With many factors to be considered, relieving pressure can prove to be a daunting task. For tougher cases, establishing a good working relationship with your foot specialist is essential. Gross peripheral edema, large bony prominences, wound location, previous amputation, and similar other cases all play critical parts in picking the right and most appropriate offloading option that will work for you. Wash your feet every day as well as after demanding workout or task. Usage detergent as well as cozy water - test the temperature with your elbow if you have difficulty discriminating the temperature. Do NOT soak feet Prolonged soaking can easily cause dry, cracked skin. This study had several limitations. Morphological evaluations of thermographic patterns are quite subjective and can be easily affected by environmental conditions, expertise of the investigators, and possible bias of the patients’ information. A more controlled method should be established for the collection and interpretation of thermographic data. In the present study, the diagnosis of osteomyelitis was based on MRI findings; biopsy of the bone or surrounding tissues was not able to be performed. Therefore, we cannot clearly understand the pathophysiological status underlying “the ankle pattern.” We could not investigate grade of severity of angiopathy for application of this method because the sample size was small. 5. Conclusions. Adopting a healthy balanced diet that is low on calories and high on proteins and other nutrients is the first step in any comprehensive program for significant weight loss. Your diet is not only responsible for your obesity; it can also help you lose weight and is an essential component of any successful weight loss treatment. Type 2 diabetes occurs when there is a slowdown or loss of effectiveness in the transfer of sugar to the blood cells from the blood stream. This condition is caused because your body develops resistance to insulin which results in chemical imbalances; this condition can also create a number of risky medical complications. Slow formation. Compared with blood glucose,HbA1c is relatively stable. Transitory rise or decline won't lead to decline of HbA1c. Also, it cannot be affected by meals. Due to this fact, it can be tested before or after meal. HbAlc test is often done at a laboratory or conducted in hospital clinics, which is traditionally a measure of long-term control of glucose level in the bloodstream and is recommended by the American Diabetes Association as an option for Diagnosis of Diabetes. By measuring HbAlc, we can get an average blood glucose reading. The second problem is the circulation or blood flow in the feet and legs. The arteries get clogged faster when you have diabetes. If you take two people who are identical, except one is diabetic, the one who is diabetic is four times more likely to have a heart attack. That is because of the increased rate of clogging up those arteries through the process called atherosclerosis. But this process happens everywhere, not just the heart. The blood vessels to the legs get plugged up too. Then, when you get a sore it takes longer to heal. As a person with diabetes, you are more vulnerable to foot problems, because diabetes can damage your nerves and reduce blood flow to your feet. The American Diabetes Association estimates that one in five people with diabetes who seek hospital care do so for foot problems. By taking proper care of your feet, most serious health problems associated with diabetes can be prevented. Your doctor will check your feet each year for any problems. After washing, use lotion on your feet to prevent cracking. Do not put lotion between your toes. Examine Your Feet Each Day Presently, a wide range of over the counter anti-fungal diabetic foot treatment preparations are presented. A few of them include natural ingredients such as Australian tea tree oil. These drugs assist to calm the skin, cut back redness and cure the fungus; subsequently, they are excellent for diabetic foot treatment. Avoid walking without footwear to stop foot injury. All wounds should be handled instantly with daily monitoring till fully healthy. It is strongly recommended to remove footwear to freshen the foot through the breaks while hiking. Diabetes Foot Ulcer and wound is exposed to everyone who has diabetes , who has potential to develop foot ulcers and wounds. Unless you are routinely checking your blood sugars, or performing a neurologic or vascular assessment, you may not know that you are developing some of the common symptoms associated with diabetes. In many cases, some of these early signs will develop in the feet and legs. Did you know that more than 65,000 lower limbs are amputated annually due to complications from diabetes and that after an amputation, the chance of another amputation within three to five years is as high as 50 percent? Don’t go barefoot. Don’t go without shoes, even in your own home. The risk of cuts and infection is too great for those with diabetes. The rate for upper and lower leg amputations fell 47 percent among people with diabetes over the decade, and the rate of lower extremity amputations alone declined about 29 percent during that time period. Only partial toe amputations, which have less impact on quality of life, rose during that time period—by 24 percent. Orthopedic treatments for diabetic foot ulcers, which the authors also analyzed, rose 143 percent, the study found. Phisitkul said it's impossible to pinpoint a specific reason for the drop in major amputations. "We do know that better foot and ankle treatment is a part of it though," he said.