Diabetic Foot Ulcers 101
One of the most devastating foot conditions I frequently treat are diabetic foot ulcers (DFU). There is so much the general population isn’t aware of so this will be a primer on what it is, why it’s important and how to prevent long term problems like amputation.
People with diabetes fear losing a leg more than death. After all, losing a part of your physical body changes the way you navigate the world and even how you see yourself. So let’s prevent that.
What is a diabetic foot ulcer (DFU)?
A DFU is when a person with diabetes develops a sore (wound, ulcer) on their foot. It may happen from bumping the foot or direct injury like stepping on something sharp that causes skin damage and it takes a long time for the wound to heal. It may also happen suddenly overtime with repetitive stress like walking. People with diabetes can also develop circulation issues and nerve damage (peripheral neuropathy) making it more difficult to recognize pain in the feet or heal in a timely manner.
Why is DFU important to understand?
The data is startling. Approximately 20% of people with a DFU will require an amputation and 10% will die within the first year of being diagnosed with a DFU (1).
DFUs are breaks in the skin allowing bacteria to enter the body causing infection and sepsis. Those with diabetes have a blunted immune system that makes it challenging to fight off infections so expedient medical intervention is necessary.
Although the data is grim, many DFUs can be prevented and treated with your health care team including your podiatrist.
How to prevent long term problems like amputation
Awareness. Knowing that DFUs can be prevented with professional care is the first step in preventing long term problems. This includes keeping your routine foot care appointments with a qualified podiatrist.
Blood sugar control. You can live a vibrant life with diabetes by managing blood sugar control with your doctor. Diet, exercise, medications, stress management and routine health screening are the most powerful way to stay ahead of problems. You do not need to wait for a problem to arise to get appropriate medical care.
Care for your feet since neither are a spare. Your podiatrist will give you instructions on how to care for a DFU. Follow their instructions carefully, including wearing medical devices or shoes that they recommend. Using the correct wound care products prescribed for you. There is no reason to soak a foot or air dry a DFUs without explicit directions from your podiatrist. Veering away from their recommendations may cause harm. If there are any changes to your feet, let your podiatrist know immediately. Have them on speed dial so you can be seen right away.
Don’t be afraid to ask questions. Your doctors are your partners in your health journey. With an abundance of misinformation online, it is easy to get overwhelmed. Your most reliable resource is your doctor. Each person is unique so what might work for one person may not necessarily work for you.
Having treated thousands of people living with diabetes, the best way to prevent long term complications is to be proactive with your health. Don’t delay your foot check up, schedule an appointment with Dr. Tea right away.
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