What are the main causes of death from diabetic amputation? What can be done to improve it?

The main cause of amputation in diabetic patients: diabetic macrovascular disease. No Positive**:

For diabetic foot, it must be detected in time, in time, otherwise the chance of amputation is very large. Physical damage. Age factor:

Diabetic foot occurs more often in patients over 40 years of age and increases with age. In addition: hyperglycemia causes metabolic function of the human body, hyperglycemia can lead to chronic damage and dysfunction of various tissues, especially the eyes, kidneys, heart, blood vessels, and nerves, complications of diabetic patients, and long-term non-healing of the toes during diabetic foot and long-term non-union, in order to protect the patient's life, amputation is necessary if necessary.

First, the wound re-infects after amputation. Diabetes itself is characterized by wounds that are difficult to heal, and new wounds can re-infect. According to real cases, if the new wound amputation is more infected, a large amount of toxins are absorbed, and fever and even organ failure may occur.

Second, it can lead to other diabetes complications. After amputation, if the patient lacks sufficient activity, the blood sugar will spike, which will lead to other complications such as ketoacidosis, which can endanger the patient's life.

Third, psychological factors. Amputation will cause great psychological trauma to the patient, the patient is depressed, afraid of "embarrassment" when going out, does not go out at home all day, and even loses confidence in life. Over time, there will be problems in the body, which will also affect the quality of life and longevity.

Fourth, death caused by cardiovascular and cerebrovascular diseases. After amputation, the patient's physical condition is relatively poor, which can easily induce cardiovascular and cerebrovascular diseases, and the risk of sudden death is high.

Fifth, complications of surgery. For example, surgery can activate the patient's coagulation mechanism, which is particularly prone to thrombosis formation, resulting in local acute ischemia of the lower limbs, resulting in greater tissue necrosis, accelerating the deterioration of the disease, and endangering life.

In short, there are many reasons that affect the postoperative life of diabetic foot patients, and if they have been amputated, they should be especially careful and enhance nursing to avoid accidents. If there is no amputation, you can be transferred to a specialized hospital specializing in diabetic foot in time to receive the integrated Chinese and Western medicine system.

Amputation of diabetic patients is usually due to the ulceration of the foot caused by complications of diabetic foot, and the disease does not heal, in order to prevent the infection from continuing to expand, amputation may be used. Diabetic foot is a serious complication of diabetic patients, the patient is in a state of high blood sugar for a long time, and the nerve and blood vessels of the foot are very prone to lesions, resulting in insufficient blood supply, resulting in infection, ulceration, and gangrene that cannot be recovered for a long time.

High blood sugar can cause blood to thicken and form plaques in blood vessels, ranging from reducing local blood flow to triggering high blood pressure in the body to gradually clogging blood vessels. The mechanism is not clear, but the consequence of blood vessel blockage is to cause local hypoxia, lack of nutrients, and eventually necrosis. The most sensitive of these are optic nerve dystrophy (rapid blurred vision) and calf muscle dystrophy (soreness and weakness).

Therefore, once this kind of phenomenon occurs, it is necessary to seek medical attention in time.

The best way to improve your blood sugar is to start eating (reducing your sugar intake) and exercising (to increase your sugar consumption) as soon as you notice that your blood sugar is high.

Diabetes mellitus is a heterogeneous group of metabolic diseases characterized by chronic hyperglycemia and is associated with genetic, autoimmune, and environmental factors. Abnormal metabolism of sugars, proteins, and fats due to defects in insulin secretion and/or insulin action. The long-term course of the disease can cause multisystem damage, leading to chronic complications of blood vessels, heart, nerves, kidneys, eyes and other tissues and organs, and acute complications such as diabetic ketoacidosis and diabetic hyperglycemic hyperosmolar state can occur in severe cases.

Types of diabetes include the following:

Type 1 diabetes mellitus: characterized by destruction of pancreatic B cells and/or severe impaired insulin secretion (absolute insulin insufficiency), with significantly reduced or even undetectable levels of insulin and C-peptide, a tendency to ketoacidosis, and patients usually require insulin to sustain life.

Type 2 diabetes mellitus: a decrease in insulin's ability to regulate glucose metabolism (insulin resistance) accompanied by pancreatic islet cell dysfunction.

Decreased (or relatively reduced) insulin secretion due to trapping

Secondary diabetes: abnormal blood sugar caused by other diseases affecting glucose metabolism, as long as it meets the blood glucose criteria for diabetes, it can also be diagnosed as secondary diabetes, such as acromegaly, Cushing's syndrome glucagonoma, hyperthyroidism, etc., all of which belong to secondary diabetes. In addition, some drugs for other diseases can also cause blood sugar increases, such as glucocorticoids, niacin, thiazide diuretics, etc., which may cause secondary blood sugar increases.

Gestational diabetes mellitus: refers to abnormal glucose metabolism that occurs during pregnancy, including diabetes mellitus with gestational diabetes mellitus and gestational diabetes. The former is pregnancy after prediabetes, and the latter is the first detection of abnormal blood sugar after pregnancy, which is related to the level of specific hormones during pregnancy, some can recover after childbirth, and some develop lifelong diabetes.

If a diabetic patient undergoes amputation surgery because of the diabetic foot, there is no so-called limit on how many years he can live, if the disease is controlled, it is possible to live for more than 10-20 years, and if the disease is not well controlled, his life may end in a few weeks or even months. Therefore, there is no doubt that the entire life expectancy of diabetic patients after amputation must be directly related to the patient's own disease control, of course, it must be noted that diabetic patients after amputation are greatly restricted because of the whole movement. Therefore, it is unrealistic to expect to control blood sugar through exercise**, and it is necessary to standardize the use of hypoglycemic drugs under the guidance of doctors, especially insulin**, to control blood sugar at a very ideal level, and at the same time reduce the occurrence of hypoglycemia including acute complications as much as possible, so as to prolong life to the greatest extent, and if it is well controlled, you can live for a relatively long time.

Foot infections and ulcers associated with local neurological abnormalities and distal peripheral vascular lesions of the lower extremities in diabetic patients.

and deep tissue destruction, which leads to lower limb amputation, especially high-level amputation and re-amputation, which is the main cause of death. Improves diabetic foot.

You can use the wound care ointment of Ciyifang, which can play a good role in improving and caring after use.

Infection, microangiopathy, diabetes mellitus with nephropathy, cardiovascular and cerebrovascular diseases, ketoacidosis, hyperosmolar coma, etc., are the main causes of death.

Diabetic patients, the current amputation is mainly caused by diabetic foot, commonly known as rotten foot, is due to the diabetic patients in a state of high blood sugar for a long time, caused by foot neurovascular lesions, resulting in insufficient blood supply to the foot and sensory function decline, so that it is more likely to occur foot ulcers that do not heal, and often accompanied by infection.

For patients with diabetic foot, once early detection and early diagnosis, debridement may be able to preserve the diseased foot, but if there is no timely **, it may only be possible to amputate the limb**, so for patients with diabetic foot, blood sugar must be strictly controlled.

The best way to do this is to minimize the wound, which is the easiest and best way.

How does diabetic foot cause and how can I avoid amputation?

Diabetic patients often lead to occlusive vasculitis of the blood vessels around the limbs due to poor blood sugar control, which affects the blood circulation of the limbs, resulting in limb necrosis, and inevitably amputation. If you want to avoid amputation, you should control your blood sugar, and only if your blood sugar is well controlled can you control the occurrence of peripheral vascular complications, and try to avoid amputation.

In addition, diabetic patients should insist on regular monitoring of blood sugar, and should be treated accordingly in diet, exercise, and medication according to the doctor's instructions. Once blood sugar instability or a sharp rise in blood sugar must cause serious problems, it is necessary to adhere to blood sugar control, only good blood sugar control can avoid the occurrence of various complications, can effectively avoid amputation.

Diabetic foot lesions are based on two chronic complications of diabetic patients, namely vascular disease and neuropathy.

Due to the continuous hyperglycemia and non-enzymatic glycation of proteins, lipid metabolism disorders, high viscosity and hypercoagulability of blood, and the characteristics of lower limb circulation, the arteries of the lower limbs of diabetic patients are prone to vascular lesions, thickening of the wall and narrowing of the lumen.

At the same time, there are also varying degrees of impairment of microvasculature and microcirculation, and the blood supply to the lower limbs is gradually reduced; Diabetic neuropathy will lead to the weakening or loss of the protective sense of the limb endings and the changes in the biomechanics of the foot, so that the body lacks protective measures for the foot, which is very easy to cause mechanical or temperature damage, once damaged, the above pathophysiological changes make it difficult to repair, the infection is difficult to control, and finally develops into foot gangrene.

The main symptoms of diabetic foot are pain in the lower limbs and ulcers, which can manifest as intermittent claudication, pain at rest and gangrene of the feet from mild to severe.

In the early stage of the lesion, the foot is pale when the lower limbs are elevated, the dorsum of the foot is cold, the pulse of the dorsalis pedis artery is weakened or disappears, intermittent claudication, and then simply unable to walk, the pain is unbearable when walking, and then there is pain when resting, and in severe cases, the patient can be sleepless all night due to unbearable pain.

The disease further develops, gangrene can appear in the lower limbs, especially on the feet, the wound does not heal for a long time, gangrene can be divided into wet, dry and mixed three types, and severe gangrene has to undergo amputation and become disabled.

Diabetic foot is a chronic, progressive, systemic disease. It not only has the clinical manifestations of diabetes mellitus, but also has surgical symptoms and signs such as local ulceration and infection, and is often accompanied by vascular lesions, neuropathy, local infections and other related acute and chronic complications such as heart, brain, kidney, fundus lesions, lung infections, ketosis, etc., before or at the same time as gangrene.

Therefore, it involves multidisciplinary examination, diagnosis, and **. Surgical revascularization and interventional radiology**Diabetic foot is one of the new methods in recent years, mainly to solve foot gangrene caused by diabetic macrovascular disease. According to the location, scope and degree of vascular lesions, different methods are selected.

Diabetic foot is a serious complication of diabetes, if diabetic foot occurs, do not wear tight shoes and socks, fight infection, do not soak your feet in hot water, and actively control blood sugar.

It is mainly caused by diabetic peripheral neurovascular disease, infection, and trauma. Diabetic patients generally have difficult wounds to heal, so the key is to do every link well and in place, so as to avoid the possibility of amputation.

The main reason for this is that diabetes has appeared, complications have spread, and at this time it has run to the soles of the feet, which is caused by this.

The need for amputation is serious, and the doctors at the hospital tell you that amputation is to prevent deterioration and to save lives.

The complication of long-term diabetic patients is cold hands and feet in the early stage of the legs and feet, and at this time, the circulation of qi and blood in the feet is blocked, so it will be cold. Slowly, the foot will be swollen and numb, and then it will develop and the dead foot will have pus somewhere and the wound will begin to have a wound, and the wound will flow pus and blood, resulting in the wound not healing. Shenzhen Public Transport Group has a bus driver who has pierced the wound on the left and right sides of the calf, which can be seen through at a glance.

The bones inside are all white. The following is a grading chart from light to heavy, I hope it will help you! Diabetic patients should take care of their treatment as soon as possible, develop good habits, and strive for an early recovery.