Diabetic Foot Ulcer

People with diabetes also have a higher risk of developing foot ulcers that can take weeks or months to heal. Food choices and nutritional status influence wound healing since serious wounds increase the energy, vitamin, mineral and protein requirements necessary to promote healing. Most things can help your blood clot and you serious sores or cuts heal, When you have like a smell or oder example: a skunk you wash you body in tomato sauce to get the smell to fade away . When you want your teeth to grow strong or eyes to be clear you can eat certain thing to help them get stronger that's exactly how you can clear your skin from sores bumps and ect.

It is estimated that 387 million people, globally live with diabetes (Phillips & Mehl, 2015). According to Medical News Today [MNT], diabetes is a metabolic disorder; which causes patients to be extremely thirsty and produce a lot of urine. Diabetes arises due to high blood pressure, due to the body not being able to produce enough insulin or because the body does not respond well to high insulin levels (MNT, 2016). There are four types of diabetes; there is the pre-diabetic stage, type 1 diabetes, type 2 diabetes and gestational diabetes. In 2014, 29 million people died due to diabetes. This equates to 1 diabetic patient dying every seven seconds due to preventable complications (including complications affecting lower limbs) caused by diabetes. It is said that 20-40% of health care costs are spent on the treatment of lower limb complications due to diabetes. The risk of a diabetic patient developing a foot ulcer is 25% and foot ulcers account approximately 85% of lower limb amputations. Diabetic complications that affect lower limbs are caused by both type 1 and type 2 diabetes (Phillips & Mehl, 2015). It is said that the World Health Organization described diabetic foot syndrome as including all possible complications in relation to the feet of a diabetic patient. Diabetic foot syndrome is defined as the ulceration of the foot, from the ankle downwards. Causes of foot ulceration include peripheral sensory neuropathy, vascular disease (ischaemia) and infection

The goal to treat an ulcer in a diabetic patient is to heal the wound faster to prevent infection, pressure has to be take off the area by “offloading” the foot, remove dead tissue by the process of debridement, apply to dress per doctors order, and focus on managing the patient’s blood sugar effectively to promote healing. In addition, to prevent infection, the patient must keep the dressing clean, cleanse the wound daily and change the bandage and dressing, the patient must also avoid walking on barefoot.

Diabetic Peripheral Neuropathy (DPN) is one of the most common microvascular complications in diabetes and can result in foot ulceration, ampuation and an impaired quality of life(Carrington AL, et al 2002,Boulton AJ,et al 2004). The reported prevalence of diabetic peripheral neuropathy ranges from 16% to as high as 66%2 and its prevelance is believed to increase with the duration of diabetes and poor glucose control.(Boulton AJ.et al 2000) It’s accounts for 50–75% of non-traumatic amputations in diabetic patients.(Holzer SE, et al 1998, Boulton AJM, 1998,Malay DS, et al 2006)

Today, despite precise surgical techniques to cut out dying tissue, artificial skin and other high-tech treatments, hard-to-heal wounds remain a huge problem. Diabetic foot ulcers alone strike about 600,000 people annually and lead to thousands of

Juvenile Diabetes Research Foundation Continuous Glucose Monitoring Study Group, Tamborlane WV, Beck RW, Bode BW, Buckingham B, Chase HP, et al. Continuous glucose monitoring and intensive treatment of type 1 diabetes. N Engl J Med. 2008 Oct 2;359(14):1464-76. Epub 2008 Sep 8.

If you have diabetes, you should see a podiatrist any time you have a sore or cut on your foot. A complication of diabetes is poor circulation which causes injuries to be slow to heal. Diabetes also causes nerve damage, which means you might not even feel an injury that would normally be painful. If you're not diabetic and you have an injury that doesn't heal at a normal pace,

The second research article covered a screening tool for Diabetics. This tool would be a great way for nurses to do a quick 60-second screening to detect the high-risk diabetic foot and help prevent complications in the future (Oxman, M. 2011). The tool is a paper that the patient and nurse to work through with yes or no questions ranging from the history of any ulcers, to the nurse seeing any deformities (Oxman, M. 2011). I think that this would be a great assessment tool for all diabetic patients to start doing even before they start to have symptoms. This way if symptoms do

Foot ulceration is common, affecting up to 25% of patients with diabetes during their lifetime. Over 85% of lower limb amputations are preceded by foot ulcers and Diabetes remains a major cause of non-traumatic amputation across the world with rates being as much as 15 times higher than in the non-diabetic population. Prevention is the first step towards solving diabetic foot problems. Although it was estimated that an ankle is lost to diabetes somewhere in the world every 30 seconds, a more important fact is that up to 85% of all amputations in diabetes should be preventable. Strategies aimed at preventing foot ulcers are cost-effective and can even be cost-saving if increase education and effort are focused on those patients with recognized

Provide all necessary equipments and functions in compliance with BC’s regulatory licensing agency and in accordance with the policies and guidelines of CSC. This must include Biological indicator strip testing as required.

Therefore, the aim of this literature review is to explore issues in relation to patient concordance in their leg ulcer care in the

Foot ulcer is one of the most significant complications of diabetes, and is defined as a foot affected by ulceration that is associated with neuropathy and/or peripheral arterial disease of the lower limb in a patient with diabetes.

This article is about the intervention to reduce plantar pressure, heal and prevent foot ulcers in people with diabetes. People who use insulin are at higher risk of developing foot ulcers, even people who have other diseases including kidney disease, eye disease, or heart disease. Use of alcohol and tobacco, and being overweight play a key role in the development of foot ulcers. Ulcers form due to the combination of different factors, including poor circulation, foot deformities, irritation (friction or pressure), trauma, and lack of feeling in the foot. People who had diabetes for many years can develop neuropathy, a reduced or complete lack of ability to feel pain in the foot due to the nerve damage caused by the elevated glucose levels over time. Redness and swelling of the foot may also be associated with ulceration, and if it’s progressed significantly, an odor may be present.

The wound site of patients with chronic foot ulcers were rinsed with normal saline, natural honey was applied to the wound and covered with glycerin- impregnated gauze. Patients were followed on a daily basis for four weeks.

Research question: What are the contributing factors in developing a diabetic foot ulcer in Type 2 diabetics in the community?