Diabetic Foot Ulcers.

Diabetes quiets the nerves and narrows the vessels, so a foot ulcer can grow for weeks before it hurts. By the time a family notices drainage in a sock, the wound is often deeper than it looks. We treat every diabetic foot ulcer as a limb preservation case from the first visit: measurement every time, debridement when appropriate, offloading that fits the person's actual life, and early escalation to podiatry or vascular partners the moment the wound asks for more.

Because glucose control decides healing, the same team can manage the diabetes itself, insulin, medications, and monitoring, in the same visit pattern. The wound and the reason for the wound get treated together.

Any open area, blister, or dark spot on a foot with diabetes. Drainage on socks. Warmth, swelling, or redness spreading up the foot. If the person has been told to keep an eye on it, that is the moment to call, not later.