Diabetic Foot Ulcer
Diabetic ulcers occur in approximately 15% of the diabetic population. Of those approximately 15% will require amputation (there is a range and I picked the easiest to do the math in my head). .
That is approximately 63 million people world wide who will get a diabetic foot ulcer. 9.5 million of those people will require amputation of some sort.
Neuropathy caused by diabetes (The nerves begin to die leaving the patient with little or no feeling in the affected area).
Poor Circulation due to arterial/veinal disease cause by the diabetes.
Trauma/friction/pressure caused by not being able to feel the foot...which is caused by diabetes.
Length of time being a diabetic. The longer you have the disease the more complications you get.
Usually the patient doesn't notice the ulcer until they see a discharge because neuropathy.
There are several key factors in the appropriate treatment of a diabetic foot ulcer:
Prevention of infection
Taking the pressure off the area, called “off-loading”
Removing dead skin and tissue, called “debridement”
Applying medication or dressings to the ulcer
Managing blood glucose and other health problems
Not all ulcers are infected; however, if your podiatrist diagnoses an infection, a treatment program of antibiotics, wound care, and possibly hospitalization will be necessary.
To keep an ulcer from becoming infected, it is important to:
keep blood glucose levels under tight control;
keep the ulcer clean and bandaged;
cleanse the wound daily, using a wound dressing or bandage; and
avoid walking barefoot.