Diabetic foot wounds often start from minor issues but can turn fatal due to complications like infection and amputation. Specialists stress the importance of routine prevention to avoid these risks. Disciplined care can prevent serious outcomes.
Diabetic foot ulcers represent a serious risk for diabetes patients, caused by nerve damage or neuropathy that prevents them from feeling small wounds, scratches, or blisters on the feet. According to dr. Jimmy Tandradynata, an internal medicine specialist at Eka Hospital BSD in South Tangerang, routine and self-examinations of all foot parts are crucial to prevent recurring wounds.
"Handling diabetic foot wounds must be done routinely, disciplined, and intensively, often involving a team of specialist doctors. Treatment aims to eliminate infection, speed up healing, and avoid amputation," said dr. Jimmy in Tangerang recently.
For prevention, wash feet daily with warm water and mild soap, then dry thoroughly, especially between toes. Always wear comfortable, closed shoes with good cushioning. "Never go barefoot, even at home," he advised. Cut nails straight and not too short to avoid ingrown nails. Discipline in diet, exercise, and prescribed medication is essential to maintain normal blood sugar levels.
Diabetes patients should seek medical help immediately if a wound does not improve within 24–48 hours, or if infection signs appear such as fever, swelling, spreading redness, severe pain, pus, or the foot feeling cold, pale, or turning black (gangrene). "If there are such signs for diabetes patients, immediately consult a doctor to prevent complications like amputation," he stated.
Diabetes mellitus is a chronic condition from high blood sugar due to the body's inability to produce or use insulin effectively. Insulin helps cells absorb glucose from the blood for energy. If unmanaged, it can damage vital organs including the heart, kidneys, eyes, and nerves. Foot wounds often begin from unnoticed injuries, poor blood supply, and infections spread easily because high blood sugar weakens the body's resistance to bacteria. "High blood sugar also weakens the body's ability to fight bacteria, so infections spread easily and become fatal. If there are infection signs, doctors will provide antibiotics after culturing bacteria from the wound," he added.