Diabetic foot patient, will running be okay?Blistered Shoes Rewearing 'NO'
Nov 14, 2024
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According to the recent Diabetes Fact Sheet (2024) published by the Korean Diabetes Association, among adults over the age of 30 in Korea, 5.33 million people had diabetes and the pre-diabetes population was estimated to be 14 million. This means that 4 out of 10 people are at risk of diabetes.
In the midst of this, running to protect health has recently been in the spotlight and is entering the era of 10 million running population. The learning craze can also have a positive effect on the health care of diabetics. This is because running, an aerobic exercise, can be an activity for improving diabetes symptoms in several aspects, such as ▲glycemic control ▲ improvement of insulin sensitivity ▲ reduction of complications.
However, running is a high-intensity exercise that directly stimulates the feet. These stimuli can cause serious foot complications in diabetic patients, so special attention is required. On November 14th 'World Diabetes Day', we summarized diabetic foot with the help of Jeon Dong-geun, a professor of plastic surgery at Catholic Kwandong University International St. Mary's Hospital.
◇ Diabetes patient, is running okay?
Diabetic foot lesions, i.e., diabetic foot, refer to various foot abnormalities that occur in patients with diabetes. In general, about 20% of diabetics are known to experience symptoms of diabetes at least once in their lifetime.
This is a fundamental cause of structural changes resulting from peripheral vascular and nerve damage that occur in long-term exposure to hyperglycemia. As a result, the loss of sensation in the toes, ▲ large and small wounds, ▲ changes in the shape of the feet ▲ serious skin necrosis, etc. may occur, and toes or feet may need to be amputated if proper treatment is not taken early.
In diabetic patients, it is important to exercise regularly in order to prevent the occurrence of these diabetes and to maintain a healthy foot condition. In fact, a domestic study found that diabetics have a lower incidence of limb amputation than those who do not exercise regularly.
However, it is recommended to approach the learning of patients with diabetes or diabetes with caution. This is because inappropriate exercise methods can cause or rapidly worsen symptoms of diabetes. In particular, for patients with symptoms of diabetic ulcers, active learning can be such a dangerous option that it can be taboo.
Professor Jeon Dong-geun "Low-intensity aerobic exercises such as walking and slow jogging are recommended for diabetic patients, but if you have complications, the situation is different" For example, you may not be aware of your own toe inflammation or necrosis progressing due to decreased sensation. Therefore, it is better to do exercises such as swimming or cycling than high-intensity running, which puts direct weight on your feet."
◇ Don't wear blisters and injured shoes again
In order for diabetic patients to exercise safely, it is necessary to ensure that large pressures are not transmitted to their feet. To this end, wear cushioned shoes and socks during outdoor activities and gradually increase the amount of walking, but do not overdo it. Choose shoes that are not too tight or loose, and shoes that have blisters or wounds when worn should not be worn again.
After the activity, wash your feet thoroughly to keep them clean and check the condition of your feet carefully. In addition, cold and hot packs that cause frostbite or burns should be avoided due to poor foot sensations. In addition, it is better to exercise after meals rather than on an empty stomach so that you do not fall into low blood sugar, and to be with your companion to prepare for possible situations.
Professor Jeon Dong-geun "For diabetic patients, periodic exercise is important in that it can improve the condition of peripheral blood vessels. However, it is necessary to adjust the exercise method according to the individual's physical condition"In particular, diabetes can easily worsen even with small wounds, and if early treatment fails, active surgical treatment may be required, so prevention and management are important."
Professor Jeon then said, `Diabetes is sometimes delayed due to fear of amputation, but the results of full recovery and amputation can be reversed within a week, so if symptoms are observed, visit a hospital immediately for treatment," he said.
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