Patient/caregiver were instructed on the signs and symptoms of diabetic foot ulcers as follows: Poorly managed diabetics could present with compromised blood circulation in the distal lower extremities, which can result in diminished blood supply to the ulcer site. Rich blood supply delivering fair amounts of oxygen and nutrients is needed for healing of the ulcer site. Continued compromised blood supply to the feet in poorly managed diabetics also leads to increased risk for delayed [...]

Patient/caregiver were instructed on the signs and symptoms of diabetic foot ulcers as follows: Certain pressure points on the bottom of the feet, such as, skin on the ball of foot and heel, are increasingly exposed to mechanical factors, such as, friction, pressure, and shearing stress. These pressure points on the feet, in response to continuous exposure to mechanical factors, develop calluses, which are hardened portions of the skin. Diabetic foot ulcers usually develop within [...]

Patient/caregiver were instructed on the staging and grading of diabetic foot ulcers as follows: The severity of diabetic foot ulcers can be graded and staged, depending on the depth of the wound, extent of tissue involvement, and presence of complications. The grading of diabetic foot ulcers could vary from a closed or healed wound with potential to recur anytime in future to an open wound. Risk factors contributing to recurrence of the diabetic foot ulcers [...]

Patient/caregiver were instructed on the contribution of chronic severe vitamin B-complex deficiency for development and poor healing of diabetic foot ulcers as follows: Vitamins belonging to the B-complex group are very important in the synthesis of myelin, a protective tissue around the nerves to promote their normal function. B-complex vitamins also help in the synthesis of various chemicals in the brain, needed for normal function of the nervous system and prevent symptoms of irritability, anxiety, [...]

Patient/caregiver were instructed on the contribution of compromised kidney function for development and poor healing of diabetic foot ulcers as follows: Poorly controlled blood sugars in diabetic patients over time result in increased production of toxic inflammatory chemicals in the body. Normally functioning kidneys can help eliminate these toxic chemicals and reduce the risk of body’s exposure to them. Compromised renal function can reduce elimination of these inflammatory chemicals, leading to increased accumulation of them [...]