Treatment for diabetic ulcer on foot x ray,can you get type 2 diabetes from drinking alcohol,causes false high blood sugar readings,type 2 diabetes insulineresistentie - 2016 Feature


Diabetic foot ulcer is a main complication of people suffering from diabetes type 1 or type 2.
Diabetes is a group of metabolic diseases characterized by high levels of sugar in the blood resulting in a deficiency in the function and secretion of the insulin. Diabetic foot ulcer can either be from neuropathic or vascular complication of the disease. A foot ulcer usually develops on the surface of the skin or may also develop in the deeper layer of the skin.
Diabetic foot ulcer generally exists in two types which are classified according to their origin while each type has their own symptoms.
Pain is often absent for most of its cases and the severity is generally rated from 0 to 3 with 0 being the mildest while 3 being the most severe in extent. The tissues surrounding the ulcer are black in color as a result of insufficient blood flow to the affected foot. The presence of intermittent claudication is manifested by fatigue or cramping of the major group of muscles in either one or both extremities. The onset of diabetic foot ulcer is being linked to the complications of the disease in the nerve and in the blood vessels. The treatment of diabetic foot ulcer requires bandaging or wound dressing of the affected foot. It is also necessary to determine if the ulcer that developed is neuropathic or vascular or a combination of both in nature.
Neuropathic ulcer requires protection from further injury while the wound is in the process of healing.
Vascular ulcer generally requires a careful examination and evaluation from the surgeon to identify the extent of the damage whether partial or complete amputation is necessary or if amputation is necessary at all.
The health information provided on this web site is for educational purposes only and is not to be used as a substitute for medical advice, diagnosis or treatment. Our body lives more comfortable with Nature and works better in Harmony with Natural products and Natural Treatments. If the nerves within the foot are functioning properly, the ulcer will can be extremely painful. Foot care and healthy management of seemingly insignificant foot injuries is crucial to preventing the formation of ulcers.
Minor infections or foot injuries, such as scrapes, cuts, tinea pedis, and blisters, can be made worse unintentionally due to over the counter remedies that impede healing. Ulcerated areas that will not respond to this more conservative method may require surgery.
For the convenience of our patients and guests, Colorado Foot Institute offers free, high-speed wireless internet access. The onset of diabetic foot ulcer puts a diabetic patient at greater risk for limb loss or amputation. The incidence of diabetes overtime can lead to various problems in health such as kidney failure, blindness and nerve damage.


A foot ulcer is characteristically a sore that develops on the surface of the skin but can also be deeper in the skin. It resembles a reddish crater that is usually located at the side or at the bottom of the foot or may be on the top or at the toe tip.
The foot unlike in neuropathic ulcer is often cool to touch and the skin is thin and shiny. No ulceration observed at the risk foot is rated as 0 while superficial ulceration with no noted infection is rated as 1.
The foot is made vulnerable when it is deprived of cell oxygen due to insufficient supply of oxygenated blood.
In case diabetic foot ulcer already occurred, the goal of treatment is to prevent infection and to prevent further complications including possible amputation of the affected foot. It also requires antibiotic treatment, debridement including platelet-rich fibrin therapy and arterial revascularization.
The dressing can be in the form of hydrogel dressing, hydrocolloids and absorptive fillers.
Identifying the nature of the ulcer will help in determining the method of treatment appropriate to the patient. Several methods of protecting and treating the wound should be strictly followed to enhance healing while frequent skin assessment is also necessary to monitor the improvement or the progression of the foot ulcer. The ABPI is calculated by dividing the systolic blood pressure in the ankle by the higher of the two systolic blood pressures in the arms.
While many people may do well with commercial athletic shoes, people with special support needs or foot deformities may find custom shoes beneficial. It is important to avoid heating pads, hot soaks and harsh topical applicants such as iodine, hydrogen peroxide, and astringents. Mechanik may be able to treat the ulcer by removing tissue through a process called debridement.
Mechanik will schedule follow up appointments to assess and debride the area, and the dressing may need to be changed every several days. Mechanik may prescribe well-cushioned, roomy footwear that alleviates pressure on areas of your feet that may still be vulnerable.
Patients with poor foot circulation may be in need of vascular surgery to correct the blood-flow problems afflicting their leg arteries.
Mechanik is Board Certified in Foot Surgery and Board Certified in Reconstructive Rear Foot and Ankle Surgery. Mechanik then went on to complete a twenty-four month post-graduate Residency training program in Foot and Ankle Surgery and a twenty-four month surgical Fellowship training program in Lower Extremity Musculoskeletal Surgery.
Mechanik is a Fellow of the American College of Foot and Ankle Surgeons and a  Diplomate, American Board of Foot and Ankle Surgery. The risk for amputation is increased eight fold that health professionals play a vital role in managing and preventing lower extremity ulcer among their patients. Millions of people all over the world are being affected with diabetes and it is regarded as the 7th leading cause of death.


People with diabetic foot ulcer are prone to suffer from infection due to an open wound while the ulcer generally takes longer time to heal or may not heal at all.
There is also no presence of a pulse and pain while intermittent claudication and atrophy of the subcutaneous tissue can be observed. The presence of deep ulceration with an exposure of tendons or bones is rated at 2 while deep ulceration or with the presence of abscesses is rated as 3.
Other symptoms of diabetic foot ulcer include ischemic pain at rest, development of non-healing ulcer or sore on the foot. Patients with peripheral vascular disease, peripheral arterial disease or structural foot deformities also have an increased risk of foot and leg ulcers.
Gently cleansing the feet with antibacterial soap and water, followed up with an application of a topical moisturizer, will help maintain good skin that is more resistant to injury and breakdown. Medicare Part B currently provides diabetic shoes for patients, who have been identified with risk factors that may cause ulcer formation.
Gentle cleansing of these minor injuries and the application of an antibiotic ointment may help in the prevention of ulcer formation.
Follow up care may require multiple visits over the course of weeks or months; however long it takes for the affected area to heal completely. Diabetic foot ulcer is among the problems or complications that can arise from chronic disease which makes an affected individual at high risk of losing a limb.
When an infection occurs, a pocket of pus and cellulitis may develop including bone infection. People with peripheral neuropathy is unable to perceive pain when they stepped on something sharp or when their feet is in discomfort or when the feet is already injured or wounded unless given a closer look. An ABPI value greater than 1.3 is also considered abnormal, and suggests calcification of the walls of the arteries and noncompressible vessels, reflecting severe peripheral vascular disease. A thorough physical examination followed up with sensory testing and a test for arterial or venous insufficiency will help identify high-risk individuals. Scholl College of Podiatric Medicine which is part of the Rosalind Franklin University of Medicine and Science, a national leader in medical education.
Mechanik takes a special interest in wound care and understands the risks involved with diabetic foot ulcer. Gangrene may later occur which can lead to poor circulation subsequently amputation or a loss of a limb.
Mechanik will dress the area and may prescribe special footwear to alleviate pressure that could impede the healing of the ulcerated area. In the case of nerve that is not functioning, the pain is not felt and the presence of the foot ulcer may not be noticed. Specialized footwear may be a postoperative walking shoe that is worn over the bandage, or a cast.



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