There is quite a bit of over-prescribing or inappropriate prescribing of antibiotics for diabetic foot wounds, which doesn't help the patient and can lead to antibiotic resistance," said Warren S. Joseph, DPM, co-author of the guidelines and consultant for lower extremity infectious diseases at Roxborough Memorial Hospital, Philadelphia. "The guidelines note that when antibiotics are necessary they should be discontinued when the infection is gone, even if the wound hasn't completely healed." The voluntary guidelines are not intended to take the place of a doctor's judgment, but rather to support the decision-making process, which must be individualized according to each patient's circumstances. Distal Symmetrical Polyneuropathy This type, also called simply polyneuropathy, involves the feet and legs and is usually described by the person as numbness or tingling in the feet. Sometimes a burning sensation is noted. Normalizing blood-glucose levels is the best treatment at present. There are several medications that can help this problem, although none will cure it. Of course pain medications and narcotics will control the pain but have long-term problems. Anti-depressants are sometimes helpful as are some anti-seizure drugs such as Tegretol and Neurontin. Capsaicin, a derivative of peppers, in a cream form can sometimes be helpful in relieving the pain and burning but must be used carefully. It usually causes a pointed, stabbing or burning pain in the arch of your foot, usually close to your heel. The pain might possibly be also felt behind the toes, and occasionally throughout the vast majority of bottom of the base. The pain is most intense for any first few steps after you arise from bed every day, or after you've been sitting for years. Local infections will result in diabetic gangrene due to damage of digital arteries. Painful nerve damage that affects the nervous system is a complication of diabetes These complications make diabetic foot care important for all diabetic patients. To avoid serious foot problems, follow these guidelines. You may want special socks with extra padding. Socks that move moisture away from your feet will keep your feet drier. In cold weather, wear warm socks, and do not stay out in the cold for very long. Wear clean, dry socks to bed if your feet are cold. It’s easy to take your feet for granted. Day after day they perform without a hitch until that one day when something is just not right. Sit in a busy podiatrist’s office one day and watch the people hobble in on crutches canes, splints and bandages, and you’ll quickly get the drift of this problem For more important and essential information on proper diabetic foot care, buy your copy The Ultimate Guide to Diabetic Foot Care by clicking here Not all diabetics will need special shoes. However, many diabetics will, at some point, require special shoes as their conditions worsen or as they foot injuries. Common diabetic foot ailments include blisters, cuts, swollen feet, and calluses. Often, diabetics are not even aware that they have foot injuries until they get an infection or until they inspect their feet. If you head over to Amazon you will see several Dr. Scholl's water foot spa massagers, however, the one above is the most popular. Tanglewood Foot Specialists is a recognized center of excellence in Houston, TX known for the evaluation and treatment of all injuries and conditions of the foot and ankle. Dr. Andrew Schneider, is the medical director of the practice and personally assures that each patient has the time and attention he deserves. For more information and many informative videos, visit and his blog at The cooler times are approaching fast and when it comes time and energy to move dashing through the snow in a one horse start sleigh, you will want a set of excellent winter socks on; or it may not be 'er the areas you go. Foot is the body’s part for standing and motions, which needs appropriate care and attention. There is one pair of foot in each human body that comprises of instep, sole, heel, ball and of course, five toes in each foot. The foot has an ankle that serves a joint for the leg and foot to meet. Also, the ankle serves for dexterity and movement helping the body move forward. Ankles also coordinate with the leg and foot through flexion and extension Foot exercises are essential for maintaining proper foot movement. These exercises should be use with caution at first try. Eventually , you can increase pressure while doing these exercises. Lisa Nhan, DPM, is a third year podiatric surgery and medicine resident with special interest in forefoot reconstructive surgery and diabetic limb salvage at Long Beach Memorial Medical Center, Long Beach, California. She is also a co-investigator on a comprehensive wound scoring research project with Drs Strauss and Miller. Michael B. Strauss, MD , is an orthopaedic surgeon who focuses on managing limb threatening wounds is the medical director of Hyperbaric Medicine at Long Beach Memorial Medical Center, a clinical professor of orthopaedic surgery at the University of California Irvine and orthopaedic consultant for the Foot & Ankle Clinic at the Veterans Affairs Medical Center, Long Beach, California. Now let's see the causes of hyperglycemia or increased blood sugar level. Uncontrolled food intake is considered as a major cause for the occurrence of hyperglycemia. Foods with rich carbohydrate concentration increases blood sugar to a maximum level. Maintaining well balanced diabetic diet is the only solution for this problem. Lack of exercise results in accumulation of fatty deposits in the body there by it increases the chance of hyperglycemia. Based on these studies, a controlled clinical study using human plasminogen to treat chronic wounds in humans is now planned. The ultimate goal is to develop plasminogen to a medicine for the treatment of various chronic wounds.