Diabetes and foot ulcers -
Check your feet every day for cuts, redness, swelling, sores, blisters, corns, calluses, or any other change to the skin or nails. Wash your feet every day in warm not hot water. Dry your feet completely and apply lotion to the top and bottom—but not between your toes, which could lead to infection.
Never go barefoot. Always wear shoes and socks or slippers, even inside, to avoid injury. Wear shoes that fit well. For the best fit, try on new shoes at the end of the day when your feet tend to be largest.
Always wear socks with your shoes. Trim your toenails straight across and gently smooth any sharp edges with a nail file. Get your feet checked at every health care visit. Also, visit your foot doctor every year more often if you have nerve damage for a complete exam, which will include checking for feeling and blood flow in your feet.
Keep the blood flowing. Choose feet-friendly activities like walking, riding a bike, or swimming. Check with your doctor about which activities are best for you and any you should avoid.
See your regular doctor or foot doctor right away:. Most people with diabetes can prevent serious foot complications. Skip directly to site content Skip directly to search. Español Other Languages. Diabetes and Your Feet. Español Spanish. Minus Related Pages.
Feeling No Pain Some people with nerve damage have numbness, tingling, or pain, but others have no symptoms. Amputation: What to Know. Observations Neurological, vascular, and biomechanical factors contribute to diabetic foot ulceration.
The mortality rate for people with diabetic foot ulcers is deaths per person-years, compared with deaths per person-years in people with diabetes without foot ulcers.
People who are Black, Hispanic, or Native American and people with low socioeconomic status have higher rates of diabetic foot ulcer and subsequent amputation compared with White people.
Classifying ulcers based on the degree of tissue loss, ischemia, and infection can help identify risk of limb-threatening disease.
Several interventions reduce risk of ulcers compared with usual care, such as pressure-relieving footwear Surgical debridement, reducing pressure from weight bearing on the ulcer, and treating lower extremity ischemia and foot infection are first-line therapies for diabetic foot ulcers.
Randomized clinical trials support treatments to accelerate wound healing and culture-directed oral antibiotics for localized osteomyelitis.
Multidisciplinary care, typically consisting of podiatrists, infectious disease specialists, and vascular surgeons, in close collaboration with primary care clinicians, is associated with lower major amputation rates relative to usual care 3.
Conclusions and Relevance Diabetic foot ulcers affect approximately Surgical debridement, reducing pressure from weight bearing, treating lower extremity ischemia and foot infection, and early referral for multidisciplinary care are first-line therapies for diabetic foot ulcers. Armstrong DG , Tan T , Boulton AJM , Bus SA.
Diabetic Foot Ulcers : A Review. Artificial Intelligence Resource Center. Featured Clinical Reviews Screening for Atrial Fibrillation: US Preventive Services Task Force Recommendation Statement JAMA.
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Ottawa: Canadian Agency for Drugs and Technologies in Health CADTH ,
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