People with diabetes are far more susceptible of foot ulcers because of the following causes:
Hyperglycaemia refers to the presence of high blood sugar or glucose levels. One problem with high blood sugar is that it can slow the healing of infected foot ulcers. Thus, people with type 2 diabetes have more difficulty fighting off infections from ulcers.
One of the most common vascular diseases is poor blood circulation due to the high amount of sugars in the blood – and it is a common cause of foot ulcers in people with diabetes. Simply put, people with diabetes have poor blood circulation, and as a result, far lesser blood reaches the feet. The lack of proper blood circulation can lead to the formation of ulcers.
One of the long-term effects caused by high blood sugar is that it causes damage to nerves. Damaged nerves can make one feel tingly and painful in the beginning.
On the other hand, when the nerve damage is complete, it reduces or total loss of any sensitivity in the feet to pain. The result is painless wounds that may remain ignored or take the shape of ulcers.
- Irritated or wounded feet
The irritation and wounds can often lead to ulcers in the feet.
The Critical Risk Factors For Diabetic Foot Ulcers
As mentioned earlier, everyone with diabetes is also at risk of foot ulcers. The ulcers may have several causes, and several factors lead to an increased risk for the disease, including the following:
- Wrong kind of shoes that fit poorly.
- Shoes made of poor-quality material.
- Poor foot hygiene habits such as not washing feet often enough or not drying them after washing.
- Ignoring the trimming of or improper trimming of toenails.
- Excessive alcohol consumption having high-calorie content contributes to diabetes.
- Eye diseases from diabetes may also signify increased chances of getting ulcers.
- Heart disease can affect blood flow.
- Kidney disease as it affects blood flow.
- Obesity as it magnifies the effects of diabetes.
- Tobacco use as it inhibits blood circulation.
- Diabetic foot ulcers are also most common in older men.
Please note that combating and reducing these risk factors can also help prevent the formation of these ulcers – this is discussed in detail later.
Treatment Of Diabetic Foot Ulcers
The treatment of diabetic foot ulcers involves a multi-faceted approach. Some of the most important ways of tackling the problem are the following:
- Avoid using affected feet
First, if you have a diabetic foot, you may want to avoid standing or walking – stay off your feet to prevent pain. It is not about pain; putting unnecessary pressure or stress can worsen the infection, and the ulcer may expand.
There are several treatment options that your healthcare provider may recommend. It may include certain wearable items such as:
Ø Custom shoes specifically designed for people with diabetes. They are a crucial part of diabetic foot ulcer care.
Ø Casts intended for the purpose
Ø Foot braces for people with diabetes
Ø Compression wraps made explicitly for the purpose
Ø Shoe inserts that provide further protection to feet against corns and calluses
Your healthcare provider may prescribe the best ointment for diabetic foot ulcer after carefully analysing your foot. This ointment should be applied as instructed by the healthcare provider. It is easy to find an excellent diabetic foot ulcer treatment ointment in Mumbai and other major cities of India. Finding the right kind of diabetic foot ulcer treatment ointment in Mumbai is important to ensure effective treatment. Good news is that you can easily find the best ointment for diabetic foot ulcer in India. We shall return to this subject later.
Debridement is a crucial tactic for diabetic foot ulcer care. It refers to removing any dead skin or foreign objects that may have caused the ulcer. A healthcare provider may do this to remove the cause of the issue and initiate or fasten the healing process.
- Measure to prevent infection
In case you currently have a foot ulcer, the following are some of the essential measures to prevent its infection and are also an important part of diabetic foot ulcer care:
Ø Regular foot baths
Ø Disinfecting the skin around an ulcer
Ø Keep the ulcer dry
Ø Frequent dressing changes
Ø Enzyme treatments
Ø Dressings containing calcium alginates. They will prevent the growth of harmful bacteria.
The healthcare provider may prescribe antibiotics, anticlotting medications, or antiplatelets to help treat the ulcers if the infection progresses, even after preventive or anti-pressure treatments mentioned above.
- Treatment of infections with antibiotics
An infection of the feet is a rather severe complication of foot ulcers and requires immediate treatment. Not all infections are treated the same way, and one must determine which antibiotic will work best to treat the inflection with an antibiotic.
Please note that many of these antibiotics may attack Staphylococcus aureus, and it is a bacteria known to cause staph infections. They may also attack ß-haemolytic Streptococcus – a bacteria typically found in human intestines. Thus, your healthcare provider must be well aware of your other health conditions, especially those that may increase the risk of you getting infected by these harmful bacteria, including HIV and any liver problems.
In the worst of cases, a surgical procedure may become imperative as the diabetic foot ulcer treatment. The surgery can help alleviate the pain caused by pressure around the ulcer by shaving down the bone and removing foot abnormalities like bunions and hammertoes. Some surgeries may need to replace the skin with synthetic substitutes. Surgery may be necessary to amputate the leg in the most unfortunate cases.
You must note that surgeries are not needed in most cases of diabetic foot ulcers, and it is only an option left as a last resort.
- Improving blood circulation to the foot or affected area with ulcer or wound
It is essential to consult an expert Interventional Radiologist when getting to determine your ulcer treatment plan. You should make a point of getting the best diabetic foot ulcer treatment doctor in Mumbai. The interventional Radiologist may give medicines or plan an angioplasty to improve the circulation to the affected area in the foot. Along with that, wound care, off loading the feet will be suggested simultaneously.