The treatment starts at home which includes taking meticulous care of the diabetic feet, much before ulcers develop. To avoid direct heat by hot water bottles of fire places. In case of cold feet, use warm socks or gauge the temperature of the hot water bottles which have normal sensation, before using it. Avoid injury to your feet while cutting nails. According to Dr. Chopra, causing injury to one's feet while cutting nails is a very common cause of infection followed by gangrene and foot lose. Should you injure your feet, do consult a vascular surgeon immediately. Your podiatrist will start with checking the pulses in your foot and ankle, examining the skin for changes and wounds that are poorly healing. Often an ABI (ankle-brachial index) is evaluated which compares the blood pressure in your arms to your ankles. A Doppler exam may be ordered. This test uses sound waves to measure the blood flow in the veins and arteries in your arms and legs. If any of these exams are abnormal, your podiatrist may refer you to a vascular surgeon to discuss options for treatment. While many patients recovered and went on to get new artificial limbs fitted, there were some whose wounds just wouldn't heal. Skin tissue may not receive adequate oxygenation as well as become infected, causing necrosis, or tissue death, to set in if a foot ulcer is left untreated. Signs of necrosis include brown or black coloration of the skin, numbness, foul odor and swelling. The necrotic tissue must be removed for new, healthy tissue to form. Wound debridement removes all dead tissue using a sharp instrument such as a scalpel; however, topical debriding agents are also applied to remove dead tissue. The "Cleveland Clinic Journal of Medicine" reports that most patients do not feel pain during debridement procedures due to decreased sensations in the foot. Amputation. A couple of theories suggest that environmental factors such as food, viruses, and toxic chemicals trigger the autoimmune destruction of the beta cells in those people with a genetic susceptibility to diabetes. This means that the body is prone to an attack by certain stimuli and extra measures need to be followed. Think of what's not going to curse you with complications for the months and years ahead. Do not devote your time to consuming delicious but unhealthy food such as artificial treats which provide you nothing but energy. You need to give up on everything that does not seem to give off nutrients. Kettlebells are an amazing training tool for strength, versatility, and endurance. They are exceptionally flexible and the amount of different workouts we can do with them is vast By knowing the Metabolic cooking diet basics, people can surely burn fat in their body and lose weight fast and effectively. Metabolic cooking review is a process of cooking healthy recipes that helps to burn fat at a faster rate in the body. Fitness does not mean you will be trapped at the gym hour after hour. This article features tips that will help you get fit, whether you are at the gym or somewhere else.