Diabetic Foot

Effective Adjunctive Treatment

Diabetic foot is a foot that exhibits any pathology that results directly from diabetes mellitus or any long-term (or "chronic") complication of diabetes mellitus. Diabetic foot is characterized by a classical triad of neuropathy, ischemia, and infection. Due to the peripheral nerve dysfunction associated with diabetes (diabetic neuropathy), patients have a reduced ability to feel pain. This means that minor injuries may remain undiscovered for a long while. People with diabetes are also at risk of developing a diabetic foot ulcer.

In diabetes, peripheral nerve dysfunction can be combined with peripheral artery disease (PAD) causing poor blood circulation to the extremities (diabetic angiopathy). Where wounds take a long time to heal, infection may set in and lower limb amputation may be necessary. Foot infection is the most common cause of non-traumatic amputation in people with diabetes.

The gold standard for diabetic foot ulcer treatment includes debridement of devitalised wound tissue, management of any infection, revascularisation procedures when indicated and offloading of the ulcer. Hyperbaric oxygen therapy (HBOT) has been promoted as an effective adjunctive treatment for diabetic foot wounds. The effects of HBOT on improving wound tissue hypoxia make it a useful adjunct in clinical practice for diabetic foot ulcers. It may reduce the risk of lower-extremity amputation and improve healing in people with diabetes with foot ulcers.

May you need consult to specialist doctor for further information. Your specialist doctor may recommend specific treatment options based on the severity of your Diabetic Foot, or other potential tests such as a X-Ray, CT or MRI imaging scan.