Diabetic Foot

Clinical Features:

• 1)Tingling, 
• 2)burning, or pain in your feet
• 3)Loss of sense of touch or ability to feel heat or cold very well
• 4)Infection 
• 5)abscess 
• 6)ulcer

Investigations:

• 1)CBC
• 2)RBS 

Rx:

• Bed Rest
  
• Diet: Diabetic diet
  

1. Inj. Maxsulin -R (100 IU)(short acting insulin)

• 8+8+6 (+_2 S/C খাবার ৩০ মিনিট আগে অথবা আগের ডােজ অনুযায়ী চলবে)

2. Cap. Fluclox (500mg)(Flucloxacillin) 

•  1+1+1+1.......7 days

OR

Tab. Clavusef (Cefuroxime) (500mg)/ Cap. Denvar(cefixim) (400mg) 

• 1+0+1.......... 7 days

3. Tab. Oradol (ketorolac)(10mg) 

• 1+0+1(খাবার পর).......10 days

4.  Tab. Sergel (Esomeprazol) (20mg) 

• 1+0+1...(খাবার ৩০ মি আগে)...15 days

5.  Foot bath- BD

In severe case : All in Injectable form

Diabetic Foot Care:

• Inspect your feet daily.
  
• Bathe feet in lukewarm, never hot, water.
  
• Be gentle when bathing your feet. 
  
• Moisturize your feet but not between your toes.
  
• Cut nails carefully. 
  
• Never treat corns or calluses yourself.
  
• Wear clean, dry socks.
  
• Consider socks made specifically for patients living with diabetes.