Treatment and Prevention

Leg ulcers for diabetes mellitus require immediate treatment

Diabetes mellitus is a chronic disease in which glucose levels are elevated in a person’s blood. It usually occurs due to malfunction of the pancreas. The body can no longer produce enough insulin, which binds and removes sugar.

Due to prolonged neglect of the disease, a person may experience damage to the cardiovascular system, liver, kidneys, and organs of vision. One of the most dangerous complications can be called leg ulcers in diabetes mellitus.

The reasons

Trophic ulcers appear due to pathological changes in the condition of the skin. Over time, it becomes more rough, flaky, loses its natural turgor and elasticity. Over time, corns and erosions begin to appear on the lower limbs, which are difficult to treat. Long-term neglect of the disease leads to the death of the leg, which will require amputation of the limb.

Ulcers in the legs with diabetes do not occur in a flash - before a person on his skin sees such wounds, a sufficiently long period of time passes.

The greatest danger is diabetes mellitus if it is complicated by atherosclerosis or neuropathy. In this case, trophic ulcers form most quickly.

The reasons for this phenomenon may be:

  1. Gait disturbances;
  2. Elevated blood sugar levels;
  3. Overweight;
  4. Therapy with certain medications;
  5. Lack of physical activity;
  6. Genetic predisposition.

The combination of these factors can significantly accelerate the development of trophic ulcers on the skin. They can occur on both the upper and lower extremities, but most often form on the legs. The emergence of such education is a serious problem for both doctors and patients. Thinned skin will significantly inflame from small wounds or corns.

Manifestations of trophic ulcers in stages

A trophic ulcer in diabetes mellitus already in the initial stages manifests itself as serious symptoms.

Statistics show that 50% of all patients as early as 12 months after the diagnosis of decompensated diabetes have similar complications.

They can be divided into the following stages:

  • Pretrophic - visible manifestations of trophic ulcers on the skin yet. A person complains of reduced sensitivity, constant pressure and change in temperature of the skin. This is accompanied by persistent pain in the legs, swelling, itching and burning sensation. At night, patients regularly have serious convulsions, skin color can change.
  • Initial manifestations - visible trophic ulcer is still missing. On the skin there are numerous cracks, abrasions, erosion. Such formations do not heal for a long time, they are constantly increasing and deepening.
  • Deployed manifestations - the first trophic ulcers appear. The skin begins to break down, there are bloody discharge. All this is complicated by bacterial or fungal infection. The ulcer constantly increases, small damages can unite among themselves.
  • Progression - trophic ulcers in diabetes mellitus become infected with an abscess. A person has a serious pain, there are signs of poisoning of the body: chills, weakness, high body temperature. The discomfort is permanent, as the nerve endings are damaged.
  • Wet gangrene - the extinction of the limb. It becomes dark, it smells unpleasant, it hurts. Such a state threatens human life and health.

Diagnostic methods

Diagnose trophic ulcers in diabetes is quite simple. First of all, the specialist will check with the patient about the symptoms as well as the manifestations of the disease.

After this, the following studies are appointed:

  1. General and biochemical blood test;
  2. General urine analysis;
  3. An examination of the contents of the ulcer;
  4. X-ray;
  5. Magnetic resonance therapy;
  6. CT scan;
  7. Doppler examination;
  8. Angiographic examination.

Treatment methods

To get rid of trophic ulcers in diabetes, it is necessary to strictly adhere to all doctor's prescriptions. He will be able to choose the most effective individualized pattern of exposure. Before proceeding to any impacts, an extended diagnosis is carried out.

Treatment of trophic ulcers in diabetes may include:

  • Taking medication;
  • Physiotherapy;
  • Surgical intervention.

Medication Therapy

Drug treatment is the most common way to influence trophic ulcers in diabetes mellitus. With an integrated approach, it normalizes blood circulation, and also significantly speeds up the healing process.

Usually, doctors are prescribed the following groups of drugs:

  • Antibiotics - prevent bacterial infection.
  • Anti-inflammatory drugs - relieve acute pain in the lower extremities.
  • Desensitizing agents - reduces the poisoning effect on the body.
  • Antiplatelet agents - thin the blood, which does not allow the disease to progress.

It is very important to ensure proper care of the skin. For this purpose, antiseptic solutions, sorbing dressings and healing creams or ointments are used.

After weeping wounds heal, means are assigned to restore blood circulation. These include Solkoserial, Actovegin, Tocopherol - drugs are selected individually.


Physiotherapy procedures are a highly effective way to combat trophic ulcers from diabetes. They help to improve the condition of the skin, accelerate the healing of wounds. Doctors prescribe such events to all patients with advanced diabetes mellitus to prevent such complications.

The following procedures are usually performed:

  • Laser therapy - exposure to blood vessels with rays of different lengths. They kill the clogged ones, due to which the blood circulation is normalized. Also, the laser stops the degenerative processes.
  • Phototherapy is a phenomenon in which flashes of light affect trophic ulcers. They disinfect, which stops the development of pathogenic processes.
  • Ultrasound - normalizes blood circulation in the tissues damaged by diabetes.
  • Magnetic therapy - eliminates stagnation.


Surgical treatment of trophic ulcers in diabetes mellitus is prescribed in exceptional cases, when serious complications have already occurred. Most commonly prescribed vacuum therapy, which helps restore blood circulation. The procedure eliminates pus accumulated in the wound, relieves swelling.

They can also prescribe a virtual amputation - an intervention in which the excision of the metatarsal bone and joint occurs.

Traditional methods of treatment

At the initial stages, it will be possible to get rid of the manifestations of trophic leg ulcers using traditional medicine methods. Consider that replacing them with qualified treatment is strictly prohibited - you paint cause serious complications.

The main purpose of the use of such funds is the normalization of glucose in the blood, as well as the restoration of damaged skin. It is best to apply traditional medicine in combination with traditional.

The most popular recipes are:

  1. Take 100 grams of calamus swamp and fill it with a liter of boiling water. Keep on low heat for 2 hours, then pour into any convenient container. Take a decoction of 50 ml 3 times a day.
  2. Take 200 grams of Iceland moss and fill them with a liter of boiling water. Leave to infuse for 1 day, then put on the fire and simmer for 2 hours. After this time, pour the medicine, use as a base for compresses or lotions.
  3. Perfectly heal the damaged areas will help a mixture of aloe and calendula. Mix these ingredients in equal proportions, then take them in the proportion of 1 tablespoon to 1 liter of water. Make this broth and drink 200 ml during the day.


Trophic leg ulcers with diabetes mellitus is a serious disorder that you can warn. Try to adhere to special preventive measures - they will help reduce the risk of a lesion or reduce their negative manifestations.

To prevent the appearance of trophic leg ulcers in diabetes, follow these rules:

  • Eat right - reducing blood sugar levels has a beneficial effect on the state of the body;
  • Regularly douche with cold water - increases the tone of blood vessels;
  • Take vitamin complexes once every six months;
  • Take special absorbable drugs - stop the degenerative processes;
  • Timely treat any wounds on the legs;
  • Every day, treat your feet skin with antiseptic solutions.

The greatest importance in preventing the occurrence of trophic leg ulcers in diabetes mellitus has proper nutrition. With its help it is possible to normalize the work of the circulatory system.


Ensure that your diet contains as many vitamins A, C, and E. As possible, these substances have a powerful regenerating effect that helps restore damaged tissue.

Cabbage, citrus fruits, currants, nuts, dairy products and vegetable oils should be present in your diet. Prefer low-calorie meals with a low glycemic index - excess sugar will only accelerate degenerative processes.

Watch the video: Diabetic Foot Ulcers 101 (September 2019).