{"id":1319,"date":"2021-12-01T12:16:25","date_gmt":"2021-12-01T06:46:25","guid":{"rendered":"https:\/\/www.fitterfly.com\/blog\/?p=1319"},"modified":"2024-06-12T16:50:59","modified_gmt":"2024-06-12T11:20:59","slug":"diabetic-foot-ulcer-symptoms-prevention-and-treatment","status":"publish","type":"post","link":"https:\/\/www.fitterfly.com\/blog\/diabetic-foot-ulcer-symptoms-prevention-and-treatment\/","title":{"rendered":"Diabetes Foot Ulcer: Symptoms, Prevention and Treatment"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Diabetes can take a toll on nearly all organs of your body from head to toe. And, if you don&#8217;t make an effort to handle it correctly on time, you could set yourself up for multiple complications.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">These include heart disease, nerve damage, kidney problems, stroke, eye disease, gum disease, non-healing wounds and skin infections. And when you have uncontrolled diabetes, your feet can also be a source of serious complications like <\/span><b>diabetes foot ulcers<\/b><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<h2>Prevalence of Diabetes Foot Ulcers in Indians<\/h2>\n<p><span style=\"font-weight: 400;\">Medical research has shown that the burden of diabetes foot ulcers in the Indian population is enormous.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Around 15% of Indian patients with diabetes will develop foot ulcers in their lifetime. Out of which, 85% of the cases will undergo amputation (surgical removal of the affected part)<\/span><span style=\"font-weight: 400;\">1<\/span><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Additionally, India is the most expensive country for diabetes foot ulcer care, as 5.7 years of an average patient&#8217;s income is required to pay for the treatment\u00b2<\/span><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<h3><b><i>Did you know?<\/i><\/b><\/h3>\n<p><i><span style=\"font-weight: 400;\">Approximately 45,000 lower limbs are amputated annually in India, and most of these can be prevented. (Source: <\/span><\/i><i><span style=\"font-weight: 400;\">Int Surg J. 2015)<\/span><\/i><\/p>\n<p><span data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;&lt;div class=&quot;col-lg-12 cta-block cta-mob col-sm-12 col-xs-12 manage-diabetes-cta&quot;&gt;\n                    &lt;div class=&quot;cta-body&quot;&gt;\n                        &lt;div class=&quot;row&quot; &gt;\n                            &lt;div class=&quot;col-lg-8  col-sm-8 col-xs-12&quot;&gt;\n                                &lt;strong class=&quot;cta-heading&quot;&gt;No more stress while managing diabetes&lt;\/strong&gt;\n                                &lt;p class=&quot;cta-content&quot;&gt;Don\u2019t struggle alone &amp; get the expert care you deserve&lt;\/p&gt;\n                            &lt;\/div&gt;\n                        &lt;\/div&gt;\n                            &lt;div class=&quot;cta-form&quot;&gt;\n                            &lt;input type=&quot;hidden&quot; value=&quot;Manage Diabetes&quot; id=&quot;category_name&quot;&gt; \n                                &lt;div class=&quot;row&quot;&gt;\n                                    &lt;form autocomplete=&quot;off&quot; class=&quot;&quot;&gt;\n                                        &lt;div class=&quot;col-lg-4 col-md-4&quot;&gt;\n                                            &lt;div class=&quot;form-group&quot;&gt;\n                                                &lt;input type=&quot;text&quot; id=&quot;name&quot; placeholder=&quot;Enter Name&quot; class=&quot;form-control input-md&quot;  onkeypress=&quot;return (event.charCode &gt; 64 &amp;&amp; event.charCode &lt; 91) || (event.charCode &gt; 96 &amp;&amp; event.charCode &lt; 123) || (event.charCode==32)&quot;  required&gt;\n                                                &lt;span class=&quot;error&quot;&gt;Required&lt;\/span&gt;\n                                            &lt;\/div&gt;\n                                        &lt;\/div&gt;\n                                        &lt;div class=&quot;col-lg-4 col-md-4&quot;&gt;\n                                            &lt;div class=&quot;form-group&quot;&gt;\n                                                &lt;input type=&quot;number&quot; id=&quot;mobile&quot; onkeypress=&quot;if (this.value.length &gt;9) return false;RestrictFirstZero(event)&quot;  onkeydown=&quot;return (event.which &gt;= 48 &amp;&amp; event.which &lt;= 57) || event.which == 8 || event.which == 46&quot; type=&quot;number&quot; minlength=&quot;10&quot; maxlength = &quot;11&quot; placeholder=&quot;Enter Contact No.&quot; class=&quot;form-control input-md&quot; required&gt;\n                                                &lt;span class=&quot;error&quot;&gt;Invalid number&lt;\/span&gt;\n                                            &lt;\/div&gt;\n                                        &lt;\/div&gt;&lt;div class=&quot;col-lg-4 col-md-4&quot;&gt;\n                                            &lt;div class=&quot;form-group&quot;&gt;\n                                                &lt;input type=&quot;email&quot; id=&quot;email&quot; placeholder=&quot;Enter Email&quot; class=&quot;form-control input-md&quot;&gt;\n                                                &lt;span class=&quot;error&quot;&gt;Invalid Email Id&lt;\/span&gt;\n                                            &lt;\/div&gt;\n                                        &lt;\/div&gt;\n                                        &lt;div class=&quot;col-lg-12&quot;&gt;\n                                            &lt;div class=&quot;cta-button&quot;&gt;\n                                                &lt;button id=&quot;save-data-CRM&quot; type=&quot;button&quot; class=&quot;btn&quot; style=&quot;color:#fff !important;&quot;&gt;Talk to a Program Advisor&lt;\/button&gt;\n                                            &lt;\/div&gt;\n                                        &lt;\/div&gt;\n                                    &lt;\/form&gt;\n                                &lt;\/div&gt;\n                            &lt;\/div&gt;\n                    &lt;\/div&gt;\n                    \n                    &lt;img class=&quot;cta-img&quot; src=&quot;https:\/\/www.fitterfly.com\/blog\/wp-content\/uploads\/2022\/08\/6.png&quot; alt=&quot;A Smiling man with folded hands&quot; title=&quot;A Smiling man with folded hands&quot;&gt;\n                &lt;\/div&gt;&quot;}\" data-sheets-userformat=\"{&quot;2&quot;:15105,&quot;3&quot;:{&quot;1&quot;:0},&quot;11&quot;:4,&quot;12&quot;:0,&quot;14&quot;:{&quot;1&quot;:2,&quot;2&quot;:2764340},&quot;15&quot;:&quot;inherit&quot;,&quot;16&quot;:11}\"><div class=\"col-lg-12 cta-block cta-mob col-sm-12 col-xs-12 manage-diabetes-cta\">\n                    <div class=\"cta-body\">\n                        <div class=\"row\" >\n                            <div class=\"col-lg-8  col-sm-8 col-xs-12\">\n                                <strong class=\"cta-heading\">No more stress while managing diabetes<\/strong>\n                                <p class=\"cta-content\">Don\u2019t struggle alone & get the expert care you deserve<\/p>\n                            <\/div>\n                        <\/div>\n                            <div class=\"cta-form\">\n                            <input type=\"hidden\" value=\"Manage Diabetes\" id=\"category_name\"> \n                                <div class=\"row\">\n                                    <form autocomplete=\"off\" class=\"\">\n                                        <div class=\"col-lg-4 col-md-4\">\n                                            <div class=\"form-group\">\n                                                <input type=\"text\" id=\"name\" placeholder=\"Enter Name\" class=\"form-control input-md\"  onkeypress=\"return (event.charCode > 64 && event.charCode < 91) || (event.charCode > 96 && event.charCode < 123) || (event.charCode==32)\"  required>\n                                                <span class=\"error\">Required<\/span>\n                                            <\/div>\n                                        <\/div>\n                                        <div class=\"col-lg-4 col-md-4\">\n                                            <div class=\"form-group\">\n                                                <input type=\"number\" id=\"mobile\" onkeypress=\"if (this.value.length >9) return false;RestrictFirstZero(event)\"  onkeydown=\"return (event.which >= 48 && event.which <= 57) || event.which == 8 || event.which == 46\" type=\"number\" minlength=\"10\" maxlength = \"11\" placeholder=\"Enter Contact No.\" class=\"form-control input-md\" required>\n                                                <span class=\"error\">Invalid number<\/span>\n                                            <\/div>\n                                        <\/div><div class=\"col-lg-4 col-md-4\">\n                                            <div class=\"form-group\">\n                                                <input type=\"email\" id=\"email\" placeholder=\"Enter Email\" class=\"form-control input-md\">\n                                                <span class=\"error\">Invalid Email Id<\/span>\n                                            <\/div>\n                                        <\/div>\n                                        <div class=\"col-lg-12\">\n                                            <div class=\"cta-button\">\n                                                <button id=\"save-data-CRM\" type=\"button\" class=\"btn\" style=\"color:#fff !important;\">Talk to a Program Advisor<\/button>\n                                            <\/div>\n                                        <\/div>\n                                    <\/form>\n                                <\/div>\n                            <\/div>\n                    <\/div>\n                    \n                    <img decoding=\"async\" class=\"cta-img lazyload\" data-src=\"https:\/\/www.fitterfly.com\/blog\/wp-content\/uploads\/2022\/08\/6.png\" alt=\"A Smiling man with folded hands\" title=\"A Smiling man with folded hands\" src=\"data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==\" style=\"--smush-placeholder-width: 298px; --smush-placeholder-aspect-ratio: 298\/380;\"><noscript><img decoding=\"async\" class=\"cta-img\" src=\"https:\/\/www.fitterfly.com\/blog\/wp-content\/uploads\/2022\/08\/6.png\" alt=\"A Smiling man with folded hands\" title=\"A Smiling man with folded hands\"><\/noscript>\n                <\/div><\/span><\/p>\n<h2>What is a Diabetes Foot Ulcer and Its Symptoms?<\/h2>\n<p><span style=\"font-weight: 400;\">A diabetes foot ulcer is defined as a group of syndromes in which a patient with diabetes will have nerve damage (neuropathy), lack of blood supply (ischemia) and infection that leads to tissue breakdown and possible amputation<\/span><span style=\"font-weight: 400;\">1<\/span><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Therefore it is critical that you should inspect your feet daily for the following symptoms:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Any changes to the skin like calluses, sores, blisters, cuts, burns, and ingrown toenails \u2012 all of these can eventually lead to diabetes foot ulcers.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Discharge of fluid or pus.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Foul smell.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pain &amp; swelling.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Redness with skin discolouration.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">To confirm the diagnosis of diabetes foot ulcer, your doctor will examine your toes and feet for the infection. They will check for numbness in the feet, assess your blood sugars and order other tests like MRI\/X-ray of the affected part to evaluate how deep into the soft tissues has the infection penetrated.\u00a0<\/span><\/p>\n<h2>Diabetes Foot Ulcer: How is It Treated?<\/h2>\n<p><span style=\"font-weight: 400;\">The gold standard treatment of diabetes foot ulcers includes:\u00a0<\/span><\/p>\n<ol>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Removal of the dead and infected skin tissue to promote wound healing.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Management of the infection with the help of oral or injectable antibiotics.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Offloading the wound with the help of a wheelchair or crutches to take the weight off the affected foot.<\/span><\/li>\n<\/ol>\n<p><span style=\"font-weight: 400;\">Depending upon the severity of the infection, your doctor may recommend hospitalization. Sometimes it may require amputation to prevent infection from spreading to other parts of the body.<\/span><\/p>\n<h2>Diabetes Foot Ulcer: Know Your Prevention Strategy<\/h2>\n<p><span style=\"font-weight: 400;\">As you live with diabetes, you might be afraid that you might lose a toe, foot, or leg or might know someone who has already lost it. But that doesn&#8217;t mean that you can&#8217;t lower your chances of having diabetes-related foot problems.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Yes, you can do it by controlling your blood sugars and taking care of your feet daily. Here is how you can prevent diabetes foot ulcers:\u00a0<\/span><\/p>\n<ol>\n<li>Keep your blood sugars under control<span style=\"font-weight: 400;\"> to prevent diabetes-related neuropathy, ischemia and infection. You should strictly adhere to the diabetes treatment plan advised by your doctor that includes medications and regular blood sugar monitoring. Additionally, as recommended by your doctor, switch to healthy lifestyle choices to control your blood sugars.\u00a0<\/span><\/li>\n<li>Use diabetes footwear <span style=\"font-weight: 400;\">to prevent wounds, sores and moisture build-up. These include:\u00a0<\/span><\/li>\n<li>Compression socks<span style=\"font-weight: 400;\"> are therapeutic footwear recommended by the American Diabetes Association to help aid in circulation in the feet. They are made up of soft, breathable, moisture-wicking fabric that keeps your feet dry.\u00a0<\/span><\/li>\n<li>Padded socks<span style=\"font-weight: 400;\"> help prevent blisters and calluses that can otherwise increase the risk of diabetes foot ulcers.<\/span><\/li>\n<li>Right shoes<span style=\"font-weight: 400;\"> with comfort, extra cushioning, and full coverage to better protect your feet from unwanted injury\/cuts. They should have built-in features to prevent blisters.<\/span><\/li>\n<\/ol>\n<p><span style=\"font-weight: 400;\">For expert guidance, you can try <\/span><a href=\"https:\/\/www.fitterfly.com\/diabefly\"><span style=\"font-weight: 400;\">Diabefly, a Diabetes Management Program<\/span><\/a><span style=\"font-weight: 400;\"> that offers 360-degree care with its team of 3 coaches, including a Nutritionist &amp; Diabetes Educator, a Certified Physiotherapist and a Clinical Psychologist.\u00a0<\/span><\/p>\n<h2><span style=\"font-size: 14pt;\"><strong>Here are a few footwear tips that can help choose the right shoes to prevent or delay the onset of diabetes foot ulcers:<\/strong><\/span><\/h2>\n<ol>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Avoid shoes with pointed toes that can create pressure.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Avoid flat sole shoes or high heels because they don&#8217;t evenly distribute the foot pressure.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Look for styles that have soft insoles for extra support.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Prefer leather, canvas, or suede styles to allow proper circulation of air. Don&#8217;t buy plastic or other materials that don&#8217;t allow the shoe to &#8216;breathe&#8217;.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Opt for footwear with laces, buckles, or velcro to make it easier for you to adjust the shoe.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Take care of your feet, toes and nails regularly.<\/li>\n<\/ol>\n<h2><strong><span style=\"font-size: 12pt;\">Here are a few things that you should make a part of your foot care routine:<\/span><\/strong><\/h2>\n<ol>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">Check your feet and in-between your toes every day for any changes.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">Trim your toenails and keep them short using a straight-edge toenail clipper to avoid the risk of ingrown nails.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">Use a foot file for smoothing any corns or calluses. You can swap the manual foot file with the electronic one to get the job done faster. But be careful of the pedicures as unsterile tools can put you at risk for infection.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">Use talcum powder between the toes to prevent moisture build-up.<\/span><\/li>\n<\/ol>\n<h2>Treat Your Feet Right by Controlling Diabetes With Diabefly<\/h2>\n<p><span style=\"font-weight: 400;\">Diabetes feet are at risk for ulcers, which may go unnoticed by you. Controlling your blood sugars is the first step to preventing any diabetes-related complications, including diabetes foot ulcers. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">You can prevent hospitalization, permanent deformity, and amputation by keeping a check on your diabetes.\u00a0<\/span><span style=\"font-weight: 400;\">To get your diabetes in control naturally, complement your doctor&#8217;s prescription with <\/span><a href=\"https:\/\/www.fitterfly.com\/diabefly\"><span style=\"font-weight: 400;\">Diabefly<\/span><\/a><span style=\"font-weight: 400;\">. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Our team of Diabefly Coaches will closely monitor your blood sugar levels using the latest health technology. Accordingly, they will design a customized lifestyle plan that includes all three &#8211; nutrition, physiotherapy and psychology services to help keep your blood sugars in the target range.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">For more information, visit our website <\/span><a href=\"https:\/\/www.fitterfly.com\/diabefly\"><span style=\"font-weight: 400;\">www.fitterfly.com\/diabefly<\/span><\/a><span style=\"font-weight: 400;\"> or speak to our counsellors at <a href=\"tel:+91 2248971077\">+91 2248971077<\/a> (Ext 1).<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>A diabetes foot ulcer is one of the most common and severe complications of diabetes. If not treated on time, it can lead to even amputation. However, it can be prevented by keeping blood sugars under control and following a proper foot care routine. <\/p>\n","protected":false},"author":7,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"wds_primary_category":0,"footnotes":""},"categories":[1,18,400],"tags":[435],"acf":{"reviewed_by":false,"references":[{"title":"1. Jain AKC, Vishwanath S. Studying major amputations in a developing country using Amit Jain\u2019s typing and scoring system for diabetic foot complications \u2013 time for standardization of diabetic foot practice. Int Surg J. 2015;2:26\u201330. doi: 10.5455\/2349-2902.isj20150205.","url":""},{"title":"2. https:\/\/www.valueinhealthjournal.com\/article\/S1098-3015(17)30823-9\/fulltext#relatedArticles","url":"https:\/\/www.valueinhealthjournal.com\/article\/S1098-3015(17)30823-9\/fulltext#relatedArticles"},{"title":"3. Vibha SP, Kulkarni MM, Kirthinath Ballala AB, Kamath A, Maiya GA. Community based study to assess the prevalence of diabetic foot syndrome and associated risk factors among people with diabetes mellitus. BMC Endocr Disord. 2018;18(1):43. Published 2018 Jun 26. doi:10.1186\/s12902-018-0270-2 ","url":""},{"title":"4. https:\/\/www.healthcentral.com\/slideshow\/diabetes-foot-care","url":"https:\/\/www.healthcentral.com\/slideshow\/diabetes-foot-care"},{"title":"5. https:\/\/www.uofmhealth.org\/conditions-treatments\/podiatry-foot-care\/frequently-asked-questions-diabetic-foot-ulcers","url":"https:\/\/www.uofmhealth.org\/conditions-treatments\/podiatry-foot-care\/frequently-asked-questions-diabetic-foot-ulcers"},{"title":"6. https:\/\/jamanetwork.com\/journals\/jama\/fullarticle\/2720026","url":"https:\/\/jamanetwork.com\/journals\/jama\/fullarticle\/2720026"},{"title":"7. Alexiadou K, Doupis J. Management of diabetic foot ulcers. Diabetes Ther. 2012;3(1):4. doi:10.1007\/s13300-012-0004-9 ","url":""},{"title":"8. https:\/\/my.clevelandclinic.org\/health\/diseases\/21510-diabetic-feet","url":"https:\/\/my.clevelandclinic.org\/health\/diseases\/21510-diabetic-feet"},{"title":"9. https:\/\/www.webmd.com\/diabetes\/understanding-diabetes-detection-treatment","url":"https:\/\/www.webmd.com\/diabetes\/understanding-diabetes-detection-treatment"}],"author":"","table_content":null,"medically_reviewed":"Not Selected","show_updated_date_in_post":"No","faq_list":null,"custom_schema":"","media_url":"","reviewer":null},"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.fitterfly.com\/blog\/wp-json\/wp\/v2\/posts\/1319"}],"collection":[{"href":"https:\/\/www.fitterfly.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.fitterfly.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.fitterfly.com\/blog\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/www.fitterfly.com\/blog\/wp-json\/wp\/v2\/comments?post=1319"}],"version-history":[{"count":0,"href":"https:\/\/www.fitterfly.com\/blog\/wp-json\/wp\/v2\/posts\/1319\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.fitterfly.com\/blog\/wp-json\/wp\/v2\/media?parent=1319"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.fitterfly.com\/blog\/wp-json\/wp\/v2\/categories?post=1319"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.fitterfly.com\/blog\/wp-json\/wp\/v2\/tags?post=1319"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}