Diabetes is one of the most common diseases almost in every country in the world. It has Your risk for wounds on your feet leading to amputation increases the longer you have diabetes. Diabetic foot is a common complication of diabetes.
Diabetic foot is a general term which includes ulcers, chronic wounds and gangrene. It is a a multifactorial problem, for instance nerve damage plays a part in it, but the most important and devastating complication are due to vascular malperfusion. Diabetes affects the small and large arteries cause stenosis and occlusions; as a result any small wound wont have the ability to heal without good blood supply.
Diabetic foot is related to the controlled of the blood sugar and the duration for which the patient had uncontrolled diabetes. For that it is considered a long term complication of diabetes. But controlling the disease is very important for the healing.
Small and minor wounds in the foot can progress very fast to infected ulcers in diabetic patients; as a result of that inspecting the feet daily and seeking immediate medical care in case of any small wound is of utmost importance to prevent the progression.
Management of Diabetic Foot:
Treatment is started with local wound care and antibiotic, for simple cases with close follow-up to prevent the worsening of the wound.
In case the wound was not healing as anticipated or it is progressing quickly which is indicated but foul smelling pus, fever and chills, pain, dark discoloration of the skin; immediate consultation with a specialist is a must.
Aggressive would care, stronger antibiotics and thorough vascular exam is then done.
If there is any signs of poor arterial circulation then arterial imaging is done; for instance A CT-scan will show the whole arterial tree and will be useful to plan an intervention.
Depending on the arterial disease found an intervention is planned; open vascular surgical procedures or endovascular procedures are used depending on the disease extent and anatomy and also the type of micro-organism in the infected foot.
Proper diabetic foot care:
1.Skin and nail care
2.Daily foot inspection for wounds or cracks
3.Wash and dry your feet daily
4.Wear proper footwear
5.Don’t remove calluses or other foot lesions yourself
6.Trim your toenails carefully
7.Schedule regular foot checkups