Care of diabetic foot wounds

Written by Yang Li
Endocrinology
Updated on March 05, 2025
00:00
00:00

In terms of caring for diabetic foot wounds, medical treatment, surgical intervention, or debridement is of course necessary. Regarding foot care, it's important to examine the condition of the wound. The primary principle is first, in dietary care, to ensure a high protein diet under the allowance of liver and kidney functions, and then a low-fat diet. It's important to include high-quality protein, which is beneficial for wound healing. Locally, the wound area must be kept clean and dry. It is crucial to maintain a concept of sterility, avoiding actions like breathing over the wound with the mouth or touching the wound area with hands. The wound should be cleaned or locally disinfected regularly every day. Additionally, foot wounds in diabetics should slightly elevate the feet to facilitate blood return. Moreover, regular observations of changes in the wound should be made and communicated timely to the doctors at the hospital.

Other Voices

doctor image
home-news-image
Written by Li Hui Zhi
Endocrinology
1min 5sec home-news-image

Symptoms of diabetic foot

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.

doctor image
home-news-image
Written by Zhao Xin Lan
Endocrinology
55sec home-news-image

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.

doctor image
home-news-image
Written by Li Hui Zhi
Endocrinology
58sec home-news-image

Is it good for people with diabetes to soak their feet?

Diabetic foot is primarily classified into a level 0 diabetic foot and levels 1 to 5 diabetic foot. If it is a level 0 diabetic foot and the patient does not have any wounds, then soaking the feet is permissible. Level 0 diabetic foot mainly refers to a high-risk diabetic foot, in which case soaking is allowed. However, care must be taken to ensure that the water temperature is not too high to avoid scalding the skin. If the diabetic foot has reached levels 1 to 5, where the patient has wounds and ulcerations, soaking the feet is not recommended, as it can easily worsen and exacerbate the wound ulcerations. Therefore, people with diabetes should consider their individual conditions to determine whether foot soaking is suitable.

doctor image
home-news-image
Written by Yang Li
Endocrinology
1min 13sec home-news-image

How to relieve pain in diabetic foot?

If diabetic foot is combined with pain, it often depends on the severity of the diabetic foot. It has a Wagner grading system. If there is an obvious wound that extends to the bone, anti-infection treatment is very important, and surgical assessment is necessary to determine if the foot can be saved. If the wound is superficial and only involves the epidermis, local anti-infection and circulation improvement are fundamental. In such cases, COX-2 inhibitors and non-steroidal analgesic drugs may be used. If the pain is caused by peripheral neuropathy, the first step is to nourish the nerves, for example with mecobalamin, and treat the neuropathy with drugs like epalrestat, along with drugs like cilostazol that improve microcirculation. Effective treatments targeted at this type of neuropathic pain include drugs like pregabalin and etoricoxib, designed for bone pain, and gabapentin-related medications can also be used. (Medication should be used under the guidance of a doctor.)

doctor image
home-news-image
Written by Yang Li
Endocrinology
49sec home-news-image

Early signs of diabetic foot disease

Some early signs of diabetic foot disease include a decrease in skin temperature of both feet, such as constantly feeling coldness in the feet, which indicates insufficient blood supply. Another symptom is peripheral neuropathy, which manifests as numbness or burning in both feet, and unusual sensations like stepping on cotton or feeling like ants are crawling. These are also early signs of diabetic foot disease. Once there is a break in the skin surface, it is crucial to be vigilant as it might be diabetic foot disease. Diabetic foot disease is a very serious condition and one must take early preventive measures. At the slightest sign of any skin break, it is essential to seek proper treatment at a standard hospital.