How Can Diabetes "run" To The Feet

As people's living standards improve, the incidence of diabetes at an alarming pace, a variety of chronic complications of diabetes also increased, becoming a threat to patients with diabetes invisible killer.
Some women with diabetes, 75 years old, history of diabetes 20 years, long-term use of hypoglycemic glibenclamide and traditional Chinese medicine, the last three years has been in fasting blood glucose 12 to 15 mmol / l (220 to 270 mg / dL). Later, because of the right foot toe nail cutting, resulting in long-term healing of partial rupture, the color black necrotic toe, then come to our hospital.

The patient was admitted to hospital after diagnosis of "Type 2 diabetes and lower extremity arteriosclerosis obliterans, diabetic foot five." In the treatment process, she made so that it does not understand a question: "how my diabetes 'run' to the feet go?" This sounds ridiculous, but it largely reflects the number of patients with diabetes ignorance.

As people's living standards improve, the incidence of diabetes at an alarming pace, a variety of chronic complications of diabetes also increased, becoming a threat to patients with diabetes invisible killer. Involving diabetes, arteriosclerosis obliterans is the major blood vessels surrounding a complication, as the article mentioned at the beginning of the patients, as arteriosclerosis obliterans developed to a certain extent, can lead to acral necrosis, severe cases leading to amputation, maiming and killing a patient an important reason.

Arteriosclerosis obliterans is a disease involving atherosclerosis and chronic peripheral arterial occlusive disease. As the atherosclerotic plaque or plaque rupture and internal bleeding, leading to the formation of secondary thrombosis and has the effect of vascular stenosis or occlusion, leading to limb ischemia and other clinical manifestations. Disease is more common in the elderly, the age of onset between 50 to 70 years old, 20% of patients with diabetes. Diabetic patients with the disease than those without diabetes 11 times higher, and earlier age of onset, and far more likely to affect small-diameter parts of the arterial side. Therefore, the diabetes, "run" to the feet go, is not surprising.

Arteriosclerosis obliterans by symptoms can be divided into four stages:

Phase 1 patients showed lower limbs, feet numbness, coldness, leg soreness, especially in the calf obvious.

(2) lack of blood flow reserve of both lower extremities, severe events can not maintain adequate blood flow, patients can be manifested as intermittent claudication, such as after walking some distance and was forced to stop due to pain, pain relief after the break.

(3) the further development of ischemia, remaining below the resting blood flow when metabolic needs of the organization, expressed as resting pain, particularly at night obviously.

(4) organization can not provide the necessary blood flow to survive, extremities and exposed skin damage began to nutritional disorders, clinical manifestations of limb necrosis or gangrene.

If the lower limbs Doppler ultrasound test results to points, the disease can be divided into four degrees:

Early lesion stenosis less than 25% of normal people, normal blood flow is less than 35%;

Mild lesion stenosis lower than normal 25 to 50% less than normal blood flow of 35 to 50%;

Moderate lesion stenosis lower than normal 50 to 75% less than normal blood flow of 50 to 70%;

Severe lesion stenosis less than 75% of normal people, normal blood flow is less than 70% or more.

Arteriosclerosis obliterans is the most serious damage resulting acral necrosis, gangrene, especially in diabetic patients with arteriosclerosis obliterans, diabetic foot disease is the most fundamental reason.

Case of diabetic foot patients, treatment is very difficult, so many patients are forced to amputation, to live inconvenience. Therefore, to remind the majority of diabetic patients, must be early detection and treatment of atherosclerosis obliterans, once the symptoms mentioned above, should consult a doctor.

Now, with the continuous improvement of diagnostic techniques, the disease detection rate has greatly improved. Early by noninvasive - Color Doppler ultrasound can check the artery, vein diameter and flow, make quantitative location analysis, so that the diagnosis accuracy greatly improved.

Once the diagnosis of arteriosclerosis obliterans, patients should stop smoking (smoking can cause vascular spasm), treatment of lipid abnormalities, diabetes control, keep limb skin clean, dry and soft, to prevent the cold and injuries. Such as local infection or trauma, should be dealt with promptly. In addition, current clinical application of a large number of vasodilator agents and anti-suppository, the efficacy of early lesions more significant. In recent years, also carried out surgery and interventional treatment, with good results.