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 [...]

Patient/caregiver were instructed on the contribution of poorly controlled atherosclerosis for development and poor healing of diabetic foot ulcers as follows: Atherosclerosis is increased deposition of fats and cholesterol on the inner walls of the blood vessels.  Poorly controlled blood sugars in diabetic individuals also is a strong factor contributing to increased atherosclerosis. Excessive deposition of fats and cholesterol progressively close down the lumen of involved blood vessels and reduce blood flow through them. Poorly [...]

Patient/caregiver were instructed on the contribution of poorly controlled hypertension 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. Chronic exposure of the nerve tissue to these inflammatory chemicals lead to progressive damage to the nerves and impair the ability of nerves to communicate various signals. This results in compromise of an individual’s [...]

Patient/caregiver were instructed on the contribution of obesity for development and poor healing of diabetic foot ulcers as follows: Increased resistance to action of insulin in diabetic patients can lead to impaired glucose transport from blood into the cells, contributing to elevated and poorly controlled blood sugars. Over time, poorly controlled blood sugars can lead to excess deposition of visceral fat, poorly regulated body mass index (BMI), and obesity. Excess visceral fat in obese individuals [...]