Diabetic Ulcers

Overview

Diabetic ulcer is a condition preventable if managed meticulously. Ultimately, diabetic ulcer is a complication of poorly managed diabetes. Diabetic neuropathy comes from the interplay of ischemia, ulceration and then later on to infection, and deformity such as Diabetic Charcot's joint. Diabetic ulcers can be reduced with appropriate prevention and management. Firstly, debridement of necrotic tissue should always be done with proper dressings or wound closure procedure followed by proper wound care. If the ulcers are at feet then reduction of plantar pressure should be done where the footwear must be a proper one or and offloading the pressure should be in form of total non-weight bearing, total contact cast or total contact orthoses. If there is any infection noticed, immediately treat it with early incision, drainage/ debridement, and empirical broad-spectrum antibiotic therapy. On top of all this, the most important management is to always try to keep the blood sugar level in the normal range as much as possible.