Patients with diabetic hand rot should be treated with aggressive blood glucose control, infection control, and better nutrition.
Diabetic hand rot is mainly due to poor glycemic control in diabetic patients, resulting in diabetic vasculopathy, which causes inadequate blood supply to the hand, local ischemia, and hypoxia, which can easily lead to local ulceration, infection, and even gangrene when stimulated by trauma and other injuries.
For the treatment of hand rotting in diabetic patients, firstly, blood glucose should be strictly controlled to keep it within the standard range and delay the development of diabetic vasculopathy. The next step should be to actively control the infection. If the patient has a small skin break, the wound or trauma should be changed and cleared regularly, and the secretions from the wound site should be subjected to bacterial culture and drug sensitivity testing, and anti-infective treatment with effective antibiotics.
If the patient has a large and severe wound, deep incision and skin grafting will be given on top of debridement. If the patient has a severe infection that leads to local muscle tissue necrosis and gangrene, amputation therapy is needed if necessary to avoid an expanding, life-threatening infection. In addition, patients should also enhance nutrition, daily low-salt, low-fat, low-sugar, high-quality protein diet.