Specialist Care of Diabetic Feet
Diabetic Foot Disorders
People with diabetes are prone to ulceration of the feet. This is because of the effects that diabetes has on the body:
- Diabetes damages the sensory nerves as well as the autonomic nerves (nerves to the sweat glands) – causing loss of sensation, inability to detect pain sensation and dry skin which is prone to cracking and ulceration.
- Diabetes can reduces the blood supply to the foot by causing narrowing and blockages in the arteries. This can make it difficult for wounds to heal.
- Diabetes increases the susceptibility to infection
- Diabetes causes deformity of the feet which can lead to pressure points on the foot which in turn can lead to callus, skin breakdown and ulceration.
15% of diabetics will get a foot ulcer. Diabetes complications cause 50-60% of all leg amputations.
Patients with diabetes and ulceration are initially assessed with a history and examination, and may need investigations such as:
- CT Scans
- MRI Scans
- Nuclear Medicine Scans
- Catheter Angiography
Treatment varies depending on the severity of the ulcer, the blood supply to the foot and the level of infection present. Early review is always best for a diabetic foot ulcer.
My Clinical Promises #1
I will take the time to properly listen to you
My Clinical Promises #2
I will explain things as clearly as I can
My Clinical Promises #3
I will discuss the options with you
My Clinical Promises #4
I will give you the very best care that I can