What is Diabetic Foot?

·  A foot problem encountered by diabetic patients with the potential risk of pathologic consequences including infection, ulceration and/or destruction of deep tissue. The diabetic foot may be associated with neurologic abnormalities, peripheral arterial disease and/or metabolic complications of diabetes in the lower limb.


What things should a person with Diabetes look for on their feet?

·  Foot Deformities , Limited joint mobility

·  Callus

·  Wounds/Ulcers

·  Erythema/Redness

·  Signs of vascular diseases

·  Swelling

·  Ischemia

·  Cold feet

·  Signs of peripheral neuropathy

·  Decreased or loss of sensation

·  Numbness


How do you prevent Diabetic Foot?

·  Take care of your Diabetes. With the help of your physician control your blood sugar.

·  Stop Smoking

·  Regular foot exams by your physician to pick up early signs of diabetic foot.

·  Inspect your feet daily to check for wounds, cuts, blisters, redness swelling or nail problems.

·  Gently and thoroughly clean and dry your feet especially between your toes.

·  Apply lotion to dry and crack skin.

·  Cut nails carefully. Cut them straight across and file the edges. Have your doctor remove your calluses.

·  Wear socks to protect your feet. NEVER use heating pad or hot warm bottles.

·  Check your shoes and feel the inside making sure that there are no small hard objects inside. .

·  Never walk barefoot, always wear comfortable and well fitted shoes or slippers.


What Are the Indications for Hospitalization in a Patient With Diabetic Foot Infection?

·  Presence of leg and foot ulcer with signs of infection such as foul smelling odor, cellulitis, swelling/ erythema and presence of purulent discharge.

·  Fever

·  Signs of vascular compromise such as ischemia, necrosis or gangrene.

·  Uncontrolled blood sugar in spite of medication

·  Inability to care for self / inadequate home support.


How come my wound does not heal?

·  Any wound that has not started to heal in 2 weeks or completely healed in 6 weeks may should be checked by a physician/wound care physician

·  Wound that do not heal for a certain duration maybe caused by: Diabetes, Infection and Vascular Insufficiencies.


Why do Diabetic people have less sensation/numbness on their feet?

·  People with diabetes are at risk for developing circulatory problems, especially in their lower extremities. Wounds that have decreased circulation are more difficult to heal. Circulatory problems also lead to decreased sensitivity to the feet. Therefore, the risk of undetected injury is greater and it is important for individuals with diabetes to check his/her feet daily and have routine podiatry care.


What are Pressure Ulcers?

·  A pressure ulcer is an area of skin that breaks down when constant pressure is placed against the skin such as bony prominence.

·  Pressure against the skin reduces blood supply to that area, and the affected tissue dies. This may happen when you stay in one position for too long without shifting your weight. You might get a pressure ulcer if you use a wheelchair or are confined to a bed, even for a short period of time (for example, after surgery or an injury).


The following factors increase the risk for pressure ulcers:

·  Being bedridden or in a wheelchair

·  Being older

·  Being unable to move certain parts of your body without help, such as after a spine or brain injury or if you have a disease like multiple sclerosis

·  Having a chronic condition, such as diabetes or vascular disease, that prevents areas of the body from receiving proper blood flow

·  Having a mental disability from conditions such as Alzheimer's disease

·  Having fragile skin

·  Having urinary incontinence or bowel incontinence

·  Not getting enough nourishment (malnourishment)


What are Venous Ulcers?

·  Venous ulcers are wounds that are thought to occur due to improper functioning of venous valves, usually of the legs. They are the major cause of chronic wounds, occurring in 70% to 90% of chronic wound cases. Venous ulcers develop mostly along the medial distal leg, and can be very painful.


What are Neuropathic Wounds/Ulcers?

·  Neuropathic Wounds/Ulcers are skin lesions that are common in diabetics. They are usually related to sensory loss in the lower extremities.


What is Lymphedema

·  Lymphedema (edema due to lymphatic fluid) may occur in the arms or legs. This often happens after lymph vessels or lymph nodes in the axilla (armpit) or groin are removed by surgery or damaged by radiation, impairing the normal drainage of lymphatic fluid. Lymphedema may also due to a mass such as a tumor pressing on the lymphatic vessels.