Diabetes 22, Feet Problems

Foot and leg problems
Macro and microvascular disease can lead to distal ischaemia eventually resulting in gangrene. As sensory neuropathy can lead to foot desensitisation, patients may not be aware of pressure effects from shoes, this can result in callousformation. Further pressure on hard areas of callous can lead to necrotic damage of underlying tissue. This occurs largely as a result of pressure from overlying callous impeding the blood supply, essentially leading to a pressure ulcer. These ulcers which develop under callous are prone to infection which may migrate down into the bone. This is why diabetic feet should be regularly inspected and areas of callous removed. Care must be taken when removing callous not to damage healthy underlying tissue as such injuries are prone to infection. If an ulcer does form under an area of callous there should be sharp debridement and the ulcer encouraged to heal by secondary intention.

[@Thegamingtank-pk7oz]

Oh my Goodness! Thank you so much for this video. Currently studying to be a foot health practitioner and this is the most straight forward explanation I've come across!! I finally get it!!! xxx

[@giobasta6918]

YOUR LESSONS ARE FANTASTIC!

[@ResidualSelfImage]

Hard callus on the toe can be soften and scrapped off after soaking the feet with apple vinegar which is a mild acid that acts as an anti bacterial antifungal treatment as well. Once the hard callus are removed ... a better inspection of tissue and neuropathic damage can be performed. One early sign and side effect for Type 2 diabetes hyperglycemia is toe nail fungus - high blood glucose levels tend to promote fungal growth on toe nails. So beyond topical or internal anti fungal treatments to stop toe nail fungus growth - dietary glucose control/mitigation/restrictions are required... There is also a tuning fork vibration test to look for foot nerve damage.

[@bossdog1480]

The Guy I trust the most on medical matters, especially now.

[@Thegamingtank-pk7oz]

Sam Webster is good too.

[@pilgrimthesojourner7407]

Thank you, doc. This is what I was looking for. You're correct. God bless you.

[@haiderissa163]

You alway adds something good to anyone lessen to you. Thannks great teacher

[@nancyfalcon3834]

Thank you so much for your videos, they have helped so much!

[@sandyvu2135]

Do you have any papers on this? I am writing an assignment about Diabetic foot ulcers, and need references on exactly what you are telling in this video. I have done research with no results that explains the patophysiology

[@Campbellteaching]

You can reference youtube videos if you like

[@mimim7699]

well explained thank you doc 😊

[@oussamaissa5741]

thank you it was very beneficial.

[@heatherferguson9589]

Excellent explanation!!

[@kaearnerstv664]

its a great video clip more interesting and helpful to the viewers i like your good explanation and though and its a good guide..

[@ljorgs84]

Great video thanks for the explanation

[@shashimoghe3920]

Dr john Campbell sir very educative video thanks 29/07/2021

[@divyaslife7528]

It’s help me to make my assignments 😊

[@margaretjames5518]

What about ulcers on the on ankle of the feet

[@maanshah2361]

great lecture sir

[@sarahzg7550]

Thank you Sir i liked your way, very helpful.

[@ceepeeverma7130]

very helpful for me lot of thnx👍👍👍👍👍

[@boualemguiti8138]

Thanks for this explaination

[@gbcxroz3258]

Love your videos…

[@rafeefaljuhani7816]

Thank you

[@nurulaliahrizal]

Thank you very much

[@sasokiwow3515]

Amazing 💙

[@naz674]

Thanks alot

[@elprofesor3465]

Awesome ❤️

[@funnnkyk1d]

thankss

[@andykopgod]

My feet sometimes get very hot, especialy in bed, any ideas of things i could do?

[@ayandejiadebayo-ep4jh]

Words aren’t enough for me to show how I grateful I am for helping me to get rid of my Type 2 Diabetes Dr Igudia.

[@lujaina3462]

ن

[@exa11762]

Hmm...! This Doc dont give a fuck about " thumbs up or to subscribed...". very Professional.

[@Campbellteaching]

Unlike your language Easa

[@exa11762]

@@Campbellteaching Sorry Doc.

[@Campbellteaching]

@@exa11762 Quite all right, you are forgiven. Go forth and help lots of people.

[@akshayshibu3842]

@@Campbellteaching hahaaa

[@lujaina3462]

Thank you