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Diabetic Foot Management in Dubai

Living with diabetes requires vigilant foot care. The term Diabetic Foot refers to foot problems caused by diabetes-related nerve damage (neuropathy) and poor blood circulation (peripheral artery disease). High blood sugar can reduce sensation in the feet and impair healing. Even a minor cut or blister can turn into a serious wound. Without prompt treatment, infections can develop and spread. In severe cases, non-healing sores may lead to tissue damage or amputation. Effective diabetic foot management in Dubai means early detection and comprehensive care. Our vascular surgeons specialize in protecting limbs and restoring health, so patients with diabetes can stay mobile and active.

Symptoms

Diabetic foot problems can start subtly. Watch for warning signs and report them early. Common symptoms include:

  • Non-healing sores or ulcers: Cuts or blisters on the foot or toes that don’t heal within a few days.
  • Pain or burning: Aching, cramping, or burning sensations in the feet or calves, especially when walking or at night.
  • Numbness or tingling: Loss of feeling or a “pins and needles” sensation in the feet (diabetic neuropathy). This can prevent you from noticing injuries.
  • Skin changes: Redness, warmth, swelling, or discoloration of the foot. In advanced cases, skin may turn pale or even black (sign of severe circulation loss).
  • Foot deformities: Changes in foot shape (Charcot foot) or joints due to weakened bones and nerves.
  • Infection signs: Persistent redness, pus, foul odor, or fever associated with a foot wound or ulcer.

Diagnosis of Diabetic Foot

Accurate diagnosis is the first step in effective management. At our Dubai vascular surgery department, we perform a comprehensive evaluation that may include:

  • Foot Examination: Our specialists conduct a detailed foot exam. This includes checking skin integrity, sensation, reflexes, and foot shape. We look for sores, calluses, or deformities, and test how well you feel touch or temperature on your feet.
  • Pulse and Circulation Tests: We measure blood flow using non-invasive tests. An Ankle-Brachial Index (ABI) compares blood pressure in your ankle and arm to detect blockages. Doppler ultrasound scans provide images of blood flow in the leg arteries.
  • Advanced Imaging: When needed, we use CT or MR angiography to visualize blood vessels in detail. These imaging studies pinpoint the location and extent of arterial blockages affecting the feet.
  • Neuropathy Assessment: Specialized instruments can test nerve function and sensation. This helps determine how much nerve damage (neuropathy) may be present.
  • Laboratory Tests: Blood tests check glucose levels, cholesterol, and signs of infection. Managing blood sugar is crucial for healing, so we coordinate with endocrinology specialists to optimize your diabetes control.

Treatment of Diabetic Foot

Treatment for diabetic foot complications is multi-faceted. It aims to restore circulation, heal wounds, and prevent limb loss. Our vascular surgeons work alongside a multi-disciplinary team (including endocrinologists, podiatrists, and wound care specialists) to deliver the best care. Treatment options include:

  • Medication and Lifestyle: We optimize blood sugar and cholesterol levels with medications and diet advice. Controlling diabetes is essential for healing. Patients are guided on foot care routines, including regular foot checks and proper footwear. Smoking cessation is strongly encouraged, as smoking worsens circulation.
  • Wound Care: Non-healing ulcers require advanced wound management. We clean and debride (remove dead tissue) from ulcers to promote healing. Specialty dressings or skin grafts may be used for large wounds. Antibiotics are prescribed for any infection. In some cases, hyperbaric oxygen therapy is offered, as increased oxygen supply can speed up the healing of chronic foot wounds.
  • Endovascular Procedures: For poor circulation, minimally invasive interventions are often first-line. Our vascular surgeons perform:
    • Angioplasty & Stenting: A tiny balloon (angioplasty) is threaded into narrowed arteries and inflated to widen the vessel. A mesh stent may be placed to keep it open. This restores blood flow to the foot and is done through small punctures, shortening recovery time.
    • Thrombectomy: If a blood clot is blocking an artery in the leg or foot, a thrombectomy may be performed. Using catheter-based tools or tiny snares, the clot is physically removed. This quickly reopens the artery and relieves acute ischemia (lack of blood flow).
    • Catheter-Directed Thrombolysis: For certain clots, we use clot-dissolving medication delivered directly to the blockage via a catheter. This targeted therapy can dissolve clots without open surgery. Our team carefully monitors and guides the medication to maximize benefit and minimize risks.
  • Surgical Bypass: In cases of severe arterial disease where endovascular methods aren’t sufficient, traditional surgery may be needed. Our experienced vascular surgeons perform bypass grafting to reroute blood around blocked segments. This creates a new pathway for blood flow to the foot. Bypass surgery can save the limb when other methods fail.
  • Amputation Prevention: Above all, our goal is limb preservation. Through the combination of above therapies, over 90% of threatened limbs can be saved. In rare cases where a toe or part of the foot is severely damaged, a minor amputation might be performed to prevent a more serious spread of infection. Even then, we carefully plan any amputation to maintain as much function as possible, followed by rehabilitation and custom orthotics.

 

Throughout treatment, our team remains closely involved. Patients receive education on wound care and lifestyle. We monitor healing progress with frequent follow-ups. Our clinic offers state-of-the-art facilities like a dedicated wound care center and on-site imaging. This integrated approach gives Dubai’s diabetic patients the best chance of recovery and full mobility.

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Frequently Asked Questions (FAQs)

How can I prevent diabetic foot ulcers?

Good foot hygiene and care are crucial. Check your feet every day for any injuries or color changes. Trim toenails carefully and remove hard skin gently (or have a podiatrist do it). Always wear well-fitting shoes and socks—never go barefoot. Manage your diabetes through diet, exercise, and medication to ensure good circulation and healing ability. See a doctor promptly if you notice any sore, swelling, or redness. Early treatment of small issues prevents ulcers from forming.

Untreated diabetic foot problems can escalate quickly. Persistent ulcers can become deeply infected, potentially leading to abscesses or bone infections (osteomyelitis). Poor circulation means these infections may not heal, risking gangrene (tissue death). The biggest risk is losing part of the foot or leg. Complications can also lead to long-term disability or even life-threatening issues if infection spreads. Early medical care significantly reduces these risks.

Treatment duration varies by severity. Mild cases of neuropathy or minor ulcers may improve in a few weeks with proper care. More serious foot ulcers often require months of wound care and gradual healing. Vascular procedures like angioplasty or thrombectomy are often done in one session, but full recovery and monitoring may take weeks. After surgical bypass, recovery might take several weeks in the hospital and home. Even after healing, ongoing care and check-ups are needed. Think of diabetic foot care as a long-term commitment to prevent recurrence.

Diabetes itself is a chronic condition without a cure, so “curing” diabetic foot issues means managing them effectively. Many foot ulcers and infections can be healed with proper treatment and good blood sugar control. Advanced vascular treatments can restore circulation and save limbs. Patients can live well and have healthy feet, but it requires lifelong vigilance. Our goal is to treat current problems and prevent new ones. With expert care, most patients avoid amputation and maintain foot function.

If you have diabetes, never ignore foot injuries. See a specialist if a cut or sore hasn’t improved in 1-2 weeks. Seek help immediately if you notice spreading redness, swelling, increasing pain, or any sign of infection (like pus or warmth). Also visit a doctor right away for sudden numbness or foot discoloration. Early evaluation by a vascular surgeon can prevent emergencies. They will assess blood flow and tissue health to guide appropriate treatment.

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Article Reviewed by

Dr. Firas David

Specialist Vascular Surgeon

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