Diabetic Feet & Foot Ulceration
Treatment of Diabetic Feet
At risk feet with no ulceration
- General advice on nail care, foot hygiene and footwear as detailed above.
- Reinforce the need for regular daily examination of feet by patient or carer
- Consider regular chiropody and urgent attention of a doctor with an interest in diabetic feet if any problems are picked up
- Consider need for modification of footwear or special footwear to avoid pressure at pressure points and trauma.
- Do not walk barefoot.
- Don't smoke
This is best treated by a multidisciplinary team of Diabetalogists, Vascular surgeons, plastic surgeons and occasionally orthopaedic surgeons.
Treatment may involve
- Optimisation of diabetic control
- Reduction of oedema (Swelling) by elevation diuretics ect
- Infection control with antibiotics, repeated surgical debridment (including amputation of toes) and maggot therapy
- Sometimes it is necessary to perform bypass operations in the leg to improve blood supply and get wounds to heal.