15 doctors weighed in:

What generally prevents diabetic ulcers from healing?

15 doctors weighed in
7 doctors agree

In brief: 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.

In brief: 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.
Dr. Amy Degirolamo
Dr. Amy Degirolamo
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Dr. Khurram Khan
Wound care
4 doctors agree

In brief: Multiple factors

Multiple causes. Improper removal of all non viable tissue, inability to offload pressure from the area or excessive walking or standing.
Infection and poor circulation can prevent healing. Poor sugar control. Poor nutrition, low blood proteins. Kidney status specifically dialysis. The list keeps going.

In brief: Multiple factors

Multiple causes. Improper removal of all non viable tissue, inability to offload pressure from the area or excessive walking or standing.
Infection and poor circulation can prevent healing. Poor sugar control. Poor nutrition, low blood proteins. Kidney status specifically dialysis. The list keeps going.
Dr. Khurram Khan
Dr. Khurram Khan
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Dr. Oliver Aalami
Surgery - Vascular
1 doctor agrees

In brief: Circulation

Patients with diabetes develop numbness (neuropathy) in their feet which puts them at risk for getting wounds.
Diabetes causes blockages in the small vessels of the feet causing poor circulation. In addition, diabetes affects the immune system and makes it less effective. Put together, diabetic patients are more likely to develop wounds and have a tougher time healing them.

In brief: Circulation

Patients with diabetes develop numbness (neuropathy) in their feet which puts them at risk for getting wounds.
Diabetes causes blockages in the small vessels of the feet causing poor circulation. In addition, diabetes affects the immune system and makes it less effective. Put together, diabetic patients are more likely to develop wounds and have a tougher time healing them.
Dr. Oliver Aalami
Dr. Oliver Aalami
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1 comment
Dr. Linda Harris
Infection is also more common in diabetics. Curculation and neuropathy both play a big role as well. Diabetics with non-healing ulcers should be assessed by a vascular surgeon or a wound clinic to optimize care to permit healing of the wound.
Dr. Payam Rafat
Podiatry

In brief: Many puzzle pieces

Offloading of diabetic foot ulcers, adequate circulation, good nutrition, blood sugar control, regular wound debridement by your physician, and local wound care are essential factors for wound healing.
If any of these pieces of the puzzle are missing the final outcome may not be a pretty picture.

In brief: Many puzzle pieces

Offloading of diabetic foot ulcers, adequate circulation, good nutrition, blood sugar control, regular wound debridement by your physician, and local wound care are essential factors for wound healing.
If any of these pieces of the puzzle are missing the final outcome may not be a pretty picture.
Dr. Payam Rafat
Dr. Payam Rafat
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Dr. Khashayar Salartash
Surgery - Vascular

In brief: Multiple issues

Healing of any wound requires good circulation, healthy tissues and proper nutrition.
In diabetics we also think about neuropathy and pressure relief in addition to management of the blood sugars. Even if all but one of these issues is absolutely perfect the wound may still not heal. Please see a vascular surgeon or wound specialist for further evaluation.

In brief: Multiple issues

Healing of any wound requires good circulation, healthy tissues and proper nutrition.
In diabetics we also think about neuropathy and pressure relief in addition to management of the blood sugars. Even if all but one of these issues is absolutely perfect the wound may still not heal. Please see a vascular surgeon or wound specialist for further evaluation.
Dr. Khashayar Salartash
Dr. Khashayar Salartash
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