Amputation Can Be Prevented in Patients with Diabetes

Of the approximately 150,000 lower limb amputations completed in the country each year, just around 80 percent are the result of a diabetic foot ulcer or wound. Because this is Limb Loss Awareness Month, in today’s post Dr. Ross Cohen of The Foot & Ankle Center of Maryland in Anne Arundel County, MD, shares limb preservation tips.

When a patient who has diabetes doesn’t keep their blood glucose levels under control, a shortage of blood flow to the lower limbs can lead to open sores or ulcerations. Symptoms include:

Increased warmth or firmness around the wound

  • Redness

  • Extra drainage

  • Swelling

  • Odor or pus.

Some diabetics also suffer from peripheral neuropathy, which is a loss of feeling in the feet and lower limbs. A simple scrape or cut can go unnoticed and develop into a severely infected wound rather quickly. Patients often find themselves needing emergency care for a systemic infection.

It’s crucial for anyone living with cardiovascular disease or diabetes to examine their legs and feet every day. If a wound doesn’t heal on its own within a month, the threat of amputation and even early death is elevated.

With proper treatment, however, most long-lasting wounds can be healed within four to six weeks, and usually, amputation can be prevented.

Treating the wound usually includes removal of the dead tissue, controlling the infection with advanced wound care medications or dressing, taking pressure off the area, and maintaining blood glucose levels. If a wound still doesn’t respond to customary treatment, oxygen therapy may be recommended.

Here are four tips for limb preservation, predominantly for individuals living with diabetes:

  • Wear the right shoes! Because diabetic neuropathy can stop you from feeling hot pavement or other things that could harm the feet, it’s important to not walk barefoot and wear properly fitting footwear.

  • Watch for the early warning signs of a diabetic foot ulcer including sores, blisters, or cuts on the toes or feet that won’t heal.

  • Maintain blood glucose levels. For patients with diabetes, the best way to prevent foot problems and help wounds heal more quickly is to control glucose levels.

  • Keep your feet clean, nourished, and covered! Safely clip your toenails; if you have trouble caring for your own toenails, seek help.

Now you know what you need to do to avoid lower limb amputation. If you are experiencing any issues with your feet as a result of your diabetes, contact the office of Dr. Ross Cohen of The Foot & Ankle Center of Maryland in Glen Burnie, MD, at (410) 761-3501 to schedule your first appointment for 2023!

Blog, Diabetic, Diabetic Foot Care, AmputationThe Foot & Ankle Center Of Maryland