Overview, Causes, & Risk Factors
A diabetic foot ulcer is an open sore or wound on the foot of a person withdiabetes. Because of loss of pain sensation, it is usually notpainful.
What is going on in the body?
A person with diabetes often has peripheralvascular disease, or decreased circulation to the legs and feet. Anydamage to the feet may heal slowly because of the poor circulation. The personmay also have diabetic neuropathy,acondition in which nerve damage from diabetes causes decreased sensation in thelegs and feet. The person can develop an open area from pressure or from a cutand not even feel the sore. Untreated, the damaged area can develop a diabeticfoot ulcer.
What are the causes and risks of the condition?
A diabetic foot ulcer is caused by direct damage to the skin, such as a cut, orby pressure, such as that from poorly fitting shoes. The following factors increase aperson’s chance of developing a foot ulcer:
Symptoms & Signs
What are the signs and symptoms of the condition?
Early symptoms of a diabetic foot ulcer include redness of the skin,blistering, and other signs of irritation. In later stages, the person may havean open wound that drains fluid onto socks or bedding. The open wound can thenbecome infected and develop swelling, redness, and drainage of pus. The personmay have a fever, and blood sugar levels may be higher thanusual.
Diagnosis & Tests
How is the condition diagnosed?
Diabetic foot ulcers are usually first recognized by the affected individual.The advice of a healthcare provider should be sought immediately. The providercan diagnose the ulcer by looking at it. If the ulcer is draining fluid, a cultureof the fluid may be sent to the laboratory to check for infection.
Prevention & Expectations
What can be done to prevent the condition?
Prevention consists of following guidelines for foot care for people with diabetes. These guidelines includeregularly inspecting the feet and wearing shoes and inlays that fit properly.
What are the long-term effects of the condition?
If a diabetic foot ulcer isn’t treated early and effectively, a person mayexperience:
In the United States, people with diabetes account for 50% of nontraumatic amputations. Mostof these amputations are below the knee. After a limb has been amputated, theopposite limb is often lost within a few years. This happens not only because of ongoingproblems and vascular disease, but also because the opposite leg must bearincreased pressure and workload.
What are the risks to others?
A diabetic foot ulcer is not contagious and poses no risk to others.
Treatment & Monitoring
What are the treatments for the condition?
There are 10 major areas of treatment:
What are the side effects of the treatments?
All medications have side effects. For example, some of the medications used totreat diabetes may cause low blood sugar, known as hypoglycemia, which is potentially fatal. Surgery can causebleeding, infection, and allergicreaction to anesthesia.
What happens after treatment for the condition?
After a person gets a diabetic foot ulcer, he or she will be at risk for furtherskin breakdown and infection for the rest of his or her life. Informedself-care and monitoring are the best tools available to prevent skinlesions from becoming life- and limb-threatening infections. A neglected blister or callous is the most common reason for amputations in people with diabetes.
How is the condition monitored?
A person with diabetes needs tofollowfoot care guidelines and monitor blood sugar levels for the restofhis or her life. Foot inspection and monitoring of diabetes, as well as any highblood pressure or highcholesterol, is also done by the healthcare provider.
Article type: xmedgeneral