What is a type 2 diabetic foot ulcer? Symptoms and Treatments
The foot ulcer is very common complication of poor controlled diabetes condition. It formed as a result of damaged skin tissue, then reveal the layers underneath as well. They are very common occur under the balls or big toes of your feet and they can affect your feet deep to the bones as well. This condition in medical term is also known as diabetic foot ulcer icd 10.
All of patient with diabetes can develop the foot pain and foot ulcer condition, however a good foot treatment can prevent their occurrence as well. The treatment for foot ulcers or foot pain can be so vary depending on its cause. So, you are able to discuss your foot pain or another discomfort with your doctor to ensure that it’s not serious issue because of infected ulcers can cause in amputation if uncared. You should know that diabetic foot ulcers were responsible for more hospitalizations case than other complications in type 2 diabetes. The foot ulcers start to develop as a result of a break in your skin. Because of high blood sugar level, then this wound cannot heal properly. Then this wound become deeper, sometimes break down to the bone.
Identifying your symptoms:
You should know that one of the first signs from your foot ulcer is the drainage from your feet that may spot in your shocks or even leak in your shoes. The irritation, redness, unusual swelling and unusual odors from your feet are also warning or early signs of foot ulcers. The most visible signs from serious foot ulcers is the black tissue which also known as eschar around the ulcer. It formed because there is no healthy blood stream in that area. Then the complete gangrene can trigger the tissue death because of infection which occurred around your ulcer. In this case, you might notice the odor discharge, numbness and pain.
However, these symptoms or signs of foot ulcers might not always visible. Sometimes, it might not show any symptoms of ulcers until it being infected as well. so, you have to consult with your doctor if you find out that there is any skin discoloration in your feet, especially if the tissue turned black or you felt a pain in around your callused area. Then your doctor might identify the seriousness of your ulcer based on several criteria, they are:
– 0 there is no ulcer but your foot has a risk
– There is ulcer but no infection
– The ulcer is deep and reveal the tendons and joins
– There is an extensive ulcers from infection
Causes of foot ulcer in diabetics
Slowly healing process
The wound comes out when the skin integrity is lost because of mechanical injury. Then, there is the tissue damage along with rupture in your small blood vessels. In normal condition, then you body is able to heal its damage. In many cases of diabetes, this problem can be more severe because of high blood sugar level that slowing down the healing process than normal condition. Even, this condition is getting worse due to slower ability of diabetic to feel the wound which been caused by loss sensation in their feet.
Poor blood circulation in a feet
People with diabetes also have poor blood circulation in their feet and legs because of this condition which is known as atherosclerotic peripheral arterial disease. So, this condition is almost similar with the form in blood vessels that supply blood to the heart and might cause the heart attack, however, it formed in the blood vessels in your feet and legs. Then these plaques and structural changes that come out in blood vessels because of diabetes. This condition does not allow enough blood throughout blood vessels. Poor blood circulation can affect the transportation of your essential nutrition and the gas exchange in your feet and legs.
Your dry skin
Dry skin is very common in people with diabetes. This dryness can cause a crack in their skin. Then the calluses or corns occur and these conditions can cause bleeding wounds as well.
As mentioned before that all people with diabetes have a risk of foot ulcers that occur because multiple causes as mentioned above. However, there are several factors that increase the risk of foot ulcers as follows:
– Poor hygiene
– Alcohol consumption
– Poor quality shoes
– Eye problems related to diabetes
– Kidney disease
– Heart disease
– Tobacco use
How to treat foot ulcers?
The most primary aim to treat the ulcer is stop its development that turn into the condition where the amputation is needed. Your doctor can rid of the early stage of ulcer along with procedure that known as debridement or dead skin removal, infections or unknown objects might cause the ulcers as well. If the ulcer has infected, your doctor might advise you to get X-ray examination to evaluate the implication of underlying bones as well.
You doctor uses your tissue samples from the ulcer and sent to the pathologist to figure out the infecting organism. After your doctor receive information related to infections organism, then your doctor will prescribe you with supporting medication, such as anti-clotting medications. Then your wound requires dressing which contain of anti-infection drugs and surgical procedure might be needed to treat the ulcer in more progressive condition. It helps you to remove further complications such as amputations.
Tips to prevent foot ulcers
Proper hygiene for your foot care
The preventive treatment is very important to prevent the foot ulcers for diabetic. This is including of proper hygiene routine that keep your feet stay clean and manage your roper blood glucose level. You should wash your feet everyday and trim the toenails regularly.
Avoiding walking barefoot
Avoid having walking barefoot as much as possible can help you to prevent any foot injury. This is because of diabetic are very prone with foot injuries, so this is better to keep your feet stay covered almost the time. Your doctor will recommend you to wear special diabetic shoes and socks to give protection for your feet.