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Doctor insights on: Handling Diabetic Ulcers Condition

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Are diabetic foot ulcers contagious?

Are diabetic foot ulcers contagious?

They are not...: Hello, Diabetic foot ulcers are not contagious and not everyone with diabetes will obtain one. With proper glucose control and timely/monitored footcare they can be avoided. The vascular and nerve status in the lower extremity are also important to prevent their formation. Shoe gear is also important for prevention. Be sure to be vigilant with any callus, cut, blister, or bruises in the feet. ...Read more

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Ulceration (Definition)

Exact synonym so far as this pathologist is concerned. An ulcer is a lesion on a body surface (outer or inner) in which the epithelium and at least some of the underlying connective tissue has been lost specifically to necrosis (cell death) rather than just mechanical or chemical injury. All ulcer craters ...Read more


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In diabetic ulcers is it neuropathy or macrovascular disease that causes them? Can you get ulcers withouth macrovascular complications?

In diabetic ulcers is it neuropathy or macrovascular disease that causes them? Can you get ulcers withouth macrovascular complications?

Diabetic ulcers: There are multiple concurrent causes of an ulcer in a diabetic that include: nerve problems, blood supply problems, and healing issues. With blood supply problems they can be macrovascular (large vessels) and or microvascular (microscopic vessels). Either or both can be a factor in the complications and cause of ulcers associated with diabetics. ...Read more

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How are diabetic foot ulcers treated?

How are diabetic foot ulcers treated?

Multiple remedies: Wound care requires multi-discipline input for proper wound healing. There are multiple modalities and multiple strategies to get a wound closed but it takes a knowledgeable well trained specialist to know when to implement the appropriate treatment during the course of wound healing similar to a conductor leading an orchestra. ...Read more

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How common are diabetic foot ulcers?

How common are diabetic foot ulcers?

Very: This is very common especially in diabetics with neuropathy. Since they have no feeling in their feet, they are prone to break down. Proper shoe wear and seeing your podiatrist on a regular basis is a must! ...Read more

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Can a leg ulcer cause diabetic retinopathy?

Can a leg ulcer cause diabetic retinopathy?

No: A leg ulcer will not cause diabetic retinopathy. The two are related though. A person's whose diabetic disease has progressed to the point of having a leg ulcer will also often have diabetic retinopathy. Both happen with poorly controlled diabetes. ...Read more

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What causes foot ulcers in diabetics?

What causes foot ulcers in diabetics?

Foot ulcers: Diabetes causes a condition known as microangiopathy. This is where the microscopic blood vessels become clogged and do not deliver blood to the skin and sub-cutaneous tissue. The decrease in available bloodflow causes these ulcers (wounds) that are very difficult to heal. ...Read more

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A1c 5.8 is this diabetic or prediabetic?

A1c 5.8 is this diabetic or prediabetic?

HbA1c DM or not?: 51F: A1c 5.8 is this diabetic or prediabetic? ANS: ADA says A1C level ?6.5 percent ( done 2 x) can be used to diagnose diabetes, &, identified 5.7 to 6.4 percent, confirmed with a repeat A1C measurement, as increased risk for developing diabetes. So repeat & check with your Dr who knows you best. Some conditions can lead to false test results. ...Read more

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Could diabetic neuropathy happen if blood sugars are managed?

Could diabetic neuropathy happen if blood sugars are managed?

Yes, but less often: Add regular low impact cardio exercise to further decrease chances of developing diabetic peripheral neuropathy (dpn). ...Read more

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What kind of condition is diabetic kidney problems (nephropathy)?

What kind of condition is diabetic kidney problems (nephropathy)?

Kidney damage: Chronic conditon of kidneys which can develop after many years, usually > 15 years, primarily in patients with type 1 diabetes. Problem is sclerosis (shrivelling up) of the tiny blood capillaries in the glomeruli (min filters) of kidney. This leads to progressive loss of function. Patients usually require dialysis or kidney transplantation within 3 years of diagnosis. ...Read more

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Dr. Brian Le Dr. Le
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Can diabetic neuropathy occur even if blood sugars are managed?

Dr. Brian Le Dr. Le
3 doctors agreed:
Can diabetic neuropathy occur even if blood sugars are managed?

Diabetic neuropathy: Yes, diabetic neuropathy can happen with managed blood sugar. However, the incident is less and so is the severity. ...Read more

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How are diabetic foot infections diagnosed?

How are diabetic foot infections diagnosed?

Signs of Infection: Redness extending around the wound and either going up in a streaking pattern or circumferential around the wound, hot in the same area of the redness, swollen foot/limb, loss of function, severe pain (when normally you shouldn't feel pain b/c of the neuropathy) malodor and water or pus type of drainage. Seek attention immediately. ...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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How is diabetic kidney disease treated?

How is diabetic kidney disease treated?

Variously: Prevention using an acei or arb and good blood sugar control. For established disease it depends on how badly it has progressed. It is the #1 cause of the need for dialysis and transplantation for chronic kidney disease in the us. ...Read more

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What diseases cause poor healing wounds (other than diabete)?

What diseases cause poor healing wounds (other than diabete)?

Many causes: Venous disease of the legs, severe infection rare (necrotising fasciitis, aids), auto immune (vasculitis, bullous pemphigoid, pyoderma gangrenosum), unrelieved pressure, arterial disease, poor protein intake, dialysis (calciphylaxis), lipodermatosclerosis, skin cancer, injected drug abuse (methamphetamine), and many less comon causes. ...Read more

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How is diabetic kidney disease diagnosed?

How is diabetic kidney disease diagnosed?

Lab tests: Urine should be checked for protein once a year with a test for microscopic levels of Albumin (often called micro-albumin). Blood should be checked for BUN (blood urea nitrogen) to measure the levels of nitrogen-containing waste levels. Higher levels mean the kidney is not as efficient as it should be. A calculated value called egfr reflects the kidneys' ability to remove waste products. ...Read more

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How is burning feet in diabetic patients treated?

How is burning feet in diabetic patients treated?

Many options.: Topical capsaicin may be helpful for some, while others may benefit with oral medication such as Pregabalin (lyrica), Amitriptyline (elavil), duloxetine (cymbalta), Gabapentin (neurontin), Carbamazepine (tegretol), or valproate (depakote) to reduce the painful symptoms in the feet due to neuropathy. Watch you sugar intake, and have your vitamin b levels checked and supplemented as necessary. ...Read more

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What diseases cause poor healing wounds (other than diabetes)?

What diseases cause poor healing wounds (other than diabetes)?

Wounds and diseases: These are too numerous to list all of them. The most common cause of lower extremity wounds is hypertension of the veins -- venous hypertension. This is due to a problem with the blood flow in the veins as the blood tries to return to the heart. ...Read more

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What kind of condition is diabetic skin ulcers?

What kind of condition is diabetic skin ulcers?

Diabetic skin ulcers: Diabetics can have different kinds of ulcerations. They can get neuropathic ulcerations due to nerve damage. They can get ulcerations from arterial disease due to advanced plaque formation in arteries. They are also more prone to pressure and may develop ulcerations from pressure. Diabetics can even have venous disease and develop ulcerations from this also. A wound care expert can evaluate. ...Read more

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Can a non diabetic patient suffers hypoglycemia?

Can a non diabetic patient suffers hypoglycemia?

Reactive hypogly. : If you're referring to reactive hypoglycemia, then that to which you refer is fairly common. It's related to the overly brisk response of the pancreas to ingestion of simple sugar. Non-diabetics can certainly experience this. ...Read more

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Dr. Scott Bolhack
145 doctors shared insights

Diabetic Ulcers (Definition)

Wound on lower extremity in a patient with diabetes as the skin integrity is lacking May be associated with vascular disease If concerned about bacteria in wound usually there are more than one bacteria at play Often cuts as a result of the walking surface of the foot doesn't ...Read more


Dr. Scott Bolhack
2,100 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