ไม่อยากตัดขา “เล็บขบและตาปลา”…ผู้ป่วยเบาหวานต้องดูแลให้ถูกวิธี

<p>When it comes to diabetes, everyone probably already knows that it is a disease caused by hormonal imbalances in the body, which makes the body unable to effectively use sugar. As a result, sugar accumulates more in the blood. When blood sugar levels remain high for a long period, it affects the entire body system.</p>
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<h4><span style="color: #00826a;">How are diabetes and leg amputation related?<strong><br />
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<p>One of the important organs that is heavily affected, leading to the belief and understanding that <strong><span style="color: #00826a;">“having diabetes means you have to amputate your leg”</span></strong>, even though in reality, diabetic patients do not always have to undergo amputation. However, prolonged high blood sugar levels affect blood vessels and nerves, causing deterioration. People with diabetes have less sensation than normal individuals. The reason why only <strong><span style="color: #00826a;">“legs or feet”</span></strong> are often mentioned is because feet and legs are far from direct sight, so they may receive less attention than other organs. Combined with reduced or almost no sensation, diabetic patients have a higher chance of developing foot wounds.</p>
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<h4><span style="color: #00826a;">Ingrown toenails and corns can be more serious for diabetics than you think</span><strong><span style="color: #00826a;"><br />
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<p>It is important to understand that naturally, wound healing depends on blood supply. However, diabetic patients have deteriorated blood vessels, so blood circulation to wounds is not as good as it should be. Along with already high blood sugar levels, wounds heal slowly, making it easier for infections to invade the body. Germs love sweet blood, and sweet blood spoils easily. The chance of complications from wounds increases accordingly, especially wounds on the feet, which are easily exposed to germs. Therefore, even just an ingrown toenail or corn, if not properly cared for, can lead to infection spreading and eventually require amputation.</p>
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<h4><span style="color: #00826a;">Foot nail care by specialists ensures confidence and safety</span><strong><span style="color: #00826a;"><br />
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<p>So, if an ingrown toenail or corn occurs, what should diabetic patients do? It is recommended to consult a doctor or a specialist with specific techniques for foot care in diabetic patients to assess whether the feet need special care. This differs from regular nail salons because all equipment is specially sterilized, and specific techniques are used to reduce the chance of wounds.</p>
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<h4><span style="color: #00826a;">Pay a little attention to your feet, and your life won’t be at risk</span><strong><span style="color: #00826a;"><br />
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<p><span style="color: #000000;">How to care for your feet to avoid amputation is simple by following these steps:</span></p>
<ul>
<li>Check your feet every day during bathing, both morning and evening, for wounds, dirt accumulation, or anything that might cause injury.</li>
<li>Clean your feet with mild soap and water to prevent skin inflammation, including between the toes and around the nails.</li>
<li>Apply foot lotion regularly but avoid applying between the toes to prevent moisture buildup, which can cause fungal infections and other infections.</li>
<li>Use room temperature water to wash your feet, but if using warm water, be careful to control the temperature properly.</li>
<li>Do not cut the cuticles, do not cut nails too short, and cut nails following their natural shape, keeping the nail edges even with the fingertips. Do not cut corns or hard skin by yourself as it can increase the risk of infection due to improper tools and techniques.</li>
<li>Wear socks when your feet feel cold at night, as cold feet are common in diabetic patients.</li>
<li>Choose shoes that fit well and are appropriate for your foot shape.</li>
</ul>
<p>Because nerves and blood vessels that have deteriorated due to chronic diabetes are difficult to restore to their original condition, diabetic patients should not neglect foot care and regularly monitor for any abnormalities. Early detection and treatment can reduce the risk of complications and avoid the risk of amputation.</p>
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<div align="right"><span style="color: #00826a;"><strong>Dr. Ratpong Jiwarangsee</strong></span><br />
Head of Diabetes and Endocrinology Center<br />
Phyathai 3 Hospital</div>


Because the feet of diabetic patients have less sensation than those of the general population, there is a chance of developing wounds without realizing it. Foot care is therefore another important aspect that diabetic patients should not overlook.

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Don't want to amputate the leg: "Ingrown toenails and corns"... Diabetic patients must take proper care

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