How to diagnose the diabetic foot care ?
Leg pain and numbness when walking as well as wounds on feet that take more than two weeks to heal are signs of diabetic foot disease. For every patient with suspected diabetic foot disease, family history of the disease and physical check-ups, which are standard diagnostic procedures, are required.
In the cases of asymptomatic, patients who have no symptoms of diabetic foot disease, Ankle Brachial Index (ABI) procedure will be performed. ABI is a procedure to simultaneously measure blood pressure in both ankles and both arms. Blood pressure readings and analysis can predict asymptomatic diabetic foot disease in diabetic patients.The Ankle Brachial Index is one of the most comprehensive and safest procedures to diagnoses peripheral arterial occlusive disease.
Ankle Brachial Index (ABI)
Why is diabetic foot disease need to be treated ?
Diabetic patients do not only suffer from narrowed arteries in the legs but also experience numbness and nerve damages in legs and feet. Since diabetes can damage the nerves, when there is an injury or pressure on the skin of a foot, patients are less likely to feel or notice the pain until severe damage or infection develops. A severe diabetic foot ulcer can be life threatening, and in severe cases even the amputation of a toe, a foot or even the lower leg may not be able to treat infection and necrotic tissue.
Therefore, it is very important that diabetic patients receive proper care and treatment to prevent foot or leg amputations due to severe diabetic complications.
How to treat diabetic foot disease ?
There are several methods to treat patients with diabetic foot disease that is caused by atherosclerosis. Patients with early stage of blockage may begin treatment with medications. Severe cases with heavy plaque formation in artery may need advanced treatments such as transcatheter dilatation and stenting, or more invasive surgery to bypass the narrowed or blocked arteries to increase blood flow to legs.
Why does diabetic foot disease need to be treated with Stenting ?
The advantages of treating patients with blocked arteries by transcatheter dilatation and stenting are its high success rate and its minimally invasive technique that causes less pain and require a shorter recovery compared to bypass surgery.