Diabetic Foot Treatment

Diabetes mellitus is an incurable metabolic disease in which the body cannot get enough energy from glucose.

Sugars can only be absorbed in most cells (insulin dependent cells) in the presence of sufficient insulin – if there are also active insulin receptors on those cells. The precise cause of diabetes is not yet known.

The most common problems with diabetes are:

  • Insufficient or no production of insulin known as diabetes type1;
  • Problems with insulin receptors known as diabetes type2.

In all diabetic patients, the feet should be examined at least once a year by a healthcare professional. Healthcare professionals make use of the SIMS classification.

When they screen the feet of people with diabetes, the so-called “SIMS classification” is maintained. The SIMS classification is a risk inventory that charts the risks the patient walks to the possible occurrence of an ulcer or multiple ulcers.

Concerned primary care providers

The primary care providers involved in the direct care of people with diabetes are:

  • General practitioners/ practitioners / diabetes nurses working in the first line;
  • Podotherapists;
  • Medical Pedicurists.

What Can Medical Pedicurist Esther Amsterdam Do For You?

Treat people with diabetes and their feet with an increased risk of ulceration in particular. Medical Pedicurist Esther Amsterdam, can conduct a focused foot research aimed at preventing the emergence of ulcers and remedying symptoms. Risk factors and possible complaints that arise due to neuropathy, peripheral arterial fatigue, footwear and/or deformities. Risk factors, indications, contra-indications and locations to be treated are systematically mapped to assess the condition of the feet and to form a clear image. Any changes in relation to previously conducted studies are signaled and interpreted. A careful assessment is made between different treatment methods and the required treatment interval. The person with diabetes is informed about the observations and possible treatments. In consultation, appropriate treatment is determined and a treatment-plan drawn up. If the required treatment does not belong to the medical pedicurist, the client is advised to consult another discipline. Where necessary, Medical Pedicurist Esther Amsterdam, reports the data and findings to other disciplines.

What Is A Focused Foot Research Of The Medical Pedicure?

  • Start conducting an anamnesis.
  • Inspection and examination of the skin with regard to callus’s, bleeding under the callus locations, blisters, fissures, oedema, redness and warmth, color and temperature of the lower leg and feet skin, wounds, ulceration, feet-surgery.
  • Inspection and examination of nails (including moldy nails, ingrown nails and hypertrophic nails).
  • Inspect and investigate foot and post disorders by using blueprints or podoscopes, prominent CM, hallux abducto valgus, bunion, by-pass amputations, and limited joint mobility.
  • Removal of blood flow and protective sensitivity tests such as foot artery palpation and temperature differences (infrared skin thermometer) between the lower leg and foot, examination with the 10-gram Semmes-Weinstein monofilament and the 128 Hz tuning fork and the ‘Prayer sign’.
  • Inspection and examination of shoes and socks, by assessment of fit factors and wear and tear, cause of nail disorders, pressure spots, sprain formation and lice.
  • Compilation of an adequate treatment plan,. This includes the work diagnosis treatment target(s), treatment options and treatment method (s), treatment frequency and evaluation. Explain to the client and discussion of the treatment plan.
  • Report to the referrer if necessary and with the consent of the client.

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