Moreover, since hyperglycemia is a modifiable risk fac- tor in diabetic neuropathy, appropriate blood sugar con- trol is paramount to reducing neuropathy and improving patients' quality of life. Hence, patients with poor con- trol of blood glucose should be given special attention for practicable educations. This emphasizes the im portance of nurses' role to develop a comprehensive educational program. Besides learning the suitable life style, patients should be trained according to the severity of diabetic foot problems.
Considering the above points, education of health care provider is a crucial issue. In addition, most of the time
Table 1 The basic principles of foot care in clinic and home visit
-To Examine feet daily for discoloration, swelling, skin cracks, pain or numbness
-Use the self help methods to help foot examination such as using mirrors
-Foot hygiene (daily washing, followed by drying feet carefully, especially between the fingers)
-Controlling water temperature before washing foot
-To avoid going barefoot or wearing shoes without socks -To choose shoes that are precisely in size.
-The best time for buying shoes is in the afternoon. -Cutting the fingernails directly
-To avoid manipulation of foot lesions such as corn
-To keep wet the dry surfaces of foot by moisturizing creams except between the fingers
-To ask for help if reduction of the visual acuity.