Diabetes & Foot Care • How does diabetes affect one’s feet? What are some common foot problems with diabetes? The number of diabetic people is rising in the world. Thanks to the newer medicines and state of care in most of the cities, the overall life expectancy is also on a rise. As the diabetic complications are directly proportional to its duration, the chances of getting foot complications due to diabetes are also rising. Diabetic patients have neuropathy, vasculopathy (redced blood supply) & internal deformities of feet. On top of these if injury occurs & infection sets in, then the whole scenario changes. 85% foot ulcers are within outside. On the surface one may only see a callus. The callus is hard skin, the pressure could be 300 times of normal. An ulcer develops underneath & can go unrecognized. Pathways for Diabetic Foot ulcer Vasculopathy whoch could be - Microvascular Macrovascular Autonomic Neuropathy leading to- Dry skin Motor neuropathy and Sensory neuropathy Ischaemia-Large vessel and small vessel thrombosis Pruritis and Loss of pain Weakness Pain less trauma Skin divitelization Foot deformities leading tp extra pressure and finally FOOT ULCER