Diabetic (Neuropathic) Ulcers Wound Care Series Who does it affect? People with diabetes. What causes it? Due to poor sensation on the feet, minor injuries like cuts, bruises, or blisters caused by illfitting shoes can go unnoticed. The wounds can get worse if not treated early. For people whose diabetes is not properly controlled, a small wound may lead to serious infections. What is it? A diabetic ulcer is a wound that can happen when pressure on the skin goes unnoticed due to poor sensation. It is commonly seen under the big toes or on the balls of the feet.
What are the signs? •
Skin redness, warmth and swollen
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Shiny and tight skin
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Pus or discharges
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Foul smelling foot
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Thick and yellow toenails
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Fever and chills
How do I look after it?
How can I prevent it?
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Avoid applying pressure on the wound area. Seek a doctor or podiatrist’s advice if needed.
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Wear well-fitting, soft and comfortable shoes.
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Keep wound clean and change the bandage daily.
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Do not walk barefoot.
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Raise the aff ected leg on a stool when sitting or on pillows when lying down.
Wash your feet regularly and dry them thoroughly, especially in between the toes.
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If your ulcer does not heal well, you may need an operation.
Apply skin moisturiser to both feet daily.
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Check your blood sugar regularly and keep your blood sugar levels under control.
Check your feet daily for any redness, swelling or bleeding.
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Consult your dietician or podiatrist if necessary.
Contact your doctor or podiatrist if there are signs of infection or if your condition gets worse.
Yishun Health is a network of medical institutions and health facilities of the National Healthcare Group. Admiralty Medical Centre • (65) 6807 8000 • www.admiraltymedicalcentre.com.sg Khoo Teck Puat Hospital • (65) 6555 8000 • www.ktph.com.sg Yishun Community Hospital • (65) 6807 8800 • www.yishuncommunityhospital.com.sg The information is correct at the time of printing and subject to revision without further notice.
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