Up to 10 percent of people with diabetes will end up with a foot ulcer. A diabetic foot ulcer is an open sore or wound. These ulcers cause the skin to wear away which is a result of damaged nerves in the hands and feet a condition called peripheral neuropathy. Overspread of diabetic foot ulcers may lead to amputation of the infected parts. Amputation is the removal of a limb by trauma, medical illness, or surgery. For a person with diabetic foot ulcers, amputation is done as a surgical measure to control pain or eliminate disease progresses in the affected limb.
The soft tissue of the foot isn’t like that on other parts of the body, so an infection can get to the muscle and bone very quickly and easily. Infection and poor blood flow on foot icers can lead to more serious complications. This complication can be a result of the worsening of ulcers. Worsened ulcers can cause infection of the bone which leads to amputation. It thus advisable to see you, doctor, as quickly as possible if you are diabetic and you start developing foot ulcers
If you are diabetic and do get a foot ulcer, you need to keep your blood sugars under control and follow up regularly with your doctor. On the other hand, it’s important not to ever let a wound linger without treatment. As time passes, the chances of it healing decrease. Therefore the primary goal in the treatment of foot ulcers is to obtain healing as soon as possible because the faster the healing, the less chance for an infection. Treatment of diabetic foot ulcers involves several factors that should include, Prevention of infection, taking the pressure off the area, called “off-loading” , removing dead skin and tissue, Applying medication or dressings to the ulcer and managing blood glucose.
For optimum healing of diabetic foot ulcers, require “off-loaded.” “Off-loading requires you to wear special footgear called offloading boot for diabetic foot ulcers or a brace, specialized castings, or use a wheelchair or crutches. These devices help to reduce the pressure and irritation to the area with the ulcer and help to speed the rate of healing process.
We know that wounds and ulcers heal faster, with a lower risk of infection, if they are kept covered and moist. Appropriate wound management includes the use of dressings and topically-applied medications. Products range from normal saline to growth factors, ulcer dressings, and skin substitutes that have been shown to be highly effective in healing foot ulcers. Another thing for a wound to heal, there must be adequate circulation to the ulcerated area and for a diabetic person, tightly controlling blood glucose is of the utmost importance during the treatment of a diabetic foot ulcer.