Without proper care, for people who have been diagnosed with diabetes, common problems (that may not look serious) can result in a cascade of complications. These health risks may have serious implications if left untreated. Patients could quite easily lose a toe, foot or even a leg. Up to 80% of all leg amputations occur in people with diabetes. Corns & Calluses – Skin can become hard in these places. This can result from wearing ill-fitting shoes or intense pressure due to other reasons. The dry and hard skin can crack allowing germs to enter (inside) leading to infections and ulcers.
The sensitivity and specificity of noninvasive vascular tests are a matter of some controversy. Commonly accepted abnormal values for transcutaneous oxygen measurement, ABI determinations and toe systolic pressure are given in Table 2 The noninvasive tests have been faulted for underestimating the severity of arterial insufficiency. 18 If lower extremity ischemia is strongly suspected, arteriography or some other imaging study should be performed to confirm or rule out ischemia. Proper control of concomitant hypertension or hyperlipidemia can help to reduce the risk of peripheral arterial occlusive disease. Smoking cessation is essential for preventing the progression of occlusive disease. Sensory and Autonomic Neuropathy
After debridement, the ulcer should be probed with a sterile blunt instrument to determine the involvement of underlying structures, such as tendon, joint capsule or bone. Probing to bone is a simple and specific test for osteomyelitis, but it has low sensitivity. 30 Plain-film radiographs should be obtained to look for soft tissue gas and foreign bodies and to evaluate the ulcer for bone involvement. Diabetes is an ailment caused by the lack of insulin production due to failure of insulin production, or the inability of insulin to function regularly in its everyday performance. Insulin is a substance which the pancreas glands process from our food to turn into energy.
It is generally accepted that, if either as part of a one-off attendance or as part of an annual or regular review, that a foot care emergency has been identified (such as new ulceration, swelling or discolouration) then there should be referral to a multi-disciplinary foot care team within 24 hours. That team would normally be within a specialist unit at a hospital and would include a number of experts within specialities such as vascular surgery, podiatry, orthotics, nurses trained in diabetic foot wounds and diabetologists with expertise in lower limb complications.
Tea Tree oil may establish a barrier so strong that it is able to keep bacterial and viral invaders out of the blood stream. This anti-microbial function of Tea Tree oil may also be the necessary component that results in a reduction or total elimination of the distracting odor that diabetic foot ulcers sometimes produce. In addition to these benefits, Tea Tree oil is also believed to possess qualities that may be able to assist the body with inflammation created by the body in reaction to the trauma of the ulcer.