05/04/2024
Causes of diabetic foot ulcers
There are many causes of diabetic foot ulcers, so there will be different treatment methods. Diabetic foot ulcers often appear in diabetics with vascular and neurological complications. There may be charcot foot bone deformities in diabetics. These complications are often related to blood sugar control and long-term control of atherosclerotic factors.
Poor blood sugar control and lipid control are closely related to neurological and vascular complications as proven by many studies on people with diabetes.
Favorable factors that can cause damage to diabetic feet include:
Not taking care of foot hygiene.
The habit of walking barefoot can easily trample on foreign objects.
Cutting toenails and cutting skin improperly causes damage to the toes, creating favorable conditions for infection.
Wearing tight, hard shoes can easily rub, causing foot damage.
Improper interventions on the feet such as: applying hot oil, soaking in hot water, using heat-generating devices to relieve pain on diabetic feet.
Factors that also affect wounds, ulcers, and infections in diabetic patients include:
Smoking habit.
Poor blood sugar control.
Overweight and obese.
Condition of reduced resistance and immunity.
Symptoms of diabetic foot ulcers
People with poorly controlled diabetes have complications, symptoms that can appear early such as: numbness in the feet, loss of feeling in the feet, dry feeling like walking on sand, or wearing condoms. nylon, or a feeling of cold feet due to reduced blood flow, sometimes a feeling of heat due to bone inflammation or infection.
Observe for dry, cracked foot skin, hair loss, muscle atrophy, lower leg area and foot tissue. People with diabetic foot lesions may have natural blisters and black necrosis in some locations on the skin of the feet, the tips of the toes, and skin cracks.
Ulcers in the form of abrasions are caused by external diseases such as stepping on foreign objects, rubbing... From the initial wounds, they are then accompanied by combined infection due to many causes such as: poor hygiene, Immunodeficiency, poor blood sugar control.
Wounds can easily spread locally, causing systemic infections and dangerous sepsis.
Symptoms of the wound can be seen as: wound secretions, or foul-smelling, pus fluid, which can spread necrosis to adjacent tissue and far depending on the type of bacteria or the patient's health condition. patient.
Systemic symptoms of diabetic foot wounds such as: fatigue, loss of appetite, high fever, more severe can lead to acute systemic infection, accompanied by symptoms of increased blood sugar.
Patients may have symptoms of existing diseases in the elderly such as high blood pressure, bone and joint pain, and difficulty walking.
