How to check diabetic ulcers

DEAR DR. GOTT: I am a 79-year-old female diabetic. I have an open wound on my heel that I am told is because I have lost the fat cushion there. How did this happen, and how can I prevent it from happening to the other foot?

DEAR READER: I believe you are suffering from a diabetic ulcer. Poorly controlled or uncontrolled diabetes can lead to nerve disorders, typically of the hands and feet. When nerves are compromised, feeling is limited, and ulcers result when an area is traumatized repeatedly. You may benefit from seeing a general surgeon, who can debride and treat the wound. Prevention is possible only by bringing the diabetes under control and being vigilant about checking for sores or red areas that could signify a problem.
To provide related information, I am sending you a copy of my Health Report, “Diabetes Mellitus.� Other readers who would like a copy should send a self-addressed stamped No. 10 envelope and a check or money order for $2 to Newsletter, PO Box 167, Wickliffe, OH 44092. Be sure to mention the title.

Peter Gott practiced medicine in Lakeville for 40 years.

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