EDUCATION

Understanding Diabetic Foot Ulcers: Prevention and Treatment

HW

Heritage Wound Care Team

Clinical Education

September 28, 2025
7 min read
Neuropathy is one of the long-term complications of diabetes

Diabetic foot ulcers represent one of the most serious complications of diabetes, affecting approximately 15% of people with diabetes at some point in their lives. Understanding the risk factors, early warning signs, and modern treatment approaches can significantly reduce the risk of amputation and improve quality of life.

Critical Statistics

15%

of diabetics develop foot ulcers

85%

of diabetes-related amputations are preventable

What Are Diabetic Foot Ulcers?

Diabetic foot ulcers are open sores or wounds that commonly occur on the bottom of the foot in people with diabetes. They develop as a result of multiple factors including poor circulation, nerve damage (neuropathy), and impaired wound healing that are characteristic of diabetes.

When left untreated, these ulcers can become infected, leading to serious complications including bone infections, gangrene, and potentially amputation. However, with proper care and early intervention, most diabetic foot ulcers can be successfully treated.

Risk Factors and Causes

Peripheral Neuropathy

High blood sugar damages nerves, particularly in the feet, leading to loss of sensation. Patients may not feel cuts, blisters, or pressure points that can develop into ulcers.

Poor Circulation

Diabetes affects blood vessels, reducing blood flow to the feet. This impairs the body's ability to heal wounds and fight infections.

Foot Deformities

Conditions like bunions, hammertoes, or Charcot foot create pressure points and increase friction, making ulcers more likely to develop.

Improper Footwear

Ill-fitting shoes can cause blisters and sores that may go unnoticed due to neuropathy, eventually developing into ulcers.

Prevention Strategies

Prevention is the most effective strategy for managing diabetic foot ulcers. The following practices can significantly reduce risk:

Daily Foot Inspections

Check feet daily for cuts, blisters, redness, or swelling. Use a mirror for hard-to-see areas.

Proper Foot Hygiene

Wash feet daily with lukewarm water and mild soap. Dry thoroughly, especially between toes.

Appropriate Footwear

Wear properly fitted shoes and clean, dry socks. Never walk barefoot, even indoors.

Blood Sugar Control

Maintain target blood glucose levels to reduce nerve damage and improve circulation.

Modern Treatment Approaches

When diabetic foot ulcers do develop, prompt and appropriate treatment is essential. Heritage Wound Care employs a comprehensive, multidisciplinary approach:

Debridement: Removal of dead or infected tissue using advanced methods like Ultramist therapy, which provides painless, non-contact debridement while reducing bacterial load.

Infection Management: Early detection using fluorescence imaging technology allows targeted antibiotic therapy before infections become severe.

Vascular Assessment: Comprehensive evaluation of blood flow to determine if vascular intervention is needed to improve circulation and healing.

Advanced Wound Care: Biosynthetic grafting and specialized dressings create an optimal healing environment and accelerate wound closure.

"The key to successful diabetic foot ulcer treatment is early intervention and a comprehensive approach that addresses all contributing factors. With proper care, we can prevent the vast majority of amputations."

Dr. Nirman Tulsyan, MD, FACS, RPVI

When to Seek Professional Care

Immediate medical attention is crucial if you notice any of the following:

  • Any break in the skin on your foot, no matter how small
  • Signs of infection: redness, warmth, swelling, or drainage
  • Changes in skin color or temperature
  • Thick calluses or corns that crack or bleed
  • Persistent pain in feet or legs

Expert Diabetic Foot Care

Heritage Wound Care specializes in preventing and treating diabetic foot ulcers with advanced technology and expert care.

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Diabetic Foot Ulcers Prevention Diabetes Care Education