Stay off your feet to prevent pain and ulcers. This is called off-loading, and it’s helpful for all forms of diabetic foot ulcers. Pressure from walking can make an infection worse and an ulcer expand. For people who are overweight, extra pressure may be the cause of ongoing foot pain.
Your doctor may recommend wearing certain items to protect your feet:
Shoe inserts to prevent corns and calluses
Doctors can remove diabetic foot ulcers with a debridement, the removal of dead skin, foreign objects or infections that may have caused the ulcer.
Uncontrolled diabetes damaged her nerves. As she was having damaged nerves in her legs and feet, she was not feeling heat, cold, or pain. This lack of feeling is called “sensory diabetic neuropathy.” Foot ulcers occured because of nerve damage and peripheral vascular disease.
Poor blood circulation is a form of vascular disease in which blood was not flowing to her feet efficiently. Poor circulation was also making it more difficult for ulcers to heal.
High glucose levels was slowing down the healing process of the infected foot ulcer, so blood sugar management is critical.
Ulcers can be identified by drainage from the affected area and sometimes a noticeable lump which is not always painful.
She should have visited an Endocrinologist / Diabetologist to get her foot examined atleast every 6 months.
She should have called her doctor the moment she noticed cuts or breaks in the skin, or had an ingrown nail. Also to tell her doctor if her foot got changed in colour, shape, or just felt different (for example, becomes less sensitive).
Because people with diabetes are more prone to foot problems.
Your doctor may prescribe antibiotics, antiplatelets, or anti-clotting medications to treat your ulcer if the infection progresses even after preventive or anti-pressure treatments.
Talk to your doctor about other health conditions you have that might increase your risk of infections by these harmful bacteria, including HIV and liver problems.
Your doctor may recommend that you seek surgical help for your ulcers. A surgeon can help alleviate pressure around your ulcer by shaving down the bone or removing foot deformities such as bunions or hammertoes.
You will likely need surgery on your ulcer. However, if no other treatment option can help your ulcer heal or progress further into infection, surgery can prevent your ulcer from becoming worse or leading to amputation.