The most common treatments for diabetic foot ulcers include avoiding walking, which applies extra pressure to the area, and using protective footwear such as diabetic shoes, casts, braces, bandages and inserts, as Healthline explains. As soon as even a small sore appears, apply a triple antibiotic cream and loose gauze, and visit a wound center within a week, as WebMD advises. Additionally, a doctor may clean the affected area and take a culture in a process known as debridement.
Removing pressure from diabetic foot ulcers is called “off-loading,” according to the American Podiatric Medical Association. Compression wraps as well as corn and callus prevention tools can help alleviate pressure, according to Healthline. Custom boots, such as the Air Calf Boot or Cam Walker, encourage healing and greatly reduce the possibility of needing amputation, notes WebMD.
If infected, diabetic food ulcers need immediate attention, as Healthline claims, but treatments vary. A doctor decides if antibiotics are needed and whether an X-ray is necessary to determine if infection is in the bones. To prevent an infection, use foot baths, disinfectants, enzymes and fresh dressings, which may or may not have antimicrobial agents such as calcium alginates.
The American Podiatric Medical Association advises that regulating blood sugar levels is very important in the treatment of diabetic foot ulcers. Avoiding smoking, alcohol and high cholesterol is as equally important as wearing the right socks and choosing the right shoes with the help of a podiatrist.