A member asked:

Eat healthy. exercise. avoid smoking. why did i get diabetic ulcers?

25 doctors weighed in across 7 answers

Family history?: If you are not overweight you may have strong tendency to diabetes. Is daibetes under good control?

Answered 11/27/2017

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Nerve damage: Tight control of blood sugar is the single most important way to minimize the complications of diabetes. The other lifestyle issues, diet, exercise and avoiding tobacco are also excellent methods of assuring optimal health. However, diabetes is a complex disease that effects each individual differently and with varying severity. You most likely have a higher tendency for neuropathy & poor healing.

Answered 11/27/2017

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Dr. Michael Korona answered

Specializes in Radiology - Interventional

Bad disease: Control blood sugar with help of endocrinologist. No smoking. Podiatrist for foot care. Have pad treated with stents or surgery if needed.

Answered 5/12/2016

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Dr. Mike Bowman answered

Specializes in ENT and Head and Neck Surgery

Diabetes....: You are doing some things well, but if your sugars are not well controlled (at least less than 120 all the time), then the elevated sugar levels seen in diabetes will cause problems with circulation, wound healing, and infection fighting ability. These problems lead to diabetic ulcers. Make sure your pcp is aware to ensure appropriate treatment.

Answered 2/25/2018

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Dr. Vasu Brown answered

Specializes in Integrative Medicine

MMP: Diabetics has high expression of mmp's - destructive enzymes. Mmp's is the way cancer spreads. The things that stop mmp's are zinc, calcium, vitamin k2. Check http://vitamink2.Org - calcium can lead to kidney problems - make sure to take vitamin d3 with k2 to improve calcium instead. D3 cannot absorb if pancreas or gall bladder is not working. Take Niacin to lower lipoprotein a and LDL levels.

Answered 11/27/2017

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Diabetic ulcers: Despite doing the best you possibly can, you have developed diabetic ulcers. I'm sorry about that. Studies have shown that the symptoms of the underlying vascular and neurological pathologies quite often precede the onset of diabetes. This indicates that diabetes is a disease that progresses at a rate that is independent of our attempt to control diet, weight, and physical condition.

Answered 5/12/2016

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Multiple factors: The most common risk factors for ulcer formation include diabetic neuropathy, structural foot deformity, trauma and peripheral arterial occlusive disease. Any calluses are signs of increased pressure (usually associated with a deformity) so you have to check your feet regularly for any calluses especially given your history of exercising.

Answered 5/12/2016

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