رجل عمره ٦٢ سنة مصاب بالسكري منذ ١٥ سنة وسكره غير مضبوط (HbA1c ٩٫٤٪). يشتكي تنميلاً وحرقاناً في القدمين ليلاً، ولا يحس بحرارة الماء جيداً، ووجد مرة جرحاً في قدمه لم يشعر به. أي تعليمات مهمة؟

A 62-year-old man with diabetes for 15 years and poor control (HbA1c 9.4%) reports night-time numbness and burning in his feet, cannot feel water temperature well and once found a foot wound he had not felt. Which instructions are important?

1. Daily foot checks and testing water with the elbow
2. Put the feet near the heater at night to ease the pain
3. Cut the nails deeply into the corners
4. Walk barefoot to stimulate the nerves

Answer: A) Daily foot checks and testing water with the elbow. Diabetic neuropathy reduces sensation, so injuries and burns go unnoticed. Feet are checked daily, water tested with the elbow or a thermometer, proper shoes worn and nails cut straight.