What problems can lead to diabetic foot ulcers and infections in diabetic feet

Diabetics are prone to diabetic foot. Diabetic feet are particularly susceptible to vascular and neuropathy, and due to neuropathy, minor trauma can quickly lead to ulcers, infections and gangrene, which eventually have to be amputated. According to statistics, the risk of lower limb amputation in diabetics is 15 times higher than that of non-diabetic people.

The four culprits caused sugar friends to "can't afford to hurt" their feet

1.Neuropathy causes decreased pain. Diabetic patients are less sensitive to pain once they have neuropathy, and they may feel it after touching it slightly, but they may need acupuncture to feel pain after the lesion occurs.

Therefore, when the foot is damaged, the patient often ignores it because it is not felt, which makes the foot wound expand day by day and induce infection.

2.Weak immunity is susceptible to infection. As we all know, diabetic patients have low self-resistance, their immune function is not as good as that of normal people, and pathogens such as bacteria and fungi are often "invincible" and infringe on the health of diabetic patients.

Even if they are in the same environment, others do not receive the infection, but the diabetic person is "hit".

3.Sugar friends are prone to blood supply disorders in their feet. When diabetics have macrovascular lesions, the blood supply to the feet is even worse, so that the local ** nutrition is insufficient, and the resistance to foreign pathogenic microorganisms decreases.

4.High levels of sugar in the blood can easily aggravate the condition. The sugar content in the tissues of diabetic patients is relatively high, especially in patients with poor blood sugar control, rich sugar provides rich nutrients for invading pathogens, and once infection occurs, high sugar content will accelerate the rapid reproduction and diffusion of pathogens, and even out of control.

Patients need to actively prevent the occurrence of diabetic foot, and should regularly go to the hospital for neurological and vascular examinations to pay attention to the lesions of diabetic complications. If an ulcer has appeared, do not use it yourself, seek medical attention immediately, wait for professional medical personnel to treat the wound, and study and formulate a plan.

There are really a lot of problems involved, so I'll choose a few that have a big impact: toe deformity of the lower limbs, corns, calluses, ingrown nails, charcot neuroosteoarthropathy, as well as abrasions and burns of the lower limbs, etc., which can lead to diabetic foot ulcers and infections if not handled properly. Therefore, Director Yuan Minqin of ** sugar foot reminds everyone to check both lower limbs frequently, and once there is an abnormality, we must be vigilant to avoid aggravation.

**Diabetes is enough to prevent it, try your best to avoid foot damage, such as wearing loose shoes and socks to avoid wear and tear**; If your eyesight is poor, do not cut your toenails; Wash your feet with warm water to avoid burns, etc. General**: In addition to strictly controlling blood sugar and improving the level of general health, it is necessary to eliminate some risk factors for known vascular diseases, such as high blood pressure, lowering blood lipids, and avoiding smoking.

Removal of edema: As long as there is edema, all ulcers do not heal easily, regardless of the cause of the ulcer. Diuretics or ACE-I may be used**.

If the blockage is not severe or surgery is not indicated, conservative**, intravenous infusion of vasodilators and drugs to improve blood circulation may be used. Such as salvia, ligustrazine, heparin, 654-2, etc., while controlling the infection, refractory ulcers can be surgically operated**.

Yes, ask more experts, my colleague's mother is a diabetic foot patient, I heard that it is in the interventional department of Anhui Province, and now the recovery is very good, then it is good, but you still need to ask more and understand in detail.

What causes diabetic foot? What are the symptoms of diabetic foot?

1.Most diabetic foot patients are caused by external infection, which is due to the low resistance of the patient himself, and the ability to resist infection is naturally weak, which can easily lead to hypoxia in the limbs, so that bacteria can breed, and then invade the body, resulting in diabetic foot. Therefore, we should pay attention to personal hygiene in daily life to avoid infection.

Glycemic status factors. During the diabetes period, if the long-term blood sugar is not effectively controlled, it is easy to increase the blood viscosity, make the blood vessels stiff and thickened, etc., thereby reducing the ability of blood vessels to deform and the blood is insufficient. In order to avoid complications, it is recommended to strictly control the blood sugar level and avoid the symptoms of long-term hyperglycemia.

2.Diabetic peripheral neuropathy is the most common risk factor for diabetic foot. Diabetic neuropathy can involve sensory, motor, and autonomic nerves.

Sensory neuropathy is usually paresthesia or even loss that is distributed like a sock, making the patient feel less or less protected from temperature, pain, and pressure. Under the influence of external factors such as burns, foreign bodies, and trauma, foot ulcers can occur on feet without a sense of protection. Motor neuropathy impairs the patient's proprioception, causing the foot muscles to atrophy and lose balance between muscles, thereby destroying the normal structure of the foot, and the foot is prone to abnormal stress points when stressed, which eventually leads to the formation of ulcers.

Autonomic neuropathy, which causes impaired regulation of blood flow in the feet, abnormal sweating and temperature regulation in the feet, resulting in dryness.

3.Diabetic foot is often accompanied by neuropathy symptoms such as numbness in the feet, paresthesias, and sock-like paresthesias in both feet. Diabetic foot is a more characteristic lesion of diabetes, generally there will be peripheral neuropathy and bacterial infection of the lower limbs, even if the slight injury will not heal for a long time or form chronic ulcers, some patients will have lower limb pain or intermittent claudication due to the gradual narrowing of the arteries of the lower limbs, and in severe cases, there will be lower limb necrosis, and symptoms such as weakened or disappeared dorsalis pedis artery pulse can occur during physical examination.

For example, ulcers in the feet, vascular lesions, neuropathy, diabetes, and often high blood sugar. Sometimes** will ulcerate, may produce severe pain, muscle atrophy, may have a tingling sensation, will also be very numb, walking unsteady.

Poor eating habits, infrequent exercise, endocrine disorders in the body, poor digestion, and injuries to the feet. Muscle atrophy leads to malnutrition, and walking is like stepping on cotton. And there will be pigmentation, and there will also be ischemia of the lower limbs.

The blood sugar status is very poor due to the cause of infection, and there are many reasons, such as numbness, tingling, insufficient blood supply to the lower limbs, and severe pain.

Diabetic foot is one of the most serious chronic complications of diabetic patients and one of the leading causes of amputation in diabetic patients. Its basic ** is caused by the chronic complications of diabetes, in the chronic complications of diabetic peripheral neuropathy, diabetic vasculopathy including macrovascular disease and microangiopathy are the basic causes of diabetic foot, plus the local infection of the foot, ulceration and ulceration.

The common causes of infection are corns, athlete's foot, and foot injuries when cutting toenails, as well as the above-mentioned chronic diseases, which can easily lead to the occurrence of diabetic foot. When diabetic foot occurs, the infection rapidly spreads deep and deep, involving muscle tendons. When diabetic foot occurs, you should go to the hospital for diagnosis and treatment in time, control blood sugar, debridement and dressing change, and comprehensive antibiotic treatment, so that the diabetic foot can develop in a better direction.

Many foot complications in diabetic patients arise from sensory neuropathy and mild autonomic and motor neuropathy, in which sensory neuropathy combined with excessive mechanical stress is the main initiating factor in foot ulcers and infections, and the pressure or shear force from the ground, shoes, or other adjacent tissues leads to ulcer formation, which is often aggravated by the presence of bony processes due to the lack of normal neuroprotective mechanisms. Lesions of the autonomic nervous system result in the loss of normal perspiration regulation, temperature regulation, and blood regulation, resulting in reduced local tissue flexibility, the formation of thick calluses, and greater breakage and dehiscence. In addition, the loss of normal perspiration blocks local tissue rehydration, causing further tissue destruction and making deep tissues more susceptible to bacterial colonization.

Diabetic patients have disorders of glucose, lipid and protein metabolism, which leads to changes in the physical and chemical properties of blood, increases blood viscosity, blood hypercoagulability, etc., and eventually leads to vascular atherosclerotic occlusion, microvascular lesions, and microcirculation disorders, and vascular lesions make it difficult for damaged tissues to heal.

Answer]: c The main causes of diabetic foot ulceration are peripheral resistant nerve and autonomic neuropathy, peripheral vascular disease, and blood sugar is concentrated in the lower limbs by the gravity of Changji, resulting in poor blood circulation in the lower limbs, and long-term ischemia and hypoxia of the lower limbs will occur.

You can go to the Fifth People's Hospital of Shangqiu City to find a professional doctor for **, do not amputate **diabetic foot, otherwise the wound will not heal, and the wound needs to be repaired, and a professional ostomy specialist should be found to carry out thorough debridement, and the wound will be treated with drugs for nourishment and nerve and vascular regeneration to promote rapid wound healing.

If the diabetic foot has a deep wound, it may develop osteomyelitis and even sepsis. If the wound is deep and extensive and does not heal for a long time, amputation may be required**.

Amputation has a big impact on both quality of life and quality of work. Therefore, diabetic foot must be active, detected as soon as possible, and strive to heal the wound through conservative **. Generally, endocrinologists will use insulin combined with oral hypoglycemic drugs to control blood sugar as soon as possible, as well as control infection, improve local blood circulation, neuronutrition, etc.

The surgeon should carry out local drainage and dressing change treatment to make the wound heal as soon as possible. If diabetic foot is not controlled for a long time, there may be a risk of amputation.

The complications are mainly:

1. When the condition is severe, there can be ** ulceration, tissue erosion, until necrosis, and it can also cause scalding or frostbite because of **numbness or loss of sensation, and insensitivity to overheated and over-cold objects.

2. Diabetes mellitus combined with acral gangrene is a kind of chronic, progressive acromegaly, pain, numbness of hands and feet, ulceration and infection, the main causes of large, small, micro-blood ring tube lesions, peripheral neuropathy and various injuries, combined with infection.

Diabetic foot is multifactorial, diabetic neuropathy, peripheral vascular disease and microcirculation disorder are the main factors, which can exist alone or in combination with other factors, and other factors such as foot structural deformity, abnormal gait, or toenail deformity, trauma and infection are also important triggers for the occurrence of diabetic foot.

Diabetic vasculopathy and neuropathy are the basic causes of diabetic foot complications, diabetic people's feet are particularly prone to vascular and neuropathy, diabetic vasculopathy and neuropathy affect each other and cause a series of clinical foot diseases, including toe disease, callosum formation, ** damage and foot ulcers, musculoskeletal lesions lead to foot deformation. Diabetics are susceptible to trauma due to neuropathy, which often leads to loss or reduction of the foot, and minor injuries can quickly lead to ulcers, infections and gangrene, which eventually have to be amputated.

Foot disease in diabetic patients is an obvious symptom of diabetic patients, and it is the conclusion of the comprehensive function of peripheral neuropathy and peripheral vascular disease in diabetic patients. There is no significant ulceration in the initial stage, only **itching, shrinkage of body fat, **thinning. Patients also often have numbness, pain, loss of limbs, and even intermittent claudication, resting pain, etc., which are the main manifestations of diabetic foot disease in the early stage.

Patients with uremia should follow the doctor's instructions to take medicine on time and control their diet to reduce the appearance of complications.

Diabetic patients due to peripheral neuropathy and peripheral vascular disease combined with excessive mechanical equipment work pressure, which can lead to the influence and deformity of the subcutaneous tissues and joint system software of the feet, resulting in a series of foot problems, from mild cerebral hemorrhage symptoms to obvious ulcers, sensibilities, vascular disease, Charcot osteoarthropathy and neuropathic fractures. Symptoms and complications that occur in the legs can often have devastating effects if they are not adequately managed. Therefore, it will be of great significance to carry out the initial prevention and treatment of foot problems in diabetic patients.

Diabetic complications can seriously endanger the quality of life of patients, and diabetic foot disease is one of the obvious symptoms of diabetic patients, which refers to the loss or pain or ulceration of the feet and acral atrophy caused by vascular disease and neuropathy. Diabetic foot disease is very predisposed to cause symptoms. Arterial occlusion of the lower limbs is the main factor of peripheral vascular lesions in diabetic patients, resulting in insufficient blood **, which will cause some ulcers in the foot organs and make it easier to cause sensations.

The continuous occurrence of sensation will exacerbate the destruction of the foot organs, and in more serious cases, the risk of high amputation will be encountered. Diabetic patients can reduce the risk of diabetic foot disease at the source by actively controlling blood sugar. In addition, the patient should check the feet and shoes daily to detect the hidden structural effects and the irrationality of the working pressure of the shoe machinery and equipment as early as possible.

Once diabetic foot disease occurs, wound care should be improved, wound dressing should be changed on time, and wound dressing should be removed to prevent re-damage.