What Is the Treatment Plan for Diabetic Foot Ulcers?
Currently, treatment for diabetic foot ulcers follows guidelines to obtain healing as soon as possible. The purpose of healing the wound quickly is to prevent the complications that were mentioned above.
Current treatment includes infection prevention, off-loading (taking pressure off the area), debridement, and managing blood glucose and other health comorbidities.
Infection prevention involves keeping the ulcer clean and bandaged. Many physicians recommend cleansing the wound daily while using a wound dressing or bandage for coverage.
Some of the topical ointments may be antimicrobials, such as gentamycin, triple antibiotic ointment, or silver, or may be highly absorbent for exuding wounds, such as foam and alginate.
Off-loading is essential for wound healing. Off-loading is taking pressure off the wound. It promotes healing, so the wound does not break open, risking further complications. An orthotic shoe insert is sometimes prescribed to take pressure off the wound while allowing the patient to remain mobile.
Debridement is a technique used to stimulate the tissue and also clean out the wound. Excess tissue deposition in the wound may inhibit the healing process.
The physician may remove this while stimulating the live tissues around the wound to promote healing. The debridement may also be to clean up the wound if an infection is present.
Finally, management of blood glucose is essential. High blood glucose causes a systemic inflammatory state, which does not allow for focused localized inflammation at the wound site to promote healing. This leads to wound chronicity and a lack of recovery.