Patient/caregiver were instructed on the contribution of chronic severe alcoholism for development and poor healing of diabetic foot ulcers as follows: Chronic alcoholism is considered to be a potential risk factor for increased insulin resistance and incidence of type 2 diabetes mellitus. Continued excessive alcohol intake in diabetic individuals can worsen the insulin resistance further and lead to poorly managed blood sugars. Poorly controlled blood sugars in diabetic patients over time result in increased production [...]

Patient/caregiver were instructed on the contribution of poor fitting footwear for development and poor healing of diabetic foot ulcers as follows: Various mechanical forces acting on the feet of poorly managed diabetics, such as, shearing stress, friction, and compression due to the weight contribute significantly to risk for skin integrity. Coexisting neuropathy in these individuals can result in compromised nerve supply to the numerous small intrinsic muscles in the foot, which control the action of [...]

Patient/caregiver were instructed on the contribution of uncontrolled chronic smoking 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. Rich blood supply delivering fair amounts of [...]

Patient/caregiver were instructed on the contribution of peripheral vascular  disease 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. Rich blood supply delivering fair amounts of [...]

Patient/caregiver were instructed on the contribution of poorly controlled diabetes 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 [...]