Commentary - African Journal of Diabetes medicine (2023)

Diabetic foot ulcers: Understanding, preventing, and treating a growing concern
Department of Laboratory Science, Hormozgan University of Medical Science, Iran

*Corresponding Author:

Mary Parvin, Department of Laboratory Science, Hormozgan University of Medical Science, Iran, Email:

Received: 31-May-2023, Manuscript No. ajdm-23-104705; Editor assigned: 02-Jun-2023, Pre QC No. ajdm-23-104705 (PQ); Reviewed: 16-Jun-2023, QC No. ajdm-23-104705; Revised: 21-Jun-2023, Manuscript No. ajdm-23-104705 (R); Published: 28-Jun-2023, DOI: 10.54931/AJDM-31.3.6.


Diabetic foot ulcers are a common and serious complication affecting individuals with diabetes. These open wounds, usually located on the foot, can lead to severe complications if not managed promptly and effectively. In this article, we will delve into the causes, risk factors, prevention strategies, and treatment options for diabetic foot ulcers. Diabetic foot ulcers result from a combination of factors, primarily neuropathy (nerve damage) and peripheral vascular disease (reduced blood flow). Neuropathy reduces the sensation in the feet, making it difficult to detect minor injuries or pressure points. Moreover, peripheral vascular disease impairs the healing process by reducing blood flow to the affected area. When a small wound or injury goes unnoticed and untreated, it can progress into a more severe ulcer.

Several factors increase the risk of developing diabetic foot ulcers. Prolonged high blood sugar levels, poor blood circulation, nerve damage, foot deformities, and a history of previous ulcers or amputations are significant risk factors. Other contributing factors include smoking, obesity, improper footwear, and foot trauma.

Prevention plays a crucial role in reducing the incidence of diabetic foot ulcers. Diabetic individuals should adopt a proactive approach by following these preventive measures: Inspect feet daily for any signs of redness, swelling, blisters, or cuts. Keep feet clean and moisturized, but avoid soaking them. Schedule regular foot exams with a healthcare professional to identify any potential problems. Maintain blood sugar levels within the target range through medication, diet, and exercise. Wear well-fitting, supportive shoes and consider orthotic inserts if necessary. Quit smoking to improve blood circulation and reduce the risk of complications.

Timely treatment is essential to prevent diabetic foot ulcers from worsening and to promote healing. The treatment approach may include the following: Cleaning the wound, removing dead tissue, and applying appropriate dressings to promote healing. Relieving pressure on the affected area through methods like specialized footwear, casts, or removable walking boots. Administering antibiotics to combat infections, if present. Keeping blood sugar levels within the target range to facilitate wound healing. Diabetic foot ulcers pose a significant threat to individuals with diabetes. However, by understanding the causes, implementing preventive measures, and seeking timely treatment, the risk of developing and worsening DFUs can be reduced. Maintaining optimal foot care, managing diabetes effectively, and seeking professional help when needed are crucial steps in preventing diabetic foot ulcers and their associated complications.

Additionally, it is vital for individuals with diabetes to engage in regular self-care practices, including proper hygiene, daily foot inspections, and prompt attention to any abnormalities. Early intervention and seeking medical advice at the first sign of a foot issue can make a substantial difference in preventing the development of diabetic foot ulcers. Remember, diabetic foot ulcers can lead to severe complications, such as infections, tissue damage, and even amputations. By prioritizing foot health and following the recommended preventive measures, individuals with diabetes can significantly reduce the risk of diabetic foot ulcers and enjoy a higher quality of life. Stay vigilant, seek professional guidance, and take proactive steps towards maintaining healthy feet.



Conflict Of Interest

The author has nothing to disclose and also state no conflict of interest in the submission of this manuscript.

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