9 doctors weighed in:

Why do people who are taking insulin for diabetes get foot ulcers?

9 doctors weighed in
Dr. Laura Pak
Surgery - Vascular
3 doctors agree

In brief: Several reasons

Diabetics may develop neuropathy, decreased sensation to the skin, which means they are unaware if they step on a thorn or if their shoes are creating a blister on their foot.
Nerve damage can lead to bony changes that create abnormal pressure points on the foot. Diabetics also tend to develop small vessel arterial disease, which results in decreased perfusion to the skin and slower wound healing.

In brief: Several reasons

Diabetics may develop neuropathy, decreased sensation to the skin, which means they are unaware if they step on a thorn or if their shoes are creating a blister on their foot.
Nerve damage can lead to bony changes that create abnormal pressure points on the foot. Diabetics also tend to develop small vessel arterial disease, which results in decreased perfusion to the skin and slower wound healing.
Dr. Laura Pak
Dr. Laura Pak
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Dr. Scott Bolhack
Wound care
1 doctor agrees

In brief: Insulin

Insulin is for the control of the blood sugars.
Often the effects of diabetes are long-standing and the patients develop the complications of the disease unrelated to use of, or not, insulin. This is why we believe that better [tighter] control helps prevent some of the complications of the diabetes.

In brief: Insulin

Insulin is for the control of the blood sugars.
Often the effects of diabetes are long-standing and the patients develop the complications of the disease unrelated to use of, or not, insulin. This is why we believe that better [tighter] control helps prevent some of the complications of the diabetes.
Dr. Scott Bolhack
Dr. Scott Bolhack
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In brief: ANYONE

Anyone with diabetes can get a foot ulcer. Insulin-dependent patients just might be more fragile and immunocompromised.

In brief: ANYONE

Anyone with diabetes can get a foot ulcer. Insulin-dependent patients just might be more fragile and immunocompromised.
Dr. Darrell Latva
Dr. Darrell Latva
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Dr. Payam Rafat
Podiatry

In brief: Neuropathy

Diabetics often times develope decrease in sensation of the feet.
This in conjuncion with having possible foot demormities such as bunions, hammertoes, or pominent metatarsal bones may lead to diabetic foot ulcers.

In brief: Neuropathy

Diabetics often times develope decrease in sensation of the feet.
This in conjuncion with having possible foot demormities such as bunions, hammertoes, or pominent metatarsal bones may lead to diabetic foot ulcers.
Dr. Payam Rafat
Dr. Payam Rafat
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Dr. Shabbir Hossain
Internal Medicine

In brief: Circulation

With uncontrolled diabetes, the circulation gets compromised.
As a result, simple wounds don't heal appropriately. If they don/t heal quickly and appropriately, it becomes very easy for bacteria to jump in and wreak havoc.

In brief: Circulation

With uncontrolled diabetes, the circulation gets compromised.
As a result, simple wounds don't heal appropriately. If they don/t heal quickly and appropriately, it becomes very easy for bacteria to jump in and wreak havoc.
Dr. Shabbir Hossain
Dr. Shabbir Hossain
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