Diabetes patients are more likely to develop foot problems. These develop as a result of prolonged high blood sugar levels. The two most common foot problems are diabetic neuropathy and peripheral vascular disease. Both of which can lead to severe complications.
If you have diabetes and associated foot problems for a long time? Then, you should consult a specialist for the most-effective diabetic foot treatment.
Dr. Rashmi Verma is a leading doctor in Bhopal. She is adept in the conservative management of diabetic foot, newly diagnosed diabetes, and uncontrolled blood sugar in previously diagnosed diabetes. Moreover, she is well-known for providing the most effective diabetic foot treatment in Bhopal.
Dr. Rashmi Verma presently works as a consultant in Internal Medicine at Bansal Hospital, Bhopal. She was a Senior Resident in the Department of Internal Medicine at AIIMS, Bhopal. She is a proficient general physician in Bhopal with 7+ years of extensive experience diagnosing and treating patients with acute and chronic conditions. Her other areas of interest include managing patients having anemia, hypertension, rheumatology conditions, and more.
Keep reading to know about diabetic foot problems, diabetic foot treatment, and more.
What effects does diabetes have on your feet?
Diabetes has many complications that affect the eyes, heart, kidneys, and other organs. A diabetic foot, on the other hand, is the most common and severe complication.
The most common reason for hospitalization in diabetic patients is foot problems rather than heart or kidney problems. Diabetic foot problems are common and harm patients' quality of life.
Sign and symptoms of diabetic foot problems
Symptoms may differ from one person to another. The following are some of the signs of diabetic foot problems:
- Loss of sensation
- Numbness or tingling sensation
- Skin discoloration
- Skin temperature changes
- Red streaks
- Painful tingling
- Painless blisters or other wounds
- Wounds with or without drainage
- Deformed foot appearance
If a person's foot is infected or ulcerated, they can also experience the following symptoms:
- Uncontrolled blood sugar
- Chills and fever
If you have some of the signs of an infection, you should seek immediate medical attention.
What are the most common diabetic foot problems?
Diabetes can cause nerve damage over time, making it difficult for people with diabetes to sense sensations in their extremities. People with the disorder often have a more challenging time feeling irritation on their feet or noticing that their shoes are rubbing. Because of this loss of sensation and sensitivity, you're more likely to get sores, wounds, and blisters.
Peripheral vascular disease
Changes in the blood vessels, including the arteries, are caused by diabetes. Fat deposits obstruct the blood arteries outside of the brain and heart in peripheral vascular disease. It affects the vessels that lead to and from the extremities, resulting in decreased circulation in the hands and feet. Reduced circulation can result in pain, infection, and slow wound healing. Amputation may be needed in severe cases.
Diabetic foot treatment
Diabetic foot treatment differs depending on the severity of the disease. There are several non-surgical and surgical options available.
Non-surgical diabetic foot treatment
When it comes to diabetic foot problems, non-surgical diabetic foot treatment is usually the first line of defence. Here are a few examples:
- Use of immobilization devices such as a cast boot or total contact cast.
- Immobilization also helps to keep the wounds clean and sealed.
- Proper monitoring of gangrene toes before self-amputation occurs when the toes break off due to a lack of blood supply.
Surgical Diabetic foot treatment
When non-surgical diabetic foot treatments for diabetic foot problems fail, your doctor can recommend surgery. Surgical treatments may include:
- Removal of dead or decaying tissue
- Amputation, ranging from toe or portion of the foot to the limb below or above the knee in some cases
- Surgical stabilization of Charcot’s Foot
- Endovascular surgery to place stents
- Arterial bypass for peripheral vascular disease
We provide basic podiatry (foot) care such as corn removal, callus removal, nail clipping, nail trimming, and corn shaving. All of the instruments are made of sterilized stainless steel of high quality.
Neuropathic assessment tools
The primary pathogenic ingredient in diabetic foot ulceration is peripheral neuropathy (loss of sensation). The most crucial factor that can contribute to lower-extremity amputation is ulceration.
TIP THERM is a well-formed polyneuropathy early detection system. It determines the temperature sensitivity of the skin.
The VIBRA TIP unit looks like a tiny key fob. It is used to assess a person's vibration perception during a regular check-up for diabetic peripheral neuropathy in type 1 or type 2 diabetes patients.
Monofilaments are accurate, simple, and easy-to-use equipment. It is a relatively inexpensive way of testing for loss of sensation in the feet in daily clinical practice.
Handheld vascular doppler
It works based on the Doppler effect to track blood flow. ABI Doppler is a non-invasive procedure. It resembles taking blood pressure with a stethoscope.
It is useful for determining the Ankle Brachial Index Study and the Arterial and Venous blood flow test.
Digital biothesiometer -VPT
The vibration perception threshold (VPT) is useful in diagnosing foot ulcers and detecting peripheral sensory neuropathy. In diabetics, sensory neuropathy raises the risk of foot ulcers by seven times and peripheral arterial disease (PAD) by three times.
Complications associated with diabetic foot problems
Closely monitor critical conditions like diabetic neuropathy and peripheral vascular disease. Both cause complications that can have adverse effects. Some of these complications include:
- slow or non-healing foot ulcers, or wounds
- abscess, skin and bone infections
- gangrene, when a disease causes tissue death
- Charcot’s Foot
- foot deformity
Tips for prevention of diabetic foot problems
Preventing diabetic foot problems is essential for diabetic people. Keeping feet healthy is necessary, and a person should be cautious about foot hygiene. They can follow the below steps:
- Control blood sugar
- Check and wash your feet regularly
- Wear supportive socks and shoes
- Through specific exercises, try to increase blood flow to the feet
- Cut nails carefully
- Look for corns and bunions
- Protect feet from extreme temperatures
- Attend regular examinations on the feet
- Quit smoking or avoid other forms of tobacco
Please book an appointment with Dr Rashmi Verma to seek the most effective conservative diabetic foot treatment in Bhopal or manage your diabetes and associated complications.