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Diabetic Foot

Diabetic Foot

“Mr. Franklin, I am sorry that we need to amputate your leg because the infection has gotten out of hand and your life is at risk,” Dr. Kayode said. “You can see gangrene has set in,” he added.   

Diabetic foot   

One of the most feared complications of diabetes is diabetic foot ulcer. This typically occurs when poorly controlled diabetes damages the delicate nerves in the feet. It begins with reduced sensation and/or burning pain and tingling.   Eventually, loss of sensation (numbness) in the feet may be so bad that if you nick the sole of your foot against a sharp object, you might not feel any pain at all. This can lead to a foot wound (ulcer) that goes unnoticed because it is painless. Foot ulcers in diabetics tend to heal poorly and worsen over time because diabetes weakens the immune system and damages blood vessels that provide blood and nourishment to the site of the injury.    

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If not treated aggressively upon notice, a small wound becomes a large ulcer, progressively eroding deeper tissues of the skin and covering larger areas. Ultimately, the wound gets infected, and bacteria begin to scavenge healthy tissues in the skin, then spreading to the bones and, over time, the whole body.    

In severe cases, the combination of nerve damage, loss of blood supply to the foot, and wound infection causes tissues in the foot to die, a condition called gangrene. In this case, our doctor may recommend amputation to prevent further spread of the infection.    

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Indeed, diabetic foot ulcers are best avoided. So, we’ve packed some useful tips for diabetics to prevent this complication :   

  • Examine your feet every day: Check for skin changes, blisters, cuts, or numbness, and visit your doctor if you notice any of those.   

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  • Wash and dry your feet at least once a day. Make sure to clean the spaces between your toes to prevent fungal infection of that area.    
  • Do not apply heating pads over your feet or place your feet close to a source of heat.    
  • Use proper footwear both indoors and outdoors; avoid wearing shoes without stockings.   
  • If you wear stockings, change them every day.   
  • Visit your doctor for all cases of foot infection or injury to receive appropriate treatment. Do not treat them at home.   
  • Go to the clinic for comprehensive foot exam once a year.   
  • Keep your blood sugar well-controlled