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Doctor insights on: Diabetic Ulcers

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Dr. Scott Bolhack
143 doctors shared insights

Diabetic Ulcers (Overview)

Diabetic ulcers are sores that develop in people who have advanced diabetes. Most often the sores develop on the feet, but they can be located anywhere on the body that bears weight or pressure. Diabetes causes damage to small blood vessels of the skin, making the skin more prone to developing damage.


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What are the tip-offs that you might have diabetic ulcers?

What are the tip-offs that you might have diabetic ulcers?

Diabetic Ulcers: Lack of feeling in your toes or feet. Not being aware of the cold. Being unsteady on your feet. Sores or open wounds on your feet. These typically start with areas of redness which are surrounded by thick callous formation. Podiatric management of the callous may help to minimize the exacerbation of the sores. ...Read more

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Dr. Scott Bolhack
143 doctors shared insights

Diabetic Ulcers (Overview)

Diabetic ulcers are sores that develop in people who have advanced diabetes. Most often the sores develop on the feet, but they can be located anywhere on the body that bears weight or pressure. Diabetes causes damage to small blood vessels of the skin, making the skin more prone to developing damage.


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What are the symptoms of diabetic ulcers?

What are the symptoms of diabetic ulcers?

Diabetic ulcers: This is great question in order to make the point that you just might have no symptoms. Diabetic patients may have neurological problems and have no feeling for an ulcer that would otherwise be painful. Other symptoms could be drainage pain color swelling and systemic signs of infection such as fever and chills. ...Read more

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High deductible. Limited coverage of outpatient care. Would really help to know what tests, evaluations are required to diagnose diabetic ulcers and follow it after treatment.?

Not easy: Keys are changing weight-bearing, good wound care, absolute nicotine avoidance, good glucose control, verifying good circulation or improving it, if possible. Special shoes to get your weight off the ulcers is best use of money ($4-500). Wound care can be relatively simple with silvadene (silver sulfadiazine) cream. Doctor can feel pulses in feet = no vascular work up needed. Avoid regranex, dermagraft, appligraf, hbo. ...Read more

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Is it possible for warfarin to cause diabetic foot ulcers?

Is it possible for warfarin to cause diabetic foot ulcers?

No: No. Warfarin can cause something called, "coumadin (warfarin) skin necrosis", which is more likely to happen if you aren't anticoagulated with Heparin / Lovenox before starting coumadin (warfarin). Otherwise, Coumadin (warfarin) does not commonly affect your blood sugar or your diabetes. ...Read more

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Living with Ulcerative Colitis (Checklist)

See your gastroenterologist
Once
Follow recommended therapy closely
Once
Follow through with recommended cancer screening
Once
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How do you treat a diabetic ulcer most successfully?

How do you treat a diabetic ulcer most successfully?

Wound care. : Diabetic ulcers will generally heal if you offload the area (decrease direct pressure with an insert, or a wheelchair), have your doctor trim the callus and dead tissue away on a regular basis, and if the ulcer is infected, you may need oral or IV antibiotics, depending on the severity of the infection. ...Read more

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What kind of doctor treats diabetic foot infections and ulcers?

What kind of doctor treats diabetic foot infections and ulcers?

Multiple factors: Wound care requires multi-discipline input for proper infection control and wound healing. There are multiple modalities and multiple strategies to get a wound infection resolved and closed but it takes a knowledgeable well trained specialist to know when to implement the appropriate treatment during the course of wound healing using evidenced based medicine. ...Read more

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Are there any sprays or creams i can use to cure a diabetic foot ulcer?

No: There is no spray or cream that will cure an ulcer. The cause of ulcer must be determined, whether it is circulatory, excessive pressure, infection etc. ...Read more

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What generally prevents diabetic ulcers from healing?

What generally prevents diabetic ulcers from healing?

Many factors: The most common reason ulcers may have trouble healing: due to uncontrolled blood glucose levels, underlying infection, poor circulation, poor nutrition, too much pressure to the area, inappropriate wound care. ...Read more

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Dr. Scott Bolhack
2,049 doctors shared insights

Ulcer (Definition)

An ulcer is a discontinuity or a break in a body membrane that impedes the normal functioning of the organ of which that membrane is a part. Ulcers are further classified by their location. Ulcers are usually caused by infections, excessive acid production, stress, ...Read more


Ulceration (Definition)

An ulcer is a discontinuity or a break in a bodily membrane that impedes the organ of which that membrane is a part from continuing its normal functions. Ulcers are further classified by their location, for example; ...Read more