How To Achieve Happy Feet

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1 Happy Feet

2 I Important: Information provided by this booklet is for educational purposes. It is not intended to replace the advice or instruction of a professional healthcare practitioner, or to substitute medical care. Contact a qualified healthcare practitioner if you have any questions concerning your care.

3 How To Achieve Happy Feet Many people with diabetes have problems with their feet. High blood sugar levels can lead to poor circulation or nerve damage (also called neuropathy). To prevent serious foot problems and have happy feet, you can follow these basic rules.

4 Good for your feet Check your feet every day and look for cuts, bruises, blisters, sores. Use a mirror to see the bottom of your feet as well. Trim your nails straight across. Ask someone else or a podiatrist to trim your nails if your eye sight is impaired. Always wear slippers at home and wear professionally-fitted shoes. 3

5 Good for your feet Wash and dry your feet every day especially between the toes. Apply a good skin lotion on your heels and toes, wiping off extra lotion. Change your socks everyday.

6 Bad for your feet Do not walk with bare feet. Do not wear shoes without socks. Do not wear tight knee-high socks, socks with holes, or socks which are either too tight or too loose. Do not wear shoes which are too tight or too big.

7 Bad for your feet Do not wear shoes with heels which are too high. Do not cut your own corns and calluses, or treat your own ingrown toenails with a razor or scissors. Do not use hot water bottles, electric blankets. Do not soak your feet for more than minutes or take very hot baths. Always check the temperature of the water with your elbow before entering a shower or a bath.

8 Bad for your feet Do not sit for long periods of time. Do not smoke. Smoking increases greatly the chances of developing poor circulation and ulcers in your feet. You lose the feeling in your feet and you may not feel pain. I Important: By following these suggestions you will keep your feet happy. 7

9 Call your Doctor or Diabetes Educator: if you notice anything unusual such as an injury which does not heal. if any part of your foot becomes black or blue. if you notice any redness or swelling; this could be a sign of infection.

10 NOTES

11 This booklet was created by: Eva Prandekas, R.N. Carmela D Avella, B.Sc. N, CDE Maria D Errico, B.Sc. N, CDE Gord Collins Shazia Malik, D.P.M. Acknowledgements: Barbara Greig Marian Lowry Danielle Houle Imran Gibbons Production of this booklet and podiatric services for patients with diabetes at the MUHC are generously supported by the Majdell Memorial Fund, Sanofi and The Lights of Hope Gala of the MUHC, Division of Adult Endocrinology and Metabolism. We would like to thank the MUHC Patient Education Office for their support throughout the development of this material, including the writing, the design, layout, as well as for the creation of all the images. Copyright 8 December 16, March 13, McGill University Health Centre. 2nd edition. This document is copyrighted. Reproduction in whole or in part without express written permission from patienteducation@muhc.mcgill.ca is strictly prohibited. This material is also available through the MUHC Patient Education Office website

12 SHARPS CONTAINER Looking for more information on MATERIALS NEEDED HOW TO INJECT INSULIN using a syringe Alcoho Swa 9 Alcohol Swab 1 INJECTION AREAS Check the insulin For cloudy insulin, Remember to always bottle to make sure gently roll the rotate your injection site. you have the correct Avoid injecting in scar Wash your hands. type of insulin. between the palms tissues or in muscles. of your hands. 8 Hold the syringe upright Insert the needle Hold the insulin and pull the plunger back through the rubber counter or tabletop. of units you need. 11 Pick up the syringe Wipe the top of and remove the needle cap. alcohol swab. Put the needle fully through the skin at Push down the plunger Push the plunger Remove the syringe a degree angle, with your thumb to down so that the air syringe upside down. depending on the inject the insulin. skin depth. Draw up the correct amount of insulin. When your sharps container is 3/4 full, Discard the bring it back to your syringe and pharmacy or your needle and Remove the needle CLSC. drop it into from the skin and apply a sharps container. site for seconds. Copyright 27 October 16, May. McGill University Health Centre. strictly prohibited Happy Feet Visit the Patient Education Collection Search: Diabetes in adults muhc.patienteducation.ca Copyright 3 November 16 McGill University Health Centre.

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