Posted on May 20th, 2023.

Diabetic wounds, also referred to as “diabetic ulcers”, are a serious complication of diabetes that can occur anywhere on the body, but they are most commonly manifested on the feet. Diabetic wounds are slow to heal and are more likely to become infected than wounds in people who do not have diabetes.

In this post, we will discuss the most common type of ulcers, occurring on the feet, but you will be able to apply this information to any kind of wound in other parts of the body. The wounds are caused by repeated stress on the feet from walking, especially ill-fitted shoes, especially considering when the feet, particularly the soles, are the single part of the body that is under more constant stress than any other.. 

There are several reasons why people with diabetes are more likely to develop wounds. One reason is that high blood sugar levels can damage nerves and blood vessels. This can lead to reduced feeling in the feet, which makes it more likely that people with diabetes will not notice injuries. These wounds can become infected and can eventually lead to amputation if left untreated.Reduced blood flow to the feet can also make it more difficult for wounds to heal.

Another reason why people with diabetes are more likely to develop wounds is that they are more likely to have infections. This is because high blood sugar levels can make it difficult for the body to fight off infection.

Diabetic wounds can be a serious health problem. If they are not treated properly, they can lead to infection, amputation, and even death.

How Can I Spot a Wound Before It Grows?

The first signs of diabetic wounds typically include swelling at the wound site, a tingling or burning sensation around the area, discoloration, or a feeling of warmth around the area. Other signs may include a persistent odor, weeping or oozing from the wound, or breakdown of the skin around the site. 

If any of these symptoms are present, it is important to seek medical attention as soon as possible. Elevated blood sugars can lead to a lack of healing of the wounds, increased risk of infection, and can even lead to amputation if untreated. Treatment may involve wound care, antibiotic ointments, amputation in extreme cases, or dietary and lifestyle changes to help make the wound heal faster.

How to Treat a Wound

The first step to treating a diabetic wound is to identify and control the risk factors that led to the wound. This means ensuring that the patient takes care of their diabetes, including eating a healthy diet, exercising, and taking their medications as prescribed, as well as controlling their blood sugar levels. It also means preventing any new trauma to the feet and avoiding going barefoot.

The next step is to treat the wound itself. This starts with keeping it clean and providing the right environment to help it heal. This can be done by changing and cleaning the wound dressing regularly and avoiding too much moisture around the wound. Debridement may be required to get rid of dead tissue. A topical antiseptic, such as an antibiotic cream or ointment, can be used to help reduce the risk of infection.

In more serious cases, a physician may use a type of wound care known as hyperbaric oxygen therapy to promote healing. This involves the patient being placed in a pressurized chamber filled with pure oxygen, which allows the wound to receive more oxygen than it would on its own.

In the case of infected wounds, antibiotics may be prescribed. In severe cases, surgery may be required to remove dead tissue and promote healing. In some cases, specialized wound healing products, such as growth factors, can be used to help the wound heal.

Finally, the patient should wear the right kinds of shoes. shoes that fit properly and provide good cushioning and support are the best for the feet. It’s also important to inspect the feet regularly and address any new wounds right away to avoid further complications.

How Can You Mitigate the Risk?

There are several things that people with diabetes can do to reduce their risk of developing wounds. These include:

• Control your blood sugar levels. High blood sugar levels can damage nerves and blood vessels, which can make it more difficult for wounds to heal.
• Check your feet daily for any cuts, blisters, or other injuries. If you have any injuries, treat them right away to prevent infection.
• Wear shoes that fit well and protect your feet from injury. Shoes that are too tight or too loose can put pressure on your feet and cause injuries.
• Keep your feet clean and dry. Moisture can lead to infection, so it is important to keep your feet clean and dry.
• Moisturize your feet with a non-irritating lotion. Dry skin can crack and lead to injury, so it is important to keep your feet moisturized. This may sound contradictory with the previous point, but it is about maintaining a balance: neither too dry nor overmoisturized.
• Avoid walking barefoot. Walking barefoot can increase your risk of injury.
• See a doctor for any wounds that do not heal within a few days. Early treatment can help to prevent complications and improve your chances of a full recovery.
• Have your feet examined by a podiatrist regularly. A podiatrist can help to identify any potential problems with your feet and recommend treatment options.
• Quit smoking. Smoking can damage your blood vessels and make it more difficult for wounds to heal.
• Maintain a healthy weight. Obesity can increase your risk of developing diabetes and other health problems that can contribute to the development of diabetic wounds.
• Eat a healthy diet. A healthy diet can help to control your blood sugar levels and improve your overall health.
• Get regular exercise. Exercise can help to control your blood sugar levels and improve your circulation.
• Wash your feet daily with warm, soapy water and dry them thoroughly.

By following these tips, you can help to reduce your risk of developing diabetic wounds.

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