Diabetic Foot Ulcers

Foot ulcers are a common complication of diabetes that is not being managed through methods such as diet, exercise, and insulin/ other medical treatment. Ulcers are formed as a result of skin tissue breaking down and exposing the layers underneath. These are most common under big toes and the balls of feet, and can affect feet down to the bones.

Almost all people with diabetes can develop foot ulcers, but good foot care can help prevent them. Treatment for diabetic foot ulcers varies depending on their causes.

An ulcer is an open wound or sore that will not heal or keeps returning. When you have ulcers on the feet and toes, it can be related to diabetes — specifically, a complication called neuropathy that causes one to lose feeling in the feet. A scrape, cut or puncture in the skin can turn into an ulcer, but one may not know it is present if suffering from even diagnosed or undiagnosed neuropathy.

Ulcers can lead to infections. Sometimes, the infection will not go away and part of foot or toe may need to be surgically removed (amputated). About 15% of people with diabetes will get a foot or toe ulcer. Around 14% to 24% of people with diabetes in the US need an amputation after they get an ulcer.

Discuss any foot concerns PROMPTLY and URGENTLY with the PCP, Podiatrist or Orthopedic Specialist to ensure it is not a serious problem, as infected ulcers can result in amputation if neglected.

Author

Paddy Kalish OD, JD and B.Arch