Question

best way to prevent foot ulcer in someone w/ hx of DM. Phys exam showed decreased dorsalis pedis pulses and loss of sensory loss over toes

Answer 1

The best way to prevent foot ulcers in someone with history of diabetes mellitus is through proper foot care and diabetes management. Recommendations include daily foot inspection, washing with mild soap, applying moisturizer, wearing proper shoes, and managing blood sugar levels.

Step-by-step explanation:

The best way to prevent foot ulcers in someone with a history of diabetes mellitus (DM) is through proper foot care and management of diabetes. Regular assessment and monitoring of the feet are essential. Some recommendations include:

1. Inspecting the feet daily for any signs of redness, swelling, blisters, or cuts.
2. Washing the feet daily with warm water and mild soap, and drying them thoroughly, especially between the toes.
3. Applying moisturizer to prevent dry skin, but avoiding excessive moisture.
4. Trimming toenails straight across and not too short to prevent ingrown nails.
5. Wearing properly fitting shoes and socks to avoid pressure points and friction.
6. Avoiding going barefoot and using protective footwear outdoors.
7. Managing blood sugar levels through medication, diet, and exercise.
8. Quitting smoking, as smoking increases the risk of foot ulcers and delays healing.