How to Stop a Devastating Diabetic Foot Ulcer Before It Starts

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How to Stop a Devastating Diabetic Foot Ulcer Before It Starts

Discover the Ultimate Guide: Preventing Diabetic Foot Ulcers! Say Goodbye to Pain and Worries. Learn More Now! How to Stop a Devastating Diabetic Foot Ulcer Before It Starts. How to Stop a Devastating Diabetic Foot Ulcer Before It Starts

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People with diabetes can end up with many foot problems. The scariest and most problematic of these is a diabetic foot ulcer. My name is Dr. Andrew Schneider and I’m a podiatrist in Houston, Texas. A diabetic foot ulcer is a hole that forms on the bottom of the foot. It’s a complication of diabetes that can lead to infection and even amputation.

When you’re diagnosed with diabetes, there’s a lot of information thrown at you. Lots of information about checking your blood sugar, along with the devices to do so. Things you can eat. Things you shouldn’t eat. It can get overwhelming!

Along with that is usual information about how to care for your feet. That’s because much of the effect of diabetes is focused on your feet. In fact, caring for your feet properly and making sure they stay healthy will help prevent the complications that affect your feet. The most severe of these complications is a diabetic foot ulcer.

First and foremost, in order for your feet to be healthy, YOU need to be healthy. I can’t overstate how important it is to control your blood sugar. Whether you take insulin or use medication, maintaining a healthy blood sugar level minimizes the adverse effect of diabetes.

But medication isn’t enough. It’s also vital that you manage your diet to minimize sugars and foods that break down into sugar. It’s not a choice of one or the other. You have to do both. This will help to prevent the two big risk actors for your feet because of diabetes: Peripheral Arterial Disease
and Peripheral Neuropathy.

Peripheral Arterial Disease occurs when you have poor blood flow to the feet. When this happens, you’re at greater risk of forming diabetic foot ulcers. An already existing ulcer won’t heal when don’t have enough blood flow to your feet. That’s because the blood carries oxygen and healing factors to the site of the ulcer. If the flow is restricted, these important resources can’t make it there. I may do a circulation test in the office called an Ankle Brachial Index or ABI. This simple, quick, non-invasive test
compares a circulation in your ankle to the circulation in your arm. If I do find there is a potential problem, I’ll refer you to a circulation specialist who will do more advanced studies and treatment to restore blood flow to your feet.

One last thing about circulation. Smoking seriously compromises the peripheral circulation. If you add diabetes and smoking together, the risk is extraordinarily high. So whether you’re diabetic or not, I advise you to stop smoking. It’s not worth putting your feet and your life at risk.

Peripheral Neuropathy is also a serious complication of diabetes. It leads to a numbing of the nerves in your feet. This may lead to a breakdown of skin as an ulcer forms, and because you can’t feel it, you wouldn’t even know about it until it’s too late.

Because you may not be aware of your feet having less sensation, it’s good to develop the routine to inspect your feet every night before you go to bed. Look at the bottom of your feet and between your toes. What you’re looking for is any redness, blistering, callusing, bleeding, soreness, sores that form, or pus. Anything that wasn’t there yesterday.

It’s also important that you wear well-fitting shoes. Shoes that have enough room for your feet without causing areas of pressure. A blister caused by a shoe can easily form into a diabetic foot ulcer. You should also not go barefoot even around the house. When your feet don’t have good sensation, you can step on something and not even realize you have something in your foot until you inspect your feet that night.

There are two ways that I use to predict the formation of a diabetic foot ulcer before it forms. The first is when you’re in the office, I use a system called Revealix to identify any areas of increased temperature of your feet. It’s been well established that there’s an increase in temperature before a diabetic foot ulcer forms. Revealix is able to take a thermal image of your feet and identify areas of increased temperature.

Another tool that I use to monitor the risk of developing a diabetic foot ulcer is with remote patient monitoring. I utilize specialized socks or insoles that are designed to monitor the temperature of your feet. If there’s a change that may indicate a problem, a message is then to our office and a team of nurses to alert you to the potential problem so we can address it.

#DiabeticFootUlcer #PeripheralArterialDisease #PeripheralNeuropathy

00:00 Introduction
01:43 The importance of controlling your blood sugar
02:32 Peripheral Arterial Disease
03:28 The danger of smoking on circulation
03:49 Peripheral Neuropathy
04:15 Nightly foot inspection
05:31 How to identify diabetic foot ulcers before they form
07:14 How to connect with Houston Podiatrist Dr. Andrew Schneider

Our best recommendation in the end is that you get the best advice from a group of professionals who have been willing to revolutionize your diabetes situation and give you the opportunity to radically improve your health.

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  1. Prince Ibe

    I developed a callus under my left foot.
    It's been two months where it's been extremely painful it does not have any visible discoloring but it pains af night. I am a diabetic my next hospital appointment is 2 months away our health care system is a bit delayed in south Africa and I cannot afford a private practitioner

  2. Opal Douglas

    Can a wound for five years can get better

  3. Daniel Stephen

    My dad has diabetic foot ulcer and he as been trying it from almost two years now. we have spent a lot now and it's till growing.He sold his car and some other properties

  4. M St

    My blood sugar seems to be normal, but I have neaurapahty. I started a new job 6 weeks ago and they require to wear steel toe boots. the first few days that I used my new steel toes I notice a blister on my right fat toe and so I changed shoes after a few days and I was keeping an eye on the blister every day and putting a Bandage and some type of cream for wounds. After a week or so my toe would discharge alot and every time I would remove the Bandage it had strong smell so I would put new Bandage every time. At the time I didn't know it was a ulcer, I tought it was just a blister and that it would heal with time. But at the time of the wound my foot got swollen so I started wearing diabetes socks. 6 weeks today my foot is not so much swollen anymore like before but still some swollen comparing to my left foot. And the strong smell went away went removing Bandage, but my ulcer still there. Ulcer seems to dry up when I wake up but as soon as I go to work and by the end of the day it opens up again. After watching so many YouTube videos, I order a fracture boot and some terrasil 3x cream to put around ulcer.and most likely I will take some time off from work to let my wound heal I will also be buying some of dressing that you mentioned in your other videos. I'm to scare to go to Dr. One becouse I don't have medical and 2nd my new job don't give insurance till I complete my 2 months of work first. And it's too expensive to go to Dr. What do you recommend I should do. TIA

  5. Kumba Sarr

    Thanks for sharing this great information

  6. Marek Giedyk

    I AM prediabetic I manage to put my HBAC1 to healthy person levels but dryness of feet is still there. I will have my Doppler And EMG in a few weeks I am taking a lot of B ,magnesium, Wit d changed diet i was drinking a lot for an year. Do you know from your experience if i can reverse my condition ? Reversing meaning healthy looking feet , healthy enough so I can Play soccer, minor tingling is something i can accept.

    This is a disaster to me especially that I played last year in september And August and IT was all good. I neglected the first dryness symptoms which occured in march i guess or even a bit earlier. Earlier I had minor tingling And pain in the middle of the foot but thought that was from running. Meanwhile i got covid i am sure IT was covid cause i got after meeting a friend who Has been to a party where majority of the people got it….

    I will start swimming And indor biking do the blood circulation is good.

  7. morgan otieno

    Which antbiotics treat foot ulcers


    Thank You for helping people understand what can be overwhelming. I am type 2 diabetic,with amputation of all toes and was just told I have bone infection on the side the same foot. I told my podiatrist I want to fight a below the knee amputation.He is sending me to a hyper Baric specialist.(wound care).

  9. George Abbott

    I am tupe 2 Diabetic my feet is dry and crack and my legs not much censation in my legs i am taking tablet for my Diabetic what ointment can i used for my foot bottom

  10. Lance Connor

    Type 2 with calluses under both feet, still working, cleaner, so I'm on my feet alot. Your information is brilliant and gives me a better understanding of the effects of diabetes on the feet and how I can help myself to heal. Thank you.

  11. godwin chola

    Hi doc thanks the info. But what's the normal dosage of lantus insulin?

  12. beverly francis

    Many times it occur on top of a toe with blackness all around the toe(s)

  13. Shaira Gamboa

    Hello Doc, I'm 20 yrs old. I have callus and cut in my toes, dry and it doesn't heal fast. It feels itchy sometimes. Is it possible to have early foot ulcer? And what should I do?

  14. Leticia Blumfelder

    I’m diabetic type 2 and both of my big toes are numb. What can we do to reduce this?

  15. Pavel Krstev

    Hello Doctor,mine Father has this problem I would like translate nellw knowleges from Your books into Czech,Slovak Your books for him. He is Generał practical Doctor. Would You be do kind can You give me rights to public it. I am not medic but asylum seeker in foriengn country I will public under Your name?

  16. Lil stitch

    I am type 2 diabetic and have been since 06 and for the past three years I have had multiple foot ulcers and had three toes amputated. My A1C is at 6.6 so I don't understand why I am having so many problems any suggestions would be great. Also I have terrible neuropathy to the point where my podiatrist can do procedures without any numbing medicine. Just asking for suggestions.

  17. Donna🌶️bicolana

    Thanks for sharing good information from your informative channel 😊👍

  18. David Kerr

    I been diagnosed with diabetes since October I am bit worried right now since I believe I miss cut my nails and may have cut myself but my mom said just put antibiotics on them and my dad said put a bandage on them but I am this might cause ulcer I need help.

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