What are the symptoms of diabetic foot infection?

Written by Li Hui Zhi
Endocrinology
Updated on September 28, 2024
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Symptoms of diabetic foot infections can include localized gradual wound ulceration, suppuration, and odor. In severe cases, patients may observe necrosis of the foot with a dark color. Some patients may experience systemic effects, including fever. Therefore, the progression of diabetic foot can be rapid. It is recommended that diabetic patients seek medical attention promptly when they notice any wound ulceration to prevent worsening of the infection.

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How to treat diabetic foot pain

Diabetic foot is a chronic complication of diabetes, characterized by arteriosclerosis, narrowing, and occlusion of the lower limb vessels, and peripheral neuropathy caused by multiple factors following diabetes. Treatment mainly involves improving circulation and nourishing nerves, including performing lower limb arterial ultrasound to assess the extent of vascular occlusion. When necessary, stenting or vascular recanalization can be performed, and treatments including stem cell therapy are also viable options. For pain, severe pain can generally be managed by vasodilation and symptomatic treatment.

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Written by Luo Han Ying
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Can diabetic foot be cured?

Diabetes has many complications, and once detected, the complications of diabetes cannot be completely cured. Diabetic foot is a relatively serious complication of diabetes. Diabetic foot generally involves many years of underlying vascular and nerve damage that eventually leads to infection or ulceration, resulting in the final formation of diabetic foot. Whether such a serious complication can be cured actually depends on the duration of the patient’s condition, the extent of the lesion, and most importantly, how soon they seek medical attention. For instance, if the infection is very severe, has damaged the bone, or if there is dry gangrene with local tissue necrosis in the foot, then no matter what conservative treatment is applied, it will not be effective, and surgical amputation will be the only option, meaning the foot cannot be saved. However, if some individuals only have early-stage skin ulceration that cannot heal, or if there is an infection that is not very severe, and they seek medical attention early, controlling the infection and treating with nerve nutrition and vascular protection can actually heal the ulcerated area of the foot.

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Can diabetic foot be cured?

Diabetic foot can potentially be cured, and it can improve, but it depends on the specific circumstances. Diabetic foot varies in severity and is classified into different levels. In medical terms, it is classified based on its appearance, and different classifications have different prognoses. Even within the same classification, factors like the patient's vascular condition, baseline nutritional status, age, duration of diabetes, and many other factors can influence whether diabetic foot can be cured. In clinical practice, there are many diabetic foot patients who, after comprehensive treatment, achieve complete wound healing. Therefore, whether diabetic foot can be cured depends on many factors.

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Treatment of diabetic foot numbness

If diabetic foot feels numb, it is a manifestation of diabetic peripheral neuropathy. Diabetic foot is a complication that occurs after diabetes has advanced to a certain degree, so it is normal for a person with diabetic foot to feel numbness. Some patients with severe diabetic neuropathy may not even feel pain during debridement, which involves cleaning the local tissues. A healthy person would definitely feel pain, but a diabetic patient, due to their neuropathy, may not feel much, if any, pain. For such patients, the main treatments are firstly, definitely controlling blood sugar and blood pressure; secondly, using medications that nourish the nerves; and thirdly, improving circulation to aid local blood flow.

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What to do if diabetic foot ulcer occurs?

If diabetic foot ulceration occurs, the most important first step is surgical debridement to remove necrotic tissue and thoroughly clean the wound. If the ulceration is particularly severe and there is gangrene, and the foot can no longer be preserved, amputation may even be necessary. Secondly, anti-infection treatment should be administered, choosing sensitive antibiotics. The third step is to control the underlying condition; treatment must control blood sugar levels to avoid hyperglycemia, as high blood sugar serves as a culture medium for bacteria. Fourth, it is necessary to improve local blood circulation; diabetic foot often coexists with arteriosclerosis of the lower limb arteries, even leading to occlusion. Therefore, it is necessary to improve the circulation of local blood vessels and open up the vessels. Fifth, the nutritional treatment of peripheral nerves must be improved. Treatment of diabetic foot is a comprehensive approach.