Christina asks:

Hello! My dad is 63 years old, he has type 1 diabetes. Its recently put in the hospital with a temperature of 38-39. In the foot blackened the thumb. He made cuts, the doctor said it went to him. I want to know whether it is possible to amputate the finger, and not the whole leg? And can this gangrene develop further how to prevent it?

As a rule, gangrene of the lower limbs when sugar diabetes It appears about the reason for the damage to the vessel disease. Delivery to the tissues of oxygen and nutrients is reduced, which leads to the leaning of tissues. In this case, the level of amputation can determine only a surgeon's physician based on their data obtained during the patient examination. In order to prevent this pathology, it is necessary to monitor the level of sugar and cholesterol in the blood.

christina asks:

Look! My dad is 63 years old, he has type 1 diabetes. Its recently put in the hospital with a temperature of 38-39, on the lower limb shoved the thumb (the purulent process went, gangrene). Tell me please be your finger? Can I prevent leg amputation? Maybe somewhere there are good clinics where can the vessels and restore blood circulation?

In this case (Diabetic foot gangrene), the restoration of the foot microcirculation is impossible. Demanding fabrics will not be restored, as irreversible necrotic processes occurred in them.

Anna asks:

Hello. My dad is 54 years old, he has 2-type sugar diabetes. Already 6 years old. In a month ago, he had a wound on the big finger, which he did not heal for a long time. He was tightened a little, but his father's head and blushed 08.08.11, he was put in bone-purulent surgery with Tever .40, after 2 His day amputated to his finger on the leg. Please tell me what awaits us on?

The process dynamics will depend on the compensation of diabetes (from blood sugar and cholesterol). In the event that the blood sugar level will not be held on normal levelSugar will continue to affect the vascular wall of the microShower, which will lead to the progression of the necrosis of the tissues of the lower extremities, making it necessary amputation of the affected areas. In general, changes in the vascular walls occur throughout the body - not only in lower limbswhat can lead to angina, violation of work internal organs, peripheral nerves, encephalopathy.

guingus asks:

are there any cases of full wound healing after amputation thumb in diabetes? We already know about the worst

Patients suffering from diabetes mellitus personal experience It is known that this insidious disease violates the normal life of the entire body and is the cause of many concomitant diseases. One of the common and very unpleasant consequences of diabetes is the defeat of the nail plates on the fingers. And if other people have such a disease of nails can be simply unpleasant and painful, then patients in this category affected by fungus or ingrown nails on legs can lead to serious complications.

Defeat Nail Diabetes

Pretty common and easily treatable for most people fungal feet infections for patients with diabetes mellitus is quite dangerous disease. After all, due to poor blood circulation in the vessels of the lower limbs and the associated dryness of the skin of the microbes can spread across the foot and damage soft tissues. If the nails on the legs change their natural color and become yellow-brown or completely black, and the nail plate itself - thick and bearing, it means that they are damaged by fungal infection and need long comprehensive treatmentwhich does not always give successful results. Therefore, at the first signs, the fungus must be specified by the doctor to change the color of the nail. If he completely blackened, it is almost impossible to restore its normal structure and in most cases they simply remove the surgically.

Ingrown nails on the legs in diabetes

Nail rustling in soft fabric is also a complication with diabetes mellitus, since the muscles of the feet in patients with this disease do not work properly, which entails poor blood circulation in the foot. With a constant inconvenient or improper position of the fingers when walking the edge of the nail gradually included in the skin, causing swelling and redness. Over time, the ingrown nail can lead to the suppuration and infection of soft tissues not only to the fingers, but also the whole foot and cause serious problems in the patient, right up to surgical removal nail plate Or the entire finger and the emergence of the so-called diabetic foot. Therefore, during diabetes, it is very important carefully and properly cut the nails: do not cut their corners, to maintain a special file along it and carry out a cosmetic pedicure every week. To prevent pressure on the nail plates, we should wear a comfortable and appropriate fit shoes with a wide toe on a low heel.

Attentive attitude to the status of a stop, careful care for them and timely appeal to the doctor about the emerging symptoms (cut, black) get rid of patients with diabetes from many problems associated with nails on the fingers of the legs.

Reviews and comments

I have a type 2 type - insulin-dependent. The girlfriend advised to reduce blood sugar levels using the drug Diabenot. Ordered over the Internet. Begin reception. I comply with a non-strict diet, started every morning to go on foot 2-3 kilometers. For the last two weeks, I will notice a smooth reduction in the sugar on the glucometter in the morning to breakfast from 9.3 to 7.1, and yesterday even up to 6.1! I continue the preventive course. We will unsubscribe about success.

About nails and diabetes

Many of those who have encountered diabetes, forget that nails need proper care. It lies not only in compliance with the norms of personal hygiene, but also in the most frequent examination of the limbs, the use of cream and scrubs, wearing convenient shoes. Nail problems can violate many vital processes, so nails and their condition with diabetes should always be perfect.

About nails and diabetes

The increased ratio of glucose in the blood provokes the defeat of nerve endings and, much more rarely, vessels restored by means. In the lower limbs, these processes proceed much faster than in the rest of the human body. This is explained by the fact that the legs are relatively removed from the CNS, and, it means that blood has to do a sufficiently long path along the vessels until it comes to the stop.

In addition, these limbs account for a serious load during walking, which prevents heating out wounds and cracks, their condition can be improved. However, the most important thing is that all of them in the area of \u200b\u200bthe Stop can be invisible for a long time - it is obvious in the photo. This is due to the fact that the defeat of the nerve endings may well destabilize the pain of sensitivity, including when it comes to nails, their condition during diabetes mellitus and.

A man who collided with diabetes lives, in a certain sense, separately from its own limbs and, accordingly, nails.

This is due to the fact that:

• the disturbed degree of sensitivity does not make it possible to feel them, which is improving methods;
• exacerbating the function of view (more than probable during diabetes) does not allow them to be inspected;
• overweight (ordinary for a diabetes of second type) does not contribute to reaching them.

Why do nails darken?

That is why people at the submitted aids presented are much more often formed by the wounds, including the nail. Incorrect care of them in such situations and as a whole can cause problems that will briefly describe further.

About darkening

The reason why nails are darkened and become painful with diabetes, simple: subnormal hemorrhage or hematoma. This phenomenon "helps" the extremely high fragility of vessels, as well as constant and serious pressure on the skin of the finger on the side of the nail plate.

This phenomenon is not only negative from a cosmetic point of view, it is dangerous, because it may be a catalyst for the diabetic sores of the foot. In addition, will develop painful feelingsWith which it is impossible to cope on their own. Therefore, it is necessary to compulsory treatment, which is to complete the exclusion of uncomfortable shoes, restoring the state of the vessels, as well as, in acute necessity, pumping blood from under the nail region. This problem needs hospitalization exclusively at the later stages of its formation. At the primary stages, symptomatic treatment is perfect.

About the promised nail

Nails, ingrown, with diabetes are also a serious problem, as can be seen in the photo. With an immersion of the edges or corners into soft fabrics of the limbs. It provokes not only soreness, but also suppuration. And for this may pass quite a bit of time.

In some cases, the suppuration can be transformed into the ulcer of the limbs.

In order to avoid this, only competent prevention is needed.

At a minimum, it lies in:

1. observance of the norms of hygiene legs and nails;
2. properly conference.

About the treatment of an ingrown nail

Next, it is permissible to use certain medicinal preparations or correction of the shape of the nail plate itself. It is also likely to remove the plate with a surgical method, which always allows you to get rid of this phenomenon.

About fungal defeat and thickening

It is also called mycosis and finds its manifestation in changing the shade of the nail (violation of its transparency), its bundle and in more severe cases - thickening. It is fungal defeat that should be considered the most frequent causeprovoking nail thickening. However, others are likely: the damage to the nail is earlier, the deterioration of its nutrition and much more.

In fact, such contacts with fungal-type cells take place in many people, but quite developed immune protection does not make it possible to form demise. The aggravation of the immunity of diabetics "turns off" this protection, after which the fungi begin their successful reproduction.

Treat nails affected by diabetes in this way, possibly in several ways. In particular, the use of antifungal agents is not just a place, but also in the form of tablets. It would also be correct to clear the shoes and clothing of diabetics. Only in this case the deliverance from the fungus will be successful for all 100%.

About cuts

What are dangerous cuts of nails?

Perhaps cuts in the fields of nails and plates with diabetes is one of the most frequent problems. It is characterized by a chronic character, moreover, it is almost always not fulfilled to the end. And therefore it is very important when cuts immediately:

• process with special means (in the photo);
• use then a sterile bandage or a bandage in order to close this place.

If this is not done, then the likelihood of what is formed not only will be diabetic stop, but also the fitting of nails. With diabetes, it may have more than serious consequences.

Thus, each of the diabetics is obliged to carefully watch their nails in order to preserve health. It is this that will be a guarantee of easier struggle with the ailment in general and 100% of the result.

Changing the color of the fingers, the appearance of changes in the skin of the foot, long-lasting ulcers most often indicate vascular pathology. However, it is possible to correctly understand this challenge only by assessing the entire set of signs. In addition to vascular diseases, infectious diseases can be brought to such changes ...

The color of the skin of the fingers and the foot changes dramatically during the acute obstruction of the arteries. The skin of the fingers first takes the pale appearance, then shines. After some time, the skin becomes spotted "marble". A few days later, if the blood circulation is not restored, Gangrena comes. Soft fabrics We are moored with edema, bubbles filled with brown liquid appear - the stop becomes a "inanimate appearance." It is impossible to bring to such a comprehension, as we are talking about the loss not only the limb, but also perhaps life.

In chronic arterial insufficiency with the development of critical ischemia, the fingers first accept the bug-blue painting. If you do not take measures to restore blood circulation, ulcers appear on the fingers and feet, the fingers are black, dry. Stop gradually dries out - it comes "Mummification". This condition is called dry gangrene. On time restored arterial blood flow, prevents such a dramatic development of events.

Ozzles on the foot and legs can be both venous and arterial origin. They develop in the last stages of development of both venous and arterial failure. Timely diagnosis and treatment of trophic ulcers in most cases leads to their closure.

The most severe complication with vascular diseases is gangrene. It develops with atherosclerosis, diabetes, Trombalgitiite. It may occur with severe venous insufficiency.

With dry gangrene, the mummification of the foot or shin with clearly elimination occurs. Cases are described when such a foot was laid out like a dry branch. This is the most favorable version of the gangrene - orcanism itself is degrading the dead part and the poisoning of decay products does not occur. However, the "wet" gangrene is more often developed. When infection is intensified in the tissues, rotting and disintegration begins. A sharp smell is characterized for wet gangrenes. The process quickly spreads up and the body does not have time to deliver it. If it does not amputate the leg in time, then death can come.