Doctor insights on:
What Causes Diabetic Ulcers
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 moreSee 4 more doctor answers
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
Uncontrolled Diabete: Diabetic retinopathy comes in two types non-proliferative or proliferative. Clinical trials such as the dcct, edic, ukpds, accord, ukpds-hds, field have shown that if glucose levels, blood pressure, cholesterol, and lipids are not controlled diabetic retinopathy can get worse and lead to severe vision loss. Trials such as the etdrs, drs, drvs show that eye physicians can delay blindness. ...Read moreSee 1 more doctor answer
Multi-factorial: Diabetics often develop nerve damage, which can decrease sensation especially over the lower extremities. Ulcers can then develop on the feet, usually on pressure points from standing or a tight-fitting shoe. Diabetics may also have poor circulation, which can lead to breakdown of tissue and impaired healing of the ulcer, and high blood sugar allows bacteria to grow and cause infection. ...Read moreSee 5 more doctor answers
Many possibilities: There are 2 basic forms which revolve around insulin, the carrier protein that transfers glucose to and through cells to provide energy. In childhood, the usual form is triggered when an infection results in the loss of Insulin production and it must be supplied by injection. In older kids or adults, Insulin is present but not working as well as needed.Overweight people are more at risk. ...Read more
Risk factors: The causes are not clearly known. There are certain factors which may lead to diabetes. Virus infections can lead to diabetes. If it runs in your family, you are obese, smoke cigarettes, had gestational diabetes or had a baby weighing 9 or more pounds, have impaired glucose tolerance, do not exercise regularly, low HDL cholesterol or high triglycerides, high blood pressure you are at high risk. ...Read moreSee 2 more doctor answers
Environment/inheri: Type 1 is probably due to infection in vulnerable pt causing destruction of Insulin cells in pancreas. Type 2 is usually due to obesity where you can't make enough Insulin to support the wt. This has gotten more complicated as studies show other problems with poor signaling to the liver to stop production of glucose. New diabetic meds target this issue. ...Read more
Diabetes: Some people are more genetically prone to develop diabetes, but type two diabetes is definitely considered a lifestyle disease and is a result of too many carbs, too little exercise, being overweight, and a list of other lifestyle factors. It doesn't just happen to you, but develops typically over the course of a few years, and can be reversed if you really take on dramatic lifestyle changes. ...Read more
Tongue ulcers: Some are the result of a viral infection from the herpes simplex virus. Some are mouth ulcers (aphthous ulcers), which are of unknown origin, but are thought to occur from stress, injury (biting the tongue), acidic foods, hormonal changes, allergies, or certain systemic diseases. ...Read more
High glucose damage.: The exact mechanism by which diabetes causes retinopathy remains unclear. Several theories have been proposed. Increased levels of blood glucose are thought to damage the structural and functional integrity of the retinal capillaries, predisposing to sluggish circulation, endothelial damage, and focal capillary occlusion. This leads to retinal ischemia, which contributes to the development of dr. ...Read more
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 moreSee 4 more doctor answers
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 moreSee 2 more doctor answers
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 moreSee 2 more doctor answers
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
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