By Dr. Lori DeBlasi
The prevalence of diabetes has significantly increased in the United States for adults 18 or older. From 2001-2021, approximately 38.4 million people have diabetes, reflecting 11.6% of the United States population. However, it is estimated that 8.7 million of these diabetics have not been diagnosed or know that they have it. It is essential to have preventative care visits with an established family practitioner to monitor the necessary blood tests on a regular basis. Diagnosis and treatment is key.
The lifetime risk of a foot ulcer for patient with diabetes is as high as 34%.
The overall mortality from a diabetic foot infection is estimated at nearly 50% mortality within 5 years. Associated factors included cardiovascular disease and infection as the 2 leading causes of death associated with these diabetic foot ulcerations. A frequent complication from soft tissue infections in a diabetic is sepsis which causes the body to go into shock. This is a life and death situation when this occurs.
The underlying causes associated with diabetic foot infections and resultant diabetic foot ulcers include poor control of blood sugar, callus/corn formation, foot deformities, improper shoes, ill fitting shoes, underlying peripheral neuropathy(nerve loss) and poor circulation. It is estimated that up to 60% of all diabetics will develop neuropathy, eventually leading to a foot ulceration.
If a diabetic patient gets any type of an open lesion, whether it is a scratch, blister or other lesion, the recommendation is to seek medical attention sooner than later. There are times when this is not possible and the areas should be cleansed properly with soap and water followed by some type of an antibiotic cream or ointment and a bandage. It is important to keep this bandaged as any open lesion is an open door into the body that can lead to more serious infections, such as sepsis. Even a small wound, scratch or blister can lead to a life or limb threatening condition.
Having good control of blood sugar levels is critical in cases of infection. When the hemoglobin A1c, a 3-month indicator of blood sugar, is greater than 7%, this is associated with inefficiency of the white blood cells to fight off infections.
Another factor, is having adequate circulation to the feet and the toes. If there is inadequate blood flow, the healing factors within our blood are unable to reach the area that they are needed. This also affects antibiotics ability to get to where the infection is, as well.
The best time to see a podiatrist is before there is a problem. Having an established relationship with a podiatrist, so baseline foot concerns are noted in the chart and even addressed if there are issues, is critical in the long-term treatment plan for a diabetic patient. Preventative measures attempt to reduce the risk of foot issues in Diabetic patients. It is recommended every person with Diabetes have a yearly foot exam by a Podiatrist. Preventative care is a key component – make your appointment TODAY!
Lori DeBlasi, DPM
Dr. Lori DeBlasi is certified by the American Board of Foot and Ankle Surgery®. Dr. DeBlasi works at Family Foot & Leg Center at the Estero office. She is accepting new patients.
To make an appointment, call 239-430-3668 or visit www.NaplesPodiatrist.com.
Lori DeBlasi, DPM
21401 Corkscrew Village Lane,
Suite 4
Estero, FL 33928
(239) 430 – 3668 (FOOT)
www.NaplesPodiatrist.com