Diabetic Ulcer

Definition

A diabetic ulcer is a breakdown of the skin on an area of the foot. An ulcer can develop quickly and may be painful and difficult to heal. Infection is a common complication. It is important to have an X-ray to determine whether there is any bone involvement when an ulcer is present.

Causes

• Uncontrolled diabetes mellitus
• Vascular insufficiency
• Lack of sensation
• Ill-fitting shoes
• Trauma
• Heredity

What can you do?

• Consult a podiatric physician immediately
• Alert the doctor’s office that you are a diabetic with a foot sore
• Self-treatment is not recommended for this serious condition

What might a podiatrist do?

• Perform a physical examination
• Perform X-ray evaluation
• Perform debridement and wound care
• Conduct laboratory tests
• Initiate total medical team approach, which may include your family practice doctor, endocrinologist, internist, vascular surgeon, and infectious disease specialist.

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