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Learn about diabetic foot ulcers, a common and costly complication of diabetes that often leads to lower limb amputation, and the role peripheral arterial disease (PAD) plays in its development and severity. Dr. Edward Boyko and Dr. Matilde Monteiro-Soares are co-authors of the chapter, “Peripheral Arterial Disease, Foot Ulcers, Lower Extremity Amputations, and Diabetes,” in the NIDDK publication Diabetes in America, 3rd Edition. Here, they discuss how health care professionals can diagnose PAD and prevent foot complications in patients with diabetes. Q: What are diabetic foot ulcers? How are diabetes, PAD, and foot ulcers related? Dr. Monteiro-Soares: There’s still some debate about a specific definition for diabetic foot ulcers. However, experts agree that a diabetic foot ulcer is a break in the skin that must involve at least the epidermis and a part of the dermis, but it can reach more deeply to tendons or even bone. A diabetic foot ulcer may occur anyw ....
The diabetic foot ulcer that cost Otis Dahmer one of his little toes began with what appeared to be nothing more than dry, flaking skin. Not being “much of a moisturizer guy,” Dahmer said, he didn’t give the skin much attention. He kept working on his feet, 10 or 11 hours a day, as a union electrician on an out-of-state job. He later noticed an open spot, like a sore, wasn’t healing. Dahmer, (pronounced day-mer), figured the location made it hard to heal, His feet aren’t too sensitive to pain, so he put off seeing a doctor. “I probably went three weeks, until I couldn’t walk on it anymore,” he said. ....