If you have diabetes, a scratch or cut can quickly turn into a serious problem if you don’t look after them. Ignoring them can lead to infections, ulcers and in the worst case amputation. So today’s topic is looking at Diabetic Wound Care Products.
Daily Care You Need To Do
Look for cuts, blisters, red spots, or swelling. This is especially important to do if you have any loss of sensation in your feet or legs due to diabetic neuropathy, it means you won’t feel any pain or discomfort from any cuts or blisters. Many times, the first thing you may notice is some drainage on your socks.
It is estimated that every 30 seconds a lower limb is amputated somewhere in the world because of a diabetic wound.
Caring For Your Wound
- Protect the wound from bacteria immediately. Never leave a wound open to the air because bacteria can easily multiply and cause harm.
- Wash the wound well with saline or clean boiled tap water.
- Apply antibiotic ointment after washing to keep the wound moist.
- Cover the wound with a bandage to control drainage and protect it. Change the bandage and repeat this process every 1-2 days.
- Keep the pressure off the wound as much as possible and, if recommended, use special shoes/socks.
Why Does Diabetes Affect Wound Healing?
When blood glucose remains chronically high, it impairs the function of white blood cells, resulting in an inability to fight infection. As circulation slows, red blood cells move more slowly making a less effective immune system. This makes it more difficult for the body to deliver nutrients to wounds. As a result, the injuries heal slowly, or may not heal at all.
The Most Common Diabetic Wound
A diabetic foot ulcer is an open sore or wound that occurs in approximately 20 percent of patients with diabetes. Of those who develop a foot ulcer, 6 percent will be hospitalized due to infection or other ulcer-related complications. Home care may be a cost-effective intervention that can either avoid or shorten hospital admissions in appropriate cases. Obviously, severe, limb-threatening infection or ulceration requires hospital care.
Symptoms of foot ulcers
Many people who develop foot ulcers have lost the ability to feel pain, so pain is not really a common symptom. Many times, the first thing you may notice is some drainage on your socks or if it has progressed significantly, odor may be present.
- Prevention of infection – keep it covered
- Taking the pressure off the area, called “off-loading”
- Removing dead skin and tissue, called “debridement”f
- Applying medication or dressings to the ulcer
- Managing blood glucose and other health problems
Diabetic Wounds From Pump Use
Pump cellulitis is often from Streptococcus and Staphylococcus. This infection is often caused by poor preparation of the pump site before insertion. For reliable patients with mild cellulitis and without systemic symptoms, re-siting the needle after good antiseptic preparation is often enough. More severe cases need systemic antibiotics and MRSA testing – as these patients will continue to have indwelling subcutaneous needles in the future. Similarly, insulin pump-related abscesses should be cultured
Infusion site infection is the most common complication associated with insulin pumps. And it is one of the most common causes for discontinuation of insulin pump therapy. Treatment with oral antibiotics is needed. Also, use of a topical antibiotic cream early in the course of an infection will often slow or prevent its spread. To prevent infusion site infections its best to use an infusion dressing to stop bacteria from entering the site.
If you do have a diabetic wound caring for it at home can be done by following the information above. It is always best to seek medical help from a wound center or your doctor. Reducing additional risk factors, such as smoking, drinking alcohol, high cholesterol, and elevated blood glucose, are important in prevention and treatment of a diabetic wound.
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Garry (type 1)
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