Diabetic leg ulcers, what does it mean when diabetic ulcers appear?

Leg ulcers are a complication of diabetes.

Objectively speaking, good blood sugar control can reduce the chance of diabetes complications, but it cannot completely guarantee that you are foolproof, so it is necessary to have a physical examination every six months.

In addition to the lower limbs**, the eyes (retina), kidney function, blood clots, and feet are also tested.

Not every diabetic has leg ulcers. The most prevalent complication of late diabetes is retinopathy. It also includes kidney disease, diabetic foot, etc.

I don't think controlling blood sugar is the best way to do it. For example, the Acccord study of the National Institute of Heart, Lung and Blood Diseases of the US Department of Health showed that strict blood sugar control led to an increased chance of complications, which was not participated by commercial companies and was therefore considered more credible than previous studies.

The online article "A Collection of Experiences of Contemporary Chinese Medicine Masters ** Diabetes" is a good article to take a look at.

Diabetic leg ulcers are caused by diabetic feet, and patients have numbness in the early stage, which develops to a certain extent, and patients have symptoms such as ulcers and infections in their lower limbs. Aggressive blood sugar control, oral metformin or insulin injections**, and watch for complications. But *** there are many.

Xiangling mushroom powder is based on the theory of traditional Chinese medicine to develop pancreatic regulation and pancreas, rather than simply lowering blood sugar, which not only lowers blood sugar, but also dredges the microcirculation in the pancreas to a greater extent.

If you have too much sugar in your blood, you're particularly susceptible to diabetes. Diabetes is not only manifested in the blood, but also on the surface of the body if the diabetes is too severe, for example, diabetic ulcers are a complication of diabetes, which mostly appears in the patient's feet. So if you find that your ** has ulcers, and this ulcer is on your feet, it means that your diabetes is getting worse and worse, and you must be timely ** at this time.

So what does it mean when diabetes ulcers appear?

If you find that your ** has ulcers, it means that the symptoms of diabetes are getting worse and worse, and you may have entered the advanced stage of diabetes. At this time, you must do a good job of controlling sugar and invigorating blood, reducing inflammation, and changing drugs in time. Although diabetes is not an acute disease, this chronic disease can also endanger people's lives, so if you find that it has ulcerated, you must do a good job accordingly, and do not let this condition become more and more serious.

Everyone has only one life, we must pay attention to our own life, go to the doctor in time when there is a problem with the body, follow the doctor's advice, and protect our body.

If the diabetes is too severe, then the sugar content of the blood will be very high, which will lead to poor blood circulation, numbness of the lower limbs, and this numbness will also cause ulcers. Therefore, if you find an ulcer, it means that your entire system or local condition is very serious, which will cause blood vessels to develop lesions and make unhealed wounds more difficult to heal. At this time, the body is very fragile and especially susceptible to virus and bacterial infection, so it is important to take protective measures.

This shows that diabetes is very serious, and complications have appeared, which can be life-threatening if not noticed.

This indicates that the stomach and intestines are not digested well, ulcers have appeared, which affects the absorption of the stomach and intestines, and the condition is deteriorating after eating too much sugar recently.

Because the body's immunity is weakened after diabetes, it is easy to lead to fungal infections and induce ulcers. However, it may also be caused by diabetic complications, because high blood sugar causes **capillary sclerosis and spasm, so it causes poor local blood circulation, thus causing **ulceration.

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.

Diabetic foot ulcer mainly refers to the early stage of diabetic people, people who do not have peripheral neuropathy and peripheral vascular disease, but have foot infections such as paronychia, beriberi infection, foot infection, suppuration, ulceration and other symptoms. Various** including: Neuropathy:

sensory, motor, and autonomic neuropathy; vascular lesions; circulatory disorders; immune disorders; Decrease in insulin growth factor-1 (IGF-1), which promotes growth. The main of these are neurological and vascular lesions.

Foot ulcers occur in 15% to 20% of diabetic patients during the course of the disease, and are classified as neuropodiatric, ischemic, and mixed podiatric (neuro-vascular) according to the main cause of ulcers. About 60% of diabetic foot ulcers in the United States are neuropathic, 20% are vascular, and 20% are mixed. In China, neurological ulcers are more common in diabetic patients, accounting for about 64%, and ischemic diabetic foot accounts for about 36%.

The degree of foot ulcer is closely related to the degree of systemic neuropathy, ischemic lesions and economic income of diabetic patients. Among them, for patients with neuropathic foot ulcers, nylon filament sensory points, foot tuning fork vibration sensation and tendon reflex examination are the most simple and practical, which should be actively promoted in China, and qualified units can carry out biological vibration sensory measurement, nerve conduction velocity and plantar pressure and other examinations to detect diabetic neuropathy early and prevent it early.

Diabetic foot is an ischemic, neurological and neuroischemic lesion of the foot caused by diabetes, which can lead to varying degrees of infection, ulcers, gangrene of the foot, and increase the risk of amputation, which is one of the common complications of diabetes. Diabetic foot can lead to walking limitation and lifelong disability, which can seriously affect physical and mental health and quality of life.

** and common diseases:

Variety** includes: neuropathy: sensory, motor, and autonomic neuropathy; vascular lesions; circulatory disorders; immune disorders; Decrease in insulin growth factor-1 (IGF-1), which promotes growth.

First of all, diabetic foot patients have their own foot lesions due to long-term diabetes, and the patient's feet become dry, and the feet may cause tingling, numbness, and loss of sensation, and the patient's extremities will have symptoms such as malnutrition and muscle atrophy.

Diabetic foot patients due to long-term tissue ischemia leads to muscle atrophy, at the same time, poor dryness and elasticity, once the patient's body temperature drops, pigmentation will appear, and vascular bruits can be heard at the narrowing of blood vessels. At the same time, if the patient's acral ** blister infection occurs, it may lead to the onset of ulcers or gangrene.

At the same time, diabetic foot may also cause pain in the foot, ulcers and gangrene due to peripheral neuropathy or peripheral vascular lesions.

1. The cause of diabetic foot ulcer may be related to the high pressure load of the first toe. Diabetic foot mainly refers to the initial stage of diabetes, there is no peripheral neuropathy and peripheral vascular lesions of the population, but there have been foot infections such as paronychia, beriberi infection caused by foot infection, suppuration, ulceration and other symptoms, according to the diabetic foot research institute research report shows that 15% to 20% of diabetic patients in the course of the disease foot ulcer, according to the main cause of ulcers is divided into neuropodiac, ischemic foot disease and mixed foot disease (neurovascular). Clinical reports show that the first toe is the most common site of diabetic foot ulcers, accounting for about 47%.

2. The cause of diabetic foot ulcer is related to neuropathic podiatry. Neurological ulcers are more common in diabetic patients, accounting for about 64%, and ischemic diabetic foot accounts for about 36%. The prognosis of neuropodiac foot disease is better than that of vascular foot disease in diabetic foot patients, while the prognosis of mixed (neurovascular) foot disease is the worst, and the lower limb ischemia is more severe, and the interaction between foot neuropathy and ischemic lesions aggravates foot disease.

Many foot complications in diabetic patients arise from sensory neuropathy and mild autonomic and motor neuropathy. Among them, sensory neuropathy combined with excessive mechanical stress is the main initiating factor causing foot ulcers and infections. Inflammation and tissue damage are the result of a certain degree of repetitive stress acting on a specific area of loss of sensation.

Pressure or shear forces from the ground, shoes, or other adjacent toes cause ulcers to form, often exacerbated by the presence of bony prominences due to the lack of normal neuroprotective mechanisms.

There are three main causes of diabetic foot ulcers: first, chronic hyperglycemia, long-term chronic hyperglycemia will produce a lot of metabolic wastes, leading to the occurrence of diabetic foot. Clause.

2. Nerve or vascular problems, especially diabetic peripheral neuropathy and diabetic lower extremity vascular disease, can lead to the occurrence of diabetic foot. Third, external injuries, such as wear and tear, burn feet, etc., are some of the causes of diabetic foot gangrene.

In the early stage of diabetic foot, there are symptoms such as pain, numbness, weakness, corns, calluses, paleness, peeling, deformities of toes and joints of the lower limbs... Of course, the symptoms of different patients must be different, and I recommend that patients with a long course of disease, old age, and poor blood sugar control should go to the hospital regularly for complication screening, early detection, and early detection.

**Itchy, dry, no sweating. Darkening of color with pigmentation. The extremities are cold, or puffy or dry; Acral paresthesias, including tingling, burning, numbness, dysesthesia or numbness, and a cottony sensation in the foot.

There can be duck steps, intermittent lameness. pain at rest, difficulty in squatting and standing up; Acral muscle dystrophy, atrophy, poor tension, prone to ligament injury, bone destruction, and pathological fractures;

Cavus feet, climatic toes, chicken grasping toes, Charcot joints, etc. may appear; decreased or absent acral arterial pulses, bruits may be heard at vascular stenosis, and reflexes may be diminished or absent; Dry and cracked extremities**, or the formation of blisters, blood blisters, erosions, ulcers, and gangrene or necrosis of the foot may occur.

If the above situation occurs, it is recommended to seek medical attention in time and not delay the symptoms.

It is a chronic complication of diabetes that can be severe, amputated, or fatal. Early prevention is effective.

Don't panic when facing diabetic foot ulcers, first of all, identify the nature of the ulcer, neuropathic ulcers are common in areas of repeated compression, such as the plantar surface of the metatarsal head, the ** of the callosum, often accompanied by sensory loss or abnormality, and the local blood supply is good. Ischemic ulcers are more common on the dorsolateral aspect of the foot, the tip of the toes, or the heel, and feel normal locally, but the temperature is low and the dorsalis pedis and or posterior tibial artery pulses are markedly diminished or palpable. For neurological ulcers, the main thing is decompression, and special attention should be paid to the appropriate footwear and socks of the patient.

For ischemic ulcers, attention should be paid to solving lower extremity ischemia, and patients with mild to moderate ischemia can be treated with internal medicine**. Patients with severe lesions can undergo interventional** or vascular surgical plasty.

For co-infected foot ulcers, timely removal of infected and necrotic tissue, and infectious ulcers with good local blood supply must be thoroughly debrided. Depending on the nature of the wound and the amount of exudate, the appropriate dressing is chosen. On the basis of bacterial culture, select effective antibiotics in sufficient amounts**.

Diabetic foot ulcer is different from other ulcers, it involves many factors, such as the occlusion of the arteries of the patient's lower limbs, wound infection, nerve damage, and whether the patient has other diseases, so it is recommended that diabetic foot ulcer should go to a hospital with a diabetic foot specialist, because it is a specialty, so it is more professional, Yuan Minqin Podiatry Center stays.

1.Clean your feet daily with warm water and soap, then wipe them off with a soft, dry towel, paying special attention to whether they dry between your toes. Test the temperature of the water with your hands before washing your feet to avoid burns, do not soak your feet in water for a long time, and if they are dry, you should apply emollient.

2.When trimming the toenails, you should cut them horizontally with a nail clipper, never cut the toenails too short, and do not cut them deep into the corners to avoid damage**.

Apply comfrey ointment once a day! The effect is better! It's up to you to get the drug!

The main reason for the occurrence of ulceration in diabetic patients is that the blood viscosity is caused by high blood sugar, and then the capillaries and microcirculation are impaired, and the blood supply and oxygen supply are insufficient, and they are prone to infection and cannot heal.

Therefore, the key to solving this problem is to bring the blood sugar down smoothly as soon as possible and promote blood circulation. Pay attention to keeping the wound clean and hygienic. It is advisable to use herbs**.