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In the case of "diabetic foot syndrome" it is better not to wear open shoes
Even if the summer temperatures are high, diabetics who suffer from “Diabetic Foot Syndrome” (DFS) due to nerve damage should, according to the recommendation of the “German Diabetes Aid”, better not wear open shoes - this can cause injuries more quickly , which in many cases are not noticed due to nerve damage and can have fatal consequences.
Injuries can develop into ulcers without being noticed In the current summer temperatures, many people prefer sandals or barefoot walks - but as the German Diabetes Aid writes, this can "for people who suffer from nerve damage from diabetic foot syndrome (DFS) [ ..] but have fatal consequences ”, because even small stones would suffice to cause dangerous wounds, and the straps of the shoes would often cause skin irritation unnoticed. The problem: Many sufferers hardly notice pain, temperature and vibration due to the nerve disease, so that injuries are often not noticed at all and can therefore develop into ulcers without being noticed, according to a current press release from Deutsche Diabetes-Hilfe.
Many DFS cases could be avoided by regular foot checks. According to the non-profit organization, one in four people with type 1 or type 2 diabetes would experience foot injuries in the course of their life, known as “diabetic foot syndrome” (DFS) which result from poor circulation or nerve damage (neuropathy) and can lead to ulcers or, in the worst case, to an amputation. According to Reiner Schumacher, Vice President of the Central Association of Orthopedic Shoe Technology (ZVOS), many of these cases of DFS could be "prevented by regular foot checks, foot treatment and suitable diabetes protective shoes" - but only a few diabetes patients would regularly go for foot checks and get suitable shoes make.
If you have an increased DFS risk, wear "breathable, closed footwear" Accordingly, according to Dr. med. Thomas Haak, diabetologist at the Bad Mergentheim diabetes clinic, patients who are affected by type 1 and type 2 diabetes and who have an increased risk of DFS due to neuropathy, should wear “breathable, closed footwear with a soft foot bed” in the best case "The inside of the shoe [.] Has no seams to protect pressure-sensitive areas." If patients have already developed a "diabetic foot syndrome", they would have to wear protective shoes or bespoke shoes, in the advanced stage even bandage shoes or relief shoes are necessary. "On the other hand, people with diabetes who do not have neuropathy can freely choose their shoes," says Haak.
Doctors often do not know about the possibility of a medical prescription According to information from the German Diabetes Aid, there is only partial financial support for orthopedic or diabetic protective shoes from health insurers, for example, if the DFS is in advanced study. According to Reiner Schumacher, around 70 percent of his customers would come to him with a medical prescription from a specialist practice - whereby the patient's own contribution would then be 76 euros. But according to the German Diabetes Aid, there is definitely cause for criticism, because many general practitioners do not even know about the possibility of this medical prescription - therefore the organization now wants to stop the effects of the diabetic foot through the current campaign "Diabetes STOP - now!" Syndrome, because there are 40,000 amputations due to diabetes every year. (No)