cut or injury their feet without knowing it. With the clients eyes closed, we use a 10g monofilament to gently place pressure on different areas of the foot to determine if you can feel it or not. - Vibration testing. Loss of vibration sensation is an early warning sign that there may be diabetic related changes occurring in the feet and often occurs before a loss of pressure. By placing a medical graded tuning fork we can determine how much vibration sensation you have lost, if any. In addition to circulation and sensation testing we also check a number of risk factors that may contribute to the health of your feet. Smoking, cholesterol and health problems may contribute to the problems associated with diabetic feet. We also check for good eye site, flexibility, as well as your gait (the way you walk), calluses, nail problems and more for a thorough assessment. For more information click here.
50 Comments
25/7/2012 11:12:18 am
You made some good points there. I did a search on the topic and found most people will agree with your blog.
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I never took into account the fact that any loss of sensation using vibration testing would be a sign that there is a diabetic-related change in your feet. I will share this information with my dad, because he did not notice that he had a small cut earlier until we pointed it out. It made us concerned, so we should take him to a diabetic foot care professional tomorrow once we find a clinic that offers this kind of service first thing in the morning.
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22/12/2022 05:11:43 pm
It's interesting to know that there would be a checking of pulse in the feet to ensure that good blood flow is present, since it is vital for a diabetic person. I hope that my uncle would be aware about those so that he will be taking care of himself well when he gets diagnosed with diabetes. He is showing signs of that disease, so he plans to get checked tomorrow. And it seems that he also needs to go to an NDIS podiatry provider to also get that part of his body checked for his own safety.
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15/5/2023 12:45:52 pm
Thank you for the helpful information. If you want to know more about foot problems, treatment and others, you can visit this site.
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