Diabetic Foot Ulcer :Symptoms, Causes,Cautions, and Treatment

Diabetic Foot ulcer

Table of content

  • What is diabetes?
  • What is diabetic foot ulcer?
  •  What are the cause of diabetic foot ulcer?
  • What are the symptoms of diabetic foot ulcer?
  • What to do prevent diabetic foot ulcer?
  • What are the caution of diabetic foot ulcer?
  • What are the management of diabetic foot ulcer?

Diabetic foot ulcer is common complications of Diabetes. Diabetic feet are usually called diabetic feet. And if you have diabetes for a long time, a kind of wound is formed, it is called diabetic foot ulcer. But it is better to take the right treatment in time. If treatment is not taken at the beginning, at one stage the condition becomes dilapidated. Then many people get gangrene and putrefaction in their legs. Then someone has to amputate the leg from below the knee, someone has to amputate the leg from above the knee again. The risk of amputation of a patient with diabetes is 25 times higher than the average person who does not have diabetes.[See more: Diabetes and Type 1 and Type 2 DM ]

Some people regularly dress their wounds for month by month. Many are bent on the burden of medical expenses.

Diabetic foot ulcer in Bangladesh
Diabetic Foot Ulcer

Causes of Diabetic foot ulcer:

Patients with chronic diabetes are more likely to develop leg injuries:

Peripheral Neuropathy: Neuropathy reduces the sensation of the feet. Even if the foot comes in contact with something hot or cold, the patient does not understand it. A small wound is formed, which later becomes larger. Again, due to lack of understanding, the patient does not understand even if there is a small injury in the leg or something breaks in the leg. Large wounds are made from there.

  • Peripheral  Vascular  diseases- Decreased blood flow to the legs

Peripheral vascular disease: The bones of the feet, the flesh — that is, the right amount of blood flow is needed to keep the tissues or cells of the feet alive. In diabetic patients, this blood flow is disrupted, resulting in sores on the legs easily, and the sores formed do not heal easily. When the blood flow is completely stopped, the legs rot, which is called gangrene. If immediate action is not taken when the blood flow is stopped, that part of the leg may have to be amputated.

  • Cracks or wound- Infiltration of germs through small wounds or cracks in the soles of the feet etc.

Cracks in the soles of the feet: In long-term diabetic patients, cracks are formed by drying the skin on the soles of the feet. These fractures cause bacterial infections and can lead to osteomyelitis.

In some cases, 10 to 40 percent of diabetic patients do not feel any pain. Uncontrolled diabetes destroys fine blood vessels and impairs blood flow to the nerves. In addition, 10 to 20 percent of diabetic patients have narrowed arteries, which disrupts blood flow and even stops blood flow.

Symptoms of diabetic foot ulcer

  1. Redness on feet
  2. Swollen or warm feet
  3. Discharge in the skin
  4. Break in the skin
  5. Itching
  6. Dryness
  7. Pain
  8. Stiffness
  9. Felling unwell
  10. Blister or Ulcer
  11. Sore feet

What to do to prevent diabetic foot ulcer:

  1. Get help from someone else at home to see if the water is feeling too hot. To check the temperature of the water with the elbows of the hands, check with the feet or refrain from using hot water.
  2. Do not sit too close to the heater or fire. Use caution when using hot bags.
  3. Beware of minor cuts.
  4. If the feet are rough or have cracks in the feet, apply Vaseline or Olive Oil.
  5. Nails stay soft after bath, so cut nails after bath. Seek the help of a surgeon if the nails are extra curved or hard. Regularly check the toes, toe spaces, soles of the feet.
  6. Diabetics should take special care when putting shoes on the feet, so that there are no stings on the feet, no wounds should be created.
  7. The slightest injury to the leg can turn into a wound. Diabetic patients do not want the wound to dry easily when there is a wound in the leg and if the treatment is not taken in time, the wound spreads and gangrene occurs in the leg. Then the whole leg has to be amputated.
  8. Bleeding can occur at any time even if the blood sugar is not controlled. So that it is important to maintain  blood sugar level or control diabetes.
  9. Seek the help of a foot care specialist immediately if you have a foot injury for any reason.
  10. Due to ignorance these patients go to different places including Kabiraj, hammer doctor. But due to lack of proper treatment, their legs have to be amputated later.

Caution about Diabetic foot ulcer:

  • Caution should be exercised in case of sudden pain and swelling of the legs, blisters, small sores, piercing of the feet, hot water or hot objects.
  • If the toenails become thick and curved and enter the toes, if there is any structural defect in the toes. If you have a history of any previous wound on your feet, the sensation of the feet is so low that you do not feel the feeling of cold or heat, but you should be careful and seek medical attention. It is best to have your feet checked every three to six months.
  • Wear flat, soft, hard-soled leather shoes instead of sandals when going out. So that no sharp object pierces the sole of the shoe and creates sores on the feet. I also want the size of the shoes to be right, so that it is neither big nor small.

Management of Diabetic foot ulcer:

  • Avoid risk factors
  • Cheak foot daily
  •  Wear flat, soft, hard-soled leather shoes instead of sandals,you can buy some special shoe for diabetes patients Click here.
  • Sme supplement is also help, such as Cream for diabetic foot ulcer and Bed sore
  • Control blood sugar level
  • Regular dressing
  • Surgical debridement
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