Complications of diabetes that affect the feet are caused due to nerve damage – neuropathy, and poor blood circulation – peripheral arterial disease, as a result of long-term high blood sugar levels. Proper blood sugar control is fundamental for diabetic foot ulcer healing. The surgeon first examines the feet for any signs of infection, ulcers, calluses, or other abnormalities. Tests will be performed to assess nerve function, blood circulation, the extent of any existing wounds and the presence of bacteria in order to provide antibiotic treatment if needed. Our surgeon will closely monitor the progress of the infection and approach with personalised diabetes care plans. The treatment will help facilitate faster healing and reduce the risk of further complications by redistributing weight away from the ulcer site.
Patients will be instructed to follow a strict diabetes management plan, which includes proper diet, regular exercise, and adherence to prescribed medications. By combining our surgeon’s expertise, advanced treatment modalities, and patient-centred approach, we aim to promote optimal healing outcomes, prevent complications, and improve our patients’ overall health.
The Wagner Ulcer Classification System will most likely be used by your doctor to determine the severity of your ulcer on a scale of 0 to 5: 0: there are no open lesions; the lesion may have healed.
1. A shallow ulcer that does not reach deeper layers
2 A more serious ulcer that extends to a tendon, bone, or joint capsule
3. Abscess, osteomyelitis, or tendonitis affect deeper tissues.
4. Gangrene in a forefoot or heel section
5. A gangrenous infection that affects the entire foot
Stay off your feet to avoid ulcer pain. This is known as off-loading, and it is beneficial for all types of diabetic foot ulcers. Walking can aggravate an infection and cause an ulcer to swell.
Your doctor may advise you to wear the following items to protect your feet:
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