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DIABETIC FOOT CARE

For people with diabetes, having too much glucose (sugar) in their blood for a long time can cause some serious complications, including foot and skin problems, as well as heart disease, stroke, kidney disease, eye damage, and other problems.

Symptoms

For people with diabetes, however, common foot problems can possibly lead to infection and serious complications, such as amputation. Some common foot problems of people with diabetes includes :

 

GROUPS AT THE HIGHEST RISK FOR DEVELOPING DIABETIC FOOT PROBLEMS

  • Uncontrolled Diabetes
  • Neglected foot care
  • Associated Neuropathy
  • Associated Peripheral Arterial Disease/smoking

WARNING SIGNS

Consult your doctor immediately if you see any of the following alarming signs on your feet:

  • Wound/ulcer development
  • Abnormal swelling
  • Redness/localized pain
  • Blister development
  • Cuts/injury/broken skin on toes/heel
  • Callus/corn development
  • Nail or toes color changes(blue/black)
  • Burning pains in legs/feet, worsening at
  • Sharp leg cramps after walking some distance
  • Feet feeling cold
  • Tingling, pins and needles sensation, numbness in the feet (neurologic symptoms)
  • Slippage of ‘chappals’ from feet while walking (neurologic symptoms)

TREATMENT

How can a vascular surgeon help?

 
  • Wound cleaning procedure and antibiotics
  • Complete non-weight bearing of the involved extremity (special footwear)
  • Dedicated diabetic foot wound dressing/ vacuum-assisted closure (VAC) dressing
  • Teaching foot care to patients
  • Revascularization or re-establishment of blood flow to the feet for non-healing wounds when needed.

Why? To save the foot, leg.

Goal: To Maximize foot blood circulation for wound healing

Treatment options

  1. Balloon angioplasty
  2. Vascular stenting
  3. Bypass surgery