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Diabetic foot management in David, Chiriquí, Panama

Summary

Diabetic foot refers to ulcers, infections and lesions of the foot caused by nerve and circulation damage in people with diabetes. Timely treatment — surgical cleaning (debridement), infection control and pressure offloading — prevents amputations. In David, Chiriquí, Panama, Dr. Daniel Carreira takes part in its comprehensive management.

Also known as: diabetic ulcerdiabetic foot infectiondebridementamputation prevention

Warning signs

  • A foot wound or ulcer that has not healed in 2 weeks.
  • Redness, warmth, swelling, bad odor or discharge.
  • Toes changing color (purple or black).
  • Fever or uncontrolled glucose together with a foot lesion.

How it is managed

  1. Assessment of the wound, circulation and foot sensation.
  2. Debridement: removal of dead or infected tissue so the wound can heal.
  3. Targeted antibiotics, wound care and pressure offloading.
  4. Teamwork with internal medicine, endocrinology and vascular surgery to control diabetes and circulation.

Keys to treatment

Glucose control
Essential
Wound care
Frequent and supervised
Footwear
Proper offloading shoes
Daily check
Both feet

Warning signsAn infected foot wound in a person with diabetes is an emergency. Seek care the same day if there is fever, bad odor or color change.

Frequently asked questions

Can amputation be avoided?

In many cases yes, if the lesion is treated early. That is why it is key to seek care for any wound that does not heal.

How can I prevent diabetic foot problems?

Keep glucose under control, check your feet daily, wear comfortable closed shoes and never walk barefoot.

Information on this site is educational and does not replace a medical consultation. In an emergency, go to the nearest emergency room.