True impact of diabetic foot ulcers. Nivember 10, 2017

The prognosis for people with an infected diabetic foot ulcer is worse than was previously thought, according to new research. More than half the patients in the research study did not see their ulcer heal over a year -- and one in seven had to have part or all of their foot amputated.
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 The real question is why ulcers developed and how they are treated?
          It is easy to say, it is diabetes. But why diabetics type 1 who were diagnosed as kids, less prone to develop this condition then those of us who was diagnosed as adults?

 The wounds develop because diabetes damages the nerves and blood vessels in the feet. 

If so then simple wrap of my legs would not help to heal my wounds. It does not work in this way.  Yesterday before my man wrapped both my legs, my lungs sounded. After legs were wrapped, sound gone. Wound Care clinic also wrapped my legs, and they started to heal. Why in hospital no one asked wound care specialist or nurse do the job? I was discharged from hospital in the same condition as was admitted. If I did not find the help, today probably I would not have something to wrap. But I do wrap my legs every day, both of them.
        Another point I wish to say, the color of skin getting lighter. It is red, but no longer deep burgundy. Both my legs are dry, no opened wounds. If left unwrapped, both legs star to develop opened wounds. It is not only that but wounds open on the arms, and another parts of my body. Why?
      It is said that it is blood vessels and nerves. I see the problem in edema, water retention. Damage of nerves and blood vessels would not increase weight. But water do the job. Legs, body, all blow up.
        There is pattern in my observation how all going on. At first it is severe headache. I have to take up to ten and even more tablets of Excedrin, just to stop pain from getting over the point 'no-return'.
The headache gone.
        Weight increases dramatically. I do not need to take bathroom scale readings. I simple feel it how difficult for me to walk, to turn, or even sit. Also it is shortness of breath, very dramatic. Do not go to MD, they usually see nothing, just pounds. They Rx diuretics, and if I take it weight go up and up. So odd, I do understand, but I am very good observer.
      With water retention lungs sound, legs are getting wider and wider, and wounds start to show up. At first I did not know about this pattern, so I did not take action right away, so my legs were in very poor condition. But right now I do net let it is happened. I wrap my legs day and night.
        Water start go away. Output increases. Breathing improves. I start easy to move.  I am no longer need 10 Excedrin, so I dropped this tablets for the next time I got headache.  I took 2 in the morning and 2 in the eve, but no more then 2 when there is no headache.
      In hospital first what MD done was:

• insulin injections were dropped down to '0' units, No insulin. 
• I was given diuretics, even I told I do have allergy on diuretics and cannot take them.
• no wrap on my legs. Most time there were no bandage. As soon as dressing was applied it run off my legs, and yellow liquid run all way down from my wounds on my legs. Very easy to get infection. 
• If someone in hospital or in clinic has treatment which suppose to heal our wounds and prevent infection, then it is not in NYC, in Brooklyn.

 Now I stay home and let my man do the job.
At first I try to keep sugar under control. I increased dose of insulin up to 500 units.
 Second, I try to keep my lags wrapped all the time. It is not easy. When water go down, wrap go down too. Also when edema increases then pain unbearable, I have to put wrap off.  Also I do knot know why but when I in bed I do have so severe pain, like all the way down to the bone in fire, burning, flesh are burning. I cannot take it. I take off all wraps. The fire is deeper inside, very deep. It is not possible to touch spot on skin where is the wound would be later developed. The spot is dark, burgundy, and extremely painful. It is not one spot, all of them, regardless how many of them already underdevelopment.
       Yesterday in the eve when wrap was applied I was not able to walk at all, so much pain in both legs. Left leg is more then right. I do not know why it is all the time left side? But it is as it is. Then Pain in right legs started to get easy, and I was in hope that left leg also would get better. It does, still even now it is in pain. I still not able to set any sleep. When I go to bed even right leg start to develop pain. Pain in left leg is not bearable. So, I sit in my study room, and watch video.
      It is not diabetes which lead to amputations. It is wrong treatment of diabetes and ulcers.
     Say me, what all those studies all about? About nothing. Just take into consideration that not every one diabetic develop diabetic foot ulcers. (Really what about hands and arms ulcers?) So why one person developed the problem and another is not?
      Then take a look at the treatment, what are difference between two?
Probably there are the answers?

 By then, one in seven people (17.4 percent) had part or all of their foot amputated. Among the others, less than half (45.5 percent) had seen their ulcer heal. The researchers say the outcomes are worse than previously thought -- a conclusion based on a more accurate statistical analysis of the scale of the problem.

As I see, there is no answer. So, what they were looking for?

Professor Nelson from the Faculty of Medicine and Health said: "Foot ulcers are a very nasty condition. They're painful and are debilitating. People with foot ulcers have limited mobility, and that brings with it a whole set of other risk factors -- obesity and heart disease, for example.

Well, it is easy to see ulcers on foot. Did any of those who studied diabetes ulcers took a look on hart? Ulcers developing not only on foot but on hearts and on any other inner organs. They are the same painful if not more but not visible from outside.

"The key point is that people need to be seen quickly if an ulcer begins to form -- that gives health workers the greatest chance of trying to treat the condition." Dr Michael Backhouse, a podiatrist and Senior Research Fellow at the University of Leeds, said: "The results of our study are important and should help clinicians caring for patients with diabetes to identify those most at risk for poor outcomes so that we can look to provide further support."

 As I said, there is no treatment for this condition, and ulcers never heal. They can be healed, but only temporary. Soon they will return, in worse condition. The key point is, diabetes must be treated, diagnosed, and cured with insulin before diabetic's life style changed so diabetic die or get amputations, really very painful, and also only temporary. After awhile diabetic will die, because of amputation is not solution. Pain still present, never go away, and wound development never stops.    

via Ravenvoron