DIABETES AND DIABETIC ULCERS

Submitted by KCH on Thu, 12/08/2022 - 1:47pm
testing glucose levels

Diabetes is a chronic disease where the hormone insulin is impaired and doesn't make enough, resulting in elevated glucose levels in the blood and urine. A healthcare provider will let you know if you have diabetes.

RISK FACTORS

  • Being overweight
  • Family members with diabetes
  • High-risk groups: African American, Asian, Hispanic, Native American
  • High blood pressure or high cholesterol

If not managed, diabetes can affect the way your body functions. Diabetes can harm your eyes, kidneys, heart, and nerves. You may even develop a wound that does not heal. Diabetes can lead to infection, poor blood flow, or problems with the nerves in your lower legs and feet.

MANAGEMENT

  • Consistently checking blood sugar levels
  • Weight control and diet
  • Exercise
  • Diabetes medications, as ordered
  • Regular visits to your healthcare provider
  • Maintain a positive attitude
  • Check feet daily
  • Routine eye care

You must follow some basic rules to control your diabetes and prevent complications. Consistent management is key.

Diabetic Ulcers

These wounds can occur on the feet, heels, or toes of people with diabetes. If not treated, these ulcers might lead to lower limb amputation. You may not even know that an ulcer has developed because diabetes-related nerve damage causes a loss of feeling or pain. If you have an ulcer that is not healing, you may need specialized care.

If You Have An Ulcer:

  • Maintain good blood sugar control and diet management.
  • Inspect your feet daily.
  • Follow the directions of your wound care provider.
  • Use the wound dressings that your provider orders.
  • Wear shoes that do not cause rubbing or pressure.
  • Wear offloading shoes, boots, or casts as directed by your wound care provider.

Specialized Care Should Include:

  • Regular assessment and evaluation by your wound care provider.
  • Infection management.
  • Removal of necrotic or infected tissue.
  • Pressure reduction and offloading.
  • Advanced dressings and treatments to promote wound healing.

Regular Visits To Your Healthcare Provider Should Include the:

  • Review of blood sugars since your last visit, including high or low blood sugar episodes.
  • Review of any symptoms or complications.
  • Changes to your treatment plan, including new or changed medications.
  • Blood pressure and weight monitoring.
  • Foot exams and sensation testing.
  • Appropriate lab tests.