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Diabetic Foot Ulcers

Diabetics have many complications throughout of process of their disease. Special attention must be given to the diet and nutrition in order to maintain a normal level of blood sugar. Medications must be taken even orally or by subcutaneous injections given several times each day. This is determined by the type and severity of the diabetes. There are differences in the disease process for each diabetic.

Another area where special attention as well as caution should be given is the feet. Diabetics must maintain healthy foot care by rigorously caring for the feet. Even with the utmost amount of care, diabetic foot ulcers may still develop. These ulcers are a major entry point of infections. Diabetics do not heal like other healthy people and it may take an extensive amount of time for an ulcer to heal. There is virtually no pain involved with these ulcers and are most common in those suffering with neuropathy.

Caring for an Ulcer

When a physician or specialist such as a podiatrist evaluates a foot ulcer, they will first completely debride the wound removing any tissue that is necrotic and callus that has developed. This debridement continues until the bleeding of the healthy edge is exposed. Following this process, probing the diabetic foot ulcer with a sterilized instrument will be done. This helps to find any type of involvement of tendons, bones, or joints.

Several X-rays will be taken to establish the presence of any foreign objects, soft tissue gas, or for any involvement of the bone. Evaluations for these different issues must be performed in order to classify the wound and prepare the proper plan for care and treatment.

Diabetics who prolong seeking help for an ulcer put themselves at risk of amputation of the foot and in severe case parts or all of the leg that is affected. Persons with diabetes need to have a complete assessment of their feet performed by their chosen physician or podiatrist annually even if they have no signs or symptoms of a problem. Once there is a problem, immediate attention of a doctor should be gotten.

Risk of Development

Prevention is always the best practice to decrease the chances of a diabetic ulcer to occur. There are many things one may do in order to avoid problems of the feet. Some suggestions are as follows:

• Using mild soap and warm water, wash feet each day. Avoid using hot water as most diabetics have a hard time determining the temperature of water due to the neuropathy.
• Always dry the feet with care. Be sure to also dry in between the toes.
• To help eliminate moisture, apply talcum powder to the feet.
• Use moisturizer on the feet but not between the toes to help with dry skin.
• Inspect feet and soles of feet daily for any abnormalities such as sore places, blisters, and corns or calluses.
• Limit alcohol consumption.
• Eat a healthy diet.
• Choose shoes that are comfortable and have a roomy toe box so that the toes are not cramped. This could cause a number of problems such as blistering, corns, calluses, and hammertoe.

Most diabetics can have their doctor to prescribe to have them a personally made and designed pair of shoes. These aid in the reduction of damage sustained by the feet.

The most important thing to remember is as a diabetic one should perform foot care daily and several times a day if they are experiencing any problems. Always monitor the feet and with a routine that is strictly followed one can limit and even eliminate any issues with their diabetic feet.
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