Diabetic food ulcers, Urgo Start Plus, would healing, diabetic wound healing, diabetes footcare,

KIT

BEST FOOT FORWARD

Good footcare is essential, especially if you have diabetes. Here

we look at what everyone can do to try and keep their feet

healthy and ulcer free. Diabetes specialist podiatrist Rachel Norton

explains her role and the importance of the right care.

R

achel Norton is based

at Leicester General

Hospital has seen

first-hand the impact

that diabetes related

foot ulcers (also known as DFUs) can

have - and the importance of treating

them appropriately. Here she shares

information about her role as we as her

top tips for good footcare.

"We know that people with diabetes

are at an increased risk of foot ulcers,

primarily as a result of neuropathy. When

blood sugar levels are high, or fluctuate

regularly, skin that would normally heal

may not properly repair itself because

of nerve damage and reduced blood

supply. A mild injury can quickly become

something much more severe. It surprises

people how something so simple such as

socks rubbing, or a blister, can develop

into something serious.

"As a podiatrist I am medically trained

in the foot, and understand how it works

biomechanically, dermatologically, and the

vascular signs of complications. People

with diabetes are entitled to an annual

foot check, although the health regulatory

body, the National Institute for Health and

Care Excellence (NICE) recommends

that those at high risk (due to previous

ulcerations, neuropathy, calluses, foot

deformity, on dialysis, for example) see

a podiatrist every eight weeks. But it is

important for people to take responsibility

and monitor their own feet for issues and

changes."

Norton works alongside a multidisciplinary

team (MDT), consisting

of a podiatric surgeon, consultant

diabetologist, microbiologist, specialist

podiatrist, and diabetes specialist nurse.

Diabetes patients are seen by both core

and specialist podiatrists who will check

for infection, run x-rays, and ensure that

healing is happening in the right way. Says

Norton, "The Diabetes Footcare Pathway

that we use in Leicestershire is key, as it

helps all healthcare professionals (HCPs)

access MDT and community podiatry if

someone needs it."

New solution

The start of the year brought exciting

news with the NICE recommendation for

a wound dressing for DFUs and venous

leg ulcers. UrgoStart treatment range

contains patented technology, proven to

reduce healing time of diabetes foot ulcers

and leg ulcers. According to Norton,

"What is so significant is that it is the first

dressing to be recommended by NICE for

the treatment of DFUs as it is proven to

reduce healing time through the highest

level of evidence and is cost effective.

The priority has to be to heal ulcerations

as fast as possible, and UrgoStart does

just that. I hope that the NICE guidance

Diabetes specialist

podiatrist Rachel Norton

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