When we think of ulcers, it is easiest to think of an ulcer of the stomach—a gradual wearing away of the stomach lining. However, people living with diabetes need to be watchful for ulcers on their feet. Simply put, an ulcer of the foot is a discontinuity in the skin. Many small causes add up to lead to ulcers, but the largest contributing factor is neuropathy. And unfortunately, according to the American Diabetes Association, up to one in four people with diabetes will develop an ulcer.
So what can you do to beat the odds?
- Check your feet daily. Ulcers don't happen overnight, but instead are the result of lots of small traumas that happen over time to your feet. Look for calluses, ingrown toenails, and bunions because these are signs of excessive wear on your feet.
- Take care of your skin. Look out for dry skin and cracks (fissures) in your skin.
- Wear proper footwear. We're going to sound like a broken record, but proper footwear will save you from many foot injuries, including ulcers.
- Quit smoking. We know, easier said than done. However, smoking delays the healing process, making ulcers all the more concerning.
- Manage your blood sugar. Doing so will halt the progress of neuropathy, which in turn will lessen the likelihood of developing an ulcer.
Ulcers are the number one cause of diabetic foot amputations. Luckily, by maintaining a close relationship with your podiatrist, you will be able to save your foot and stay healthy.
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