Diabetes affects millions of people in Thailand and its growing, and one of the most serious complications is damage to the feet. High blood sugar over time can cause poor circulation and nerve damage, making the feet more vulnerable to cuts, sores, and infections. Without proper care, these issues can lead to serious consequences, including amputation. That’s why early and consistent diabetic foot treatment is crucial.
In many cases, foot problems develop slowly. A person might not feel a small injury due to reduced sensation, and that injury can worsen without them realizing it. In hot and humid conditions like those found across Thailand, infections can progress quickly if wounds aren’t treated properly.
Early Signs That Need Attention
The first sign of trouble is often a small wound that doesn’t heal. People with diabetes should regularly check their feet for blisters, cuts, redness, swelling, or areas that feel unusually warm. Dry skin or cracked heels may not seem serious but can lead to entry points for bacteria if not cared for.
In more advanced cases, people may notice:
- Persistent swelling or discoloration
- Drainage or a foul smell from a sore
- Pain or tenderness when walking
These signs should prompt a visit to a doctor immediately, even if they seem mild.
How Doctors Approach Treatment
Effective care starts with cleaning the wound and removing any dead or infected tissue—a process called debridement. This helps healthy tissue grow and reduces the risk of spreading infection. If the area is infected, antibiotics may be prescribed. In some cases, x-rays or scans are done to check whether the infection has reached the bone.
Doctors may also use special dressings that keep the wound moist and clean while allowing it to heal. In Thailand, clinics treating diabetic foot ulcers often follow international guidelines but adjust for the local environment, where heat and moisture can increase the risk of bacterial growth.
Pressure Management and Supportive Care
Reducing pressure on the affected area is a key part of healing. Walking on a wound slows recovery and can worsen damage. Doctors might recommend special footwear, insoles, or braces to offload pressure. In severe cases, patients may be advised to avoid walking entirely until healing begins.
Education plays a major role in ongoing care. Patients are often taught how to clean their feet at home, how to bandage wounds correctly, and what warning signs to watch for. Thai hospitals frequently involve family members in this process to ensure patients get consistent support.
Preventing Future Complications
Once a wound has healed, the focus shifts to prevention. People who’ve had a diabetic foot ulcer are more likely to develop another, so ongoing attention is necessary. This includes routine foot exams, blood sugar management, and choosing shoes that protect the feet.
Helpful habits include:
- Washing feet daily with lukewarm water and drying thoroughly
- Moisturising to prevent cracks, but avoiding lotion between toes
- Trimming nails carefully and avoiding sharp tools
Avoiding walking barefoot, even indoors, is especially important in preventing new injuries.
Long-Term Outlook
With the right treatment and regular care, most diabetic foot problems can be managed before they become serious. Thailand’s growing focus on community-based healthcare means more people are gaining access to the information and support they need.
The earlier a foot issue is spotted, the easier it is to treat. Paying attention to even small changes can help prevent infections and preserve mobility. For people living with diabetes, healthy feet start with daily habits and quick responses when something doesn’t look right.
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