Symptoms of diabetic foot

Written by Li Hui Zhi
Endocrinology
Updated on February 27, 2025
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The symptoms of diabetic foot can be categorized into those without wounds, commonly referred to as stage 0 diabetic foot. The main symptoms of stage 0 diabetic foot include lower limb paralysis, pain, intermittent claudication, severe lancinating pain, and other sensory abnormalities. This is what constitutes a stage 0 diabetic foot. Stages 1 to 5 of diabetic foot progressively involve wound ulceration, typically presenting as progressive ulceration, pain, and exudation. Therefore, it is recommended for diabetic foot patients to seek timely treatment from an endocrinology specialist, and to use medications under the guidance of a doctor to avoid worsening of diabetic foot infections and to prevent severe consequences.

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Written by Lin Xiang Dong
Endocrinology
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The precursor of diabetic foot

Diabetic foot is commonly seen in patients who have had diabetes for over ten years, often due to poor blood sugar control and inadequate care. There are three factors that lead to diabetic foot. The first is vascular factors, often accompanied by arterial stenosis in both lower limbs, leading to blood supply disorders. The second is neuropathy, accompanied by peripheral neuropathy, insensitivity to temperature and pain, which makes it easy to suffer burns and external injuries to the foot. The third factor is the presence of an infectious trigger. When these three factors combine, the risk of diabetic foot becomes very high.

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Written by Zhang Jun Jun
Endocrinology
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Where does diabetic foot hurt?

Diabetic foot primarily involves changes in the blood vessels and nerves of the lower limbs and feet, so early symptoms may include numbness, a feeling of stepping on cotton, and weakness in the legs. Furthermore, pain can manifest as numbness and pain in both soles of the feet, or as vascular and neurological pain in the lower limbs and the inner thighs. If diabetic foot is accompanied by venous thrombosis in the lower limbs or arterial embolism, the resulting pain can affect the entire lower limbs symmetrically and present as intermittent claudication. Therefore, the main sites of pain in diabetic foot are determined by the locations of vascular and nerve damage.

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Written by Zhao Xin Lan
Endocrinology
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Diabetic foot VSD (Vacuum Sealing Drainage) nursing key points

If you have diabetic foot, it is necessary to check the condition of your feet every day. When washing your feet daily, observe the color and shape of the feet, whether there is any skin damage, and whether there are changes in local color. Secondly, more professionally, you can feel the pulsation of the dorsal artery of the foot to see if it is normal. Third, insist on washing your feet daily to maintain cleanliness and hygiene. Be careful that the water temperature for soaking should not be too high, preferably not exceeding 40 degrees Celsius, and do not soak for more than 30 minutes. Additionally, trimming nails is very important. Do not tear them with your hands to avoid damaging the skin of your feet; use scissors to cut long nails. Another important aspect is shoe wearing. It is best to wear loose-fitting shoes to avoid rubbing against the feet and breaking the skin.

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Written by Zhao Xin Lan
Endocrinology
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How to treat diabetic foot early

First of all, in the early stages of diabetes, it is necessary to control blood sugar to prevent the occurrence of diabetic foot. If diabetic foot has already appeared in the early stages of diabetes, then it is important to prevent the further development of diabetic foot into late-stage ulceration and gangrene. Firstly, proper care should be taken to avoid damage to the skin. Secondly, it is crucial to control blood sugar, complete examination of lower limb vascular ultrasonography or angiography, ascertain the extent of lower limb vascular lesions, and improve blood circulation. If there is an occlusion of the blood vessels in the lower limbs, surgical methods should be used as soon as possible to open the vessels and maintain blood supply, to prevent further deterioration.

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Written by Lin Xiang Dong
Endocrinology
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incidence of diabetic foot

As the number of diabetic patients increases, the incidence of diabetic foot also rises. Currently, the prevalence of diabetic foot in China is 5.7%, which is below the global average. Diabetic foot primarily occurs in patients who have had diabetes for over ten years, often due to poor blood sugar control and inadequate care. Diabetic foot is also one of the three major non-traumatic causes of amputation. Therefore, the most severe consequence of diabetic foot is amputation.