Diabetic foot problems are a leading cause of amputations of the lower limbs. Worldwide statistics indicate that, every 30 seconds, a limb is lost due to diabetic complications. In most cases, open sores (ulcers) on the bottom of the feet lead to bacterial
infection and possible amputation. However, research indicates that most diabetic foot ulcers are preventable with regulated blood sugar control and regular foot care that addresses all potential factors leading to ulceration.
Anyone with diabetes can develop ulcers, but diabetics who suffer from the following have a
greater chance of developing ulcerations and infections:
• Uncontrolled blood sugar levels
• Peripheral neuropathy
• Improper foot care
• Impaired circulation
• High callus build up, brittle nails and fissured skin
• Bunions, hammer and claw toes
• Flat or extremely high arches
• Exposure to excessive heat or cold
• Pressure from a poorly fitting shoe
Potentially serous complications of diabetes include ulcers and infections.
Deep ulcers on the first metatarsal
head are common since it’s a high pressure point area.
To ensure the best healing environment, assessment by a chiropodist /podiatrist is required. The exam should address your sugar control, circulation in the feet, presence or absence of sensation, and whether you should offload or cushion the area. If more
detailed diagnostic studies are required, a proper referral should be provided. If everything is within acceptable limits, you may be prescribed antibiotics, the wound may be debrided, the ulcer offloaded and the wound dressings may be tailored to improve
healing. Every patient requires a customized treatment plan and care by a practitioner specially trained in wound care. Our practitioners have extensive experience in dealing with diabetic wound care.