SRIKORN JINADIT, M.D.
Internal Medicine, Endocrinologist
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Complications resulting from diabetes can have a significant impact on patients, especially if left untreated or neglected. In some cases, amputation may be required to prevent the spread of infection. Therefore, it is essential to raise awareness of warning signs, appropriate dietary habits, preventive strategies, and available treatment options in a healthcare setting. Ramkhamhaeng Hospital is here to help patients better manage their conditions and ease their concerns.
Detecting diabetic wounds is not difficult; however, many patients do not realize they have a wound, particularly on the feet, until the wound becomes inflamed or pus begins to drain. It is important for diabetic patients to regularly monitor their body for any abnormal symptoms to prevent serious complications that may lead to limb loss. Key signs to look out for include:
Discoloration, especially on the toes or soles, may occur, often appearing darker due to poor blood circulation or blocked blood vessels.
Hair loss on the arms, toes, or shins may be a sign of insufficient blood flow, which impairs hair follicle function.
Itching without visible lesions may result from dry skin, a common issue in diabetics. In some cases, patients may also notice thickened or cracked nails, which can lead to pressure wounds or ingrown toenails.
Numbness or burning in the hands or feet, sometimes accompanied by localized swelling or elevated skin temperature, may be due to fluid retention caused by poor circulation.
Pus discharge may be a sign of infection. Patients may first notice a foul-smelling fluid seeping from the skin. If such symptoms occur, prompt medical attention is necessary to prevent tissue death or potential amputation.
Proper nutrition is essential to prevent the worsening of diabetic wounds. Diabetic patients should aim to consume a balanced diet from all five food groups, with a focus on low-starch vegetables, high-fiber carbohydrates, and lean protein sources to maintain stable blood glucose levels. Recommended foods include:
Help regulate blood sugar levels and slow glucose absorption. They also reduce the risk of related conditions such as heart disease, hypertension, stroke, and some cancers.
Recommended at least three times per week. Both freshwater and saltwater fish are good sources of lean protein and omega-3 fatty acids, which support heart health.
Examples include barley, brown rice, quinoa, and oats. These grains are rich in fiber and phytonutrients that improve insulin sensitivity and enhance glucose metabolism.
Low in sugar and high in fiber and antioxidants. Research suggests berries can help regulate and limit blood glucose levels.
Rich in healthy fats and nutrients, avocados help maintain satiety and may lower blood sugar levels. Diabetic patients are advised to consume half an avocado per day.
Aids in reducing glucose absorption in the intestines and helps stabilize post-meal blood sugar levels. Green tea is a zero-calorie, sugar-free beverage, though patients should moderate their caffeine intake.
A complex carbohydrate with a low glycemic index and high fiber content, brown rice slows the rise of blood sugar and is more suitable than white rice for diabetics.
If you have a chronic or inflamed wound on your foot, do not ignore it. Such wounds can lead to serious consequences. Seek timely medical care for accurate diagnosis and treatment from our experienced team of specialists at the Diabetic Wound Care Center, Ramkhamhaeng Hospital.
Internal Medicine, Endocrinologist
Internal Medicine, Endocrinologist
Internal Medicine, Endocrinology