Why diabetic foot is difficult to heal and what exactly to do

  Many patients encounter the situation that the foot wound infection is slow to grow, in fact, this is mainly related to the pathogenesis of the diabetic foot and the treatment method. Diabetic foot is mostly due to the impact of diabetes, blood vessels, nerves and tissues are not handy, and high blood sugar itself will also have a complex impact on the wound cells, all of which will lead to delayed wound healing.  In fact, as long as the cause is identified and a comprehensive treatment plan is developed, the wound can be healed quickly. For example, correcting blood sugar, blood pressure, blood lipids and metabolism, timely debridement and infection control for infected wounds, timely nutrition for those with low protein, routine treatment for those with cardiovascular and cerebrovascular diseases, and so on, can heal wounds as soon as possible by formulating a targeted treatment plan for each possible cause.  Unfortunately, most of the current treatment is only on a certain or part of the cause, some doctors just do their best to lower blood sugar, thinking that only the blood sugar down the wound will naturally heal; some doctors focus on controlling infection, not hesitating to use a large number or a variety of antibiotics; some patients with lower extremity vascular occlusion, often in vascular surgery to do stents, the result is done after a few days and then relapse; some patients with neurological dysfunction. Feeling particularly painful, they underwent nerve release surgery, resulting in new injuries before the old ones were healed —— and so on, all of which were targeted at a certain aspect of treatment, without comprehensive treatment leading to long-lasting trauma.  It has been proven that the treatment of diabetic foot is very complex, not a single treatment can be done, especially the need for multidisciplinary joint diagnosis and treatment model comprehensive treatment: for hyperglycemia, need to strengthen blood sugar control, but also to control blood pressure, lipids and correct metabolism; for patients with serious infection, need to do bacterial culture as soon as possible, if necessary to choose the appropriate antibiotics to control infection; necrotic tissue also need to do debridement. nibbling debridement, each time before the change of medicine should be debridement according to the wound; lower limb ischemia can be treated with a combination of Chinese and Western medicine for peripheral vascular disease, but also with Chinese herbal oil massage to improve circulation; many patients also combined with heart, brain and kidney disease, nephropathy, etc., all need synergistic treatment; many patients affected by long-term disease, will lead to malnutrition, at this time must strengthen nutritional support; patients should be more active, this is also This is also a mandatory requirement, because many people worry that gangrene is not suitable for exercise, in fact, more activity is conducive to complete debridement and drainage, conducive to blood sugar control, and improve the healing speed of the wound; psychotherapy is also indispensable, because many patients have lost confidence in despair, the support of everyone will increase the patient’s confidence in treatment and further cooperation with treatment.  Of course, these are only most of the work that needs to be done. In practice, it is necessary to develop a personalized treatment plan according to the situation of each patient, instead of using it rigidly, to learn to adapt, the treatment plan is not set in stone, and the requirements are different at different times. We recommend that you visit a specialist experienced in treating diabetic foot, so that you can avoid problems with the process and allow the trauma to heal as soon as possible.