I have a question regarding my school project. Basically, my patient has a diabetic foot ulcer (stage III) and we are coming up with interventions to help prevent further damage to her foot. We realize that this patient will probably never have a normal foot again, so our goal is focused on prevention. If this patient were to improve her blood glucose monitoring and correction, would this prevent further damage to her foot ulcer? Or is it too late for this patient to prevent damage to her foot ulcer with blood glucose monitoring? Is good blood sugar control only good for prevention of the foot ulcer in the first place?
(P.S. I'm sorry if this is in the wrong section. I was torn between students and diabetes nurses, but I figured you guys may have more information on the subject.)
(P.P.S. Sources for this would be appreciated. I couldn't find anything about this online but then again it's very hard to find a good keyword to search for this.)
I believe you are on track. Yes the damage is done to the foot, but more tissue damage can occur because of poor BS control. With any diabetic patient BS control is a major key factor to their health. There is a lot of dynamics to the BS control and ulcers, one thing to remember bacteria loves sugar and if patients sugar is sky high its a bacteria playground. Diabetic patients do not heal wounds easily, and a high sugar makes it worse for healing. Patient needs tight glycemic control, meaning sugars needs to be monitored closely and treated aggressively while the wound is trying to heal. I would add daily skin inspection of the ulcer and proper care of the wound. Patient probably has neuropathy from their diabetes and cant feel their extremities or the ulcer for that matter until it was too late. Dont forget patient education as an intervention. Hope this helps.
Last edit by CEBRN on Dec 4, '11
: Reason: more information added