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|Dr. SS Makkar||+91-9815717272|
In diabetic mellitus, high blood glucose levels over time can cause damage to kidneys,
eyes, nerves and blood vessels. Diabetes foot problems are on of the major health
concerns of the diabetic patients and often are common cause of hospitalization in
diabetics. Most foot problems that diabetic patients encounter arise from disease
complications. All diabetics are at risk for developing ulcers and foot pain.
Overview One of the common complications of diabetes is diabetic foot or foot ulcers. These diabetic foot ulcers are mostly prevalent under patient's big toes as well as ball of their feet. Ulcers appear when the skin tissue breaks down and underlying layers get exposed. These sores on the feet of the patient can even effect bones, if not treated timely.
Good foot care is highly important for prevention of diabetic foot. If diabetic foot complications are neglected, it may result in amputation. The treatment plan for diabetic foot largely depends on the causes and extent of damage. If you are a diabetic and having foot pain and discomfort, it is imperative that you discuss it with your doctor to ensure there is no serious underlying problem.
Some of the common causes of diabetic foot are:
Hyperglycemia or high blood sugar: High level of blood sugar delays the healing of the infection in the foot. Blood sugar management becomes very critical. Most commonly people with type 2 diabetes have a tough time fighting infections.
Poor blood circulation: This is an indicative of vascular disease in which blood doesn't flow to the feet effectively, which often results in foot ulcers. Poor circulation of the blood often causes delay in healing.
Damage to the nerve: It is long term effect of diabetes. The patients may even experience loss of sensation in the feet, which is often termed as neuropathy. Damage nerves may feel painful and tingly. Many a times painful wounds can causes ulcers.
Wounded or irritated feet: Sometimes a noticeable lump in the foot may not be painful at first, it might be the first sign of diabetic foot problems. Drainage from the area might follow after that. If not treated timely, calluses, bleeding, and corn may appear.
There are multiple causes of diabetic foot ulcers, people with diabetes are at risk for
foot ulcers that can arise because of the following risk factors:
Use of bad quality or ill-fitted shoes
Consumption of alcohol
Eye problems related to diabetes
Based on the statistics, older men are more prone to diabetic problems.
One of the best things diabetic patients can do for ulcerated feet and pain is staying off
their feet. This is often termed as "off loading". Off loading is helpful for all diabetic
patients. It helps to take away the pressure that results from walking thus doesn't let the
wounds expand. Diabetic patients who are overweight are also at risk for developing
Your doctor will typically recommend wearing certain items that offer protection to your feet:
Shoe inserts that help to remove calluses and corns
Removal of diabetic foot ulcers is a treatment option
in which surgeon removes the dead skin and inspects the area for any signs of infection
or foreign objects that may have resulted in debridement of the ulcer. Tissue that
surrounds the ulcer may be sent to lab for pathological examination so as to determine
which antibiotic will be best suited.
If the doctor suspects any type of serious infection, he might order an x-ray to look for infection of the bone. Infection of the diabetic foot ulcer may be prevented with measures like:
Disinfecting the surrounding skin
Treatment by enzymes
Dressing changes at frequent intervals to ensure ulcer remains dry
Use of calcium alginates dressing that inhibits bacterial growth.
If you are a diabetic and wish to prevent diabetic foot problems, here are some of the
prevention tips for you:
Keeping foot hygiene by daily washing
Keeping feet moisturized
Frequent use of socks
Seeing a doctor for corns and calluses
Wearing well-fitted shoes.
For diabetic patients, it is imperative that any problem or abnormality with the foot should be brought to the notice of the physician. Timely treatment and prevention can save the patient from dealing with the related complications.