Q. What can we do for faster recovery of diabetic foot ulcer?

Answered by
Dr. Hariharan V
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Aug 11, 2015 and last reviewed on: Oct 09, 2018

Hello doctor,

My mother is 53 years old  and she weighs 60 kg. She has fell down and tried home remedy for foot but, the foot has become worse. Now she is hospitalized. Her sugar level was 295 on the first day and now they have controlled it with insulin and today her sugar level is 180. What can we do for faster recovery? I have sent a photograph of the wound. Kindly view it and advice.

#

Hello,

Welcome to icliniq.com. From the pictures, it is a clearly indicative of diabetic foot ulceration (attachment removed to protect patient identity).

  • Since she has uncontrolled diabetes, the nerves and blood vessels to the foot have been affected and have become ulcerated. The depth of the wound is large and it would take some time to heal. Extensive debriding (removal of yellow colored dead tissues) from the wound should be done twice a day and dressing should be done.
  • This must be the management for the first week. Intravenous antibiotics should be given, pus must be taken and given to the lab for culture and sensitivity (to know which bacteria is present and which drugs will work). Then appropriate antibiotics should be given along with twice daily dressing.
  • The yellow slough should disappear slowly and red colour tissue should appear (only then it is healing).
  • Do not discharge her now itself, since there is a chance that the underlying bone can also be affected if necessary care is not given (osteomyelitis). So, my advice is to make her stay in the hospital for one week. They will control infection by antibiotics and control blood sugar using insulin. Once red tissue appears, she can be discharged. 
  • For the next week take her to nearby doctor for dressing twice or once daily. She has to continue insulin until the wound heals completely. She also has to take antibiotics for the next week also. 
  • After that, you please learn how to do dressing and do dressing at home twice a day. The wound will heal slowly only, since her blood vessels and nerves are damaged due to diabetes.

The Probable causes:

Uncontrolled Diabetes - Neuropathy

Investigations to be done:

Pus culture and sensitivity, blood sugar levels and HbA1c

Treatment plan:

Dressing for three to four weeks, drugs for 2-3 weeks and insulin until the wound heals completely.

Preventive measures:

All diabetic people must check both their feet while bathing every day and if any abnormality appears, should consult the doctor immediately.

Regarding follow up:

For further follow up, consult a diabetologist online.---> https://www.icliniq.com/ask-a-doctor-online/diabetologist


Was this answer helpful?

 | 

 

This is a sponsored Ad. icliniq or icliniq doctors do not endorse the content in the Ad.

Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers


From a year, why is my penis not getting hard like before?

Query: Hi doctor, I am a 50 year old male, and I am diabetic. From the last year, my penis when erect is not as hard as it used to be. Please help.  Read Full »

I take insulin, but my sugar levels are high. What should I do?

Query: Hello doctor, How are you? I am a 54 year old male. Nowadays, my sugar level is very high. Every day, I inject 28 units of insulin, 16 units in the morning before food and 12 units in the evening before food. But, my sugar levels are at 255 mg. I want to know if I should increase the shot of insulin...  Read Full »

Should I take Insulin?

Query: Hi doctor,I am having high blood glucose. My fasting blood sugar is 153, postprandial is 175 and before dinner 152. My doctor advised Janumet 50/500 before breakfast and dinner and Sulisent in the morning. Shall I take it? Presently, I am having Invokana 50/500 before breakfast and dinner and Reclid...  Read Full »

Also Read


Vitamin D and COVID-19
Did you know COVID-19 patients with vitamin D deficiency are twice as likely to have severe complications, including dea...  Read more»
The New 'Super-Spreader' Strain of Coronavirus
A new variant of SARS-CoV-2, the virus that causes COVID-19, is spreading fast in parts of the UK. Read how this new var...  Read more»
How to treat my mother's sigmoid colon ulcer?
Hi doctor, My mother, who is 45 years old, has ulcers in the sigmoid colon for the last 15 years. The problem got reduce...  Read more»

Ask your health query to a doctor online?

Ask a Diabetologist Now

* guaranteed answer within 4 hours.

Disclaimer: All health Q&As published on this website are not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.