Articles about Diabetes

At the Estepona Hyperbathic Center we treat patients with diabetes-related ailments such as Diabetic Foot with excellent results.

One of the complications presented by diabetics are skin healing problems. These problems in the diabetic patient, in general, and especially in the feet, are produced because the blood circulation is deteriorated.

In this collection of articles we will bring you information about this disease. To do this we will talk about topics as interesting and necessary as the definition of diabetes and diabetic foot symptoms, types, symptoms, origin and causes, treatment with oxygen therapy … and much more information that we will create to nourish this section of our blog.

In addition, we will talk about cases of diabetic patients who have passed through our center and have received oxygen therapy treatment. We will see how hyperbaric medicine has helped them and what changes they and their family have noticed.

Diabetic Foot, Symptoms and Treatments

One of the cases that we have seen most by the Hyperbaric Center of Estepona has been patients suffering from Diabetic Foot. Sometimes they have reached us in such an advanced stage of the disease that little could be done.

In order that this does not happen in more occasions, we bring you this article where we tell you what is the Diabetic Foot and how we can detect it.

Definition of Diabetic Foot

The condition of the diabetic foot comes from the disease of diabetes itself, in which blood sugar levels are very high, which can lead to the passage of time that the nerves and blood vessels are damaged. One of the most typical cases is in the feet, causing ulcers and infections. In severe cases the foot is amputated.

The condition of the diabetic foot, caused by alterations of blood vessels and nerves, is often complicated by ulcers that require amputation. It is one of the most costly complications of diabetes, especially in human groups who do not wear appropriate footwear. It is a consequence of vascular and nervous disorders. Frequent foot examination and care can help prevent amputation. Comprehensive foot care programs can reduce amputations by 45% to 85%.

OMS (Organización Mundial de la Salud)

Diabetic Foot Symptoms

  • Loss of sensation in the foot Pain, temperature changes, or pressure are barely noticeable.

  • Muscle weakness and atrophy, which can cause foot deformities.

  • Dry skin with a tendency to crack.
  • Edemas and vascular distensions.

Diabetic foot phases

Diabetic foot phases

Diabetic Foot Treatment

There are a number of actions that can help us to prevent this situation.

Daily inspection of the foot to detect blistering lesions, haemorrhages, maceration and interdigital excoriations. A mirror will be used to inspect the sole and heel.

Change socks and shoes twice a day.

Never walk without shoes. Use wide shoes in places such as the beach or swimming pool.

Never use hot water bottles or heating pads to heat them.

Never use the resection of ingrown nails or calluses. Go to a podiatrist.

Do not rush the cutting of the nails, but do it straight and file them gently.

Wash your feet with soap and water for five minutes. Rinse thoroughly and dry thoroughly, especially between the toes.

Before using hot water in foot hygiene, measure the temperature with your elbow.

Apply moisturizing cream after bathing, but not in the interdigital spaces due to the risk of maceration.

Try to walk every day.

No smoking.

Notify your nurse or family doctor of the onset of swelling, redness or aceration even if it is painless.

Avoid pressure from foot bedding.

DIABETIC FOOT CARE PROTOCOLS. Ramon y Cajal University Hospital.

A treatment that gives very good results, as long as it is taken in time, is hyperbaric oxygen therapy. The hyperbaric chamber produces a rescue effect on the hypoxic tissue allowing healing and on the other hand generates a neo-vascular network that can replace the diseased vessels.

The Diabetic Foot: How Oxygenation Helps Against Diabetes.

Today we are going to talk to you about the diabetic foot and the benefits that hyperbaric medicine has on this condition derived from diabetes.

These days there has been news on the Ana Rosa Quintana program, the AR Program, of how hyperbaric medicine has helped a patient with diabetes. This help has consisted of nothing less than that this patient has managed not to lose the only leg he had left, since he had already had to point one of them due to gangrene caused by diabetes itself.

The oxygen therapy treatment to which he was exposed managed to counteract this gangrene effect by providing the oxygen that the skin needed.
Diabetes and hyperbaric medicine

Diabetes is considered a true epidemic of the 21st century. Directly related to current dietary habits and overweight, there are currently 246 million people in the world affected by type 2 diabetes, a figure that according to studies by the International Diabetes Federation (IDF), could reach 489 million people by 2030.

One of the complications presented by diabetics is skin healing problems. These problems in the diabetic patient, in general, and especially in the feet, occur because the blood circulation is deteriorated, there is poor nervous sensitivity that predisposes to other local trauma, less responsiveness to infections and a decrease in the speed of cell repair and the tissues repaired are weak compared to healthy tissue. In short, not enough oxygen reaches the damaged tissue.

In fact, diabetes is responsible for 20% of lower extremity amputations. Spain is the second country in the world with the most amputations of lower limbs due to type 2 diabetes, according to the Diabetic Foot Magazine in its October 2014 issue.

This same professional publication argues the need to approach the treatment of the diabetic foot from a multidisciplinary point of view, where, in addition to doctors, surgeons, endocrinologists and nurses, the application of Hyperbaric Medicine acquires a relevant position, an indication even endorsed by the highest authority in the matter, the UHMS (Undersea and Hyperbarical Medical Society).
How oxygen therapy works in cases of diabetic foot

One of the world’s leading experts in Hyperbaric Medicine, Dr. Nina Subbotina, explains in her book ‘Hyperbaric Medicine’ that Hyperbaric Oxygen Therapy is a physiopathological treatment for the diabetic foot. The therapy consists of subjecting the patient breathing pure oxygen to a pressure higher than the atmospheric pressure, something that can only be achieved in a hyperbaric chamber with the characteristics of that possessed by the Hyperbaric Medical Center of Estepona, HMCE, being individual in nature and therefore able to apply an exclusive and personalized treatment for the need of each patient, in addition to having all the safety requirements demanded by modern medicine.

Hyperbaric oxygen therapy, adds Dr. Subbotina, acts on the tissue repair mechanisms altered by hypoxia or lack of oxygen and allows the diffusion of oxygen into the blood at a deeper level, increases collagen synthesis, increases angiogenesis or the creation of new blood capillaries, favours the response to protection against infection and even improves the assimilation potentiates the action of some antibiotics.
It is estimated that expenses derived from diabetes represent between 6.3% and 7.4% of total healthcare expenditure in Spain.

29% of healthcare expenditure is dedicated to diabetes control, while approximately 40% is dedicated to the treatment of associated complications.

Patients with type 2 diabetes with complications and associated morbidities generate a cost 2.4 times higher for the health system than those without complications. The diabetic foot is considered a more costly complication of diabetes.

Undergoing Hyperbaric Oxygen Therapy sessions can not only reduce the level of amputation in complicated diabetic foot cases, but in many cases can completely eliminate this intervention if caught in time.
Estepona Hyperbaric Center

If you need more information, do not hesitate to contact the Centro Médico Hiperbárico de Estepona on 952 806 796 or through the website www.centrohiperbarico.com, where you will be attended by qualified professionals capable of responding to all your questions without commitment.