There are many questions surrounding diabetic wound care and treatment. Especially as it relates to diabetic wound care of the foot. Dr. Natalie Domek with Podiatry of Palatine specializes in diabetic wound care of the foot and has provided some information to help keep you informed and on your feet.

  • According to the American Diabetes Association the incidence of diabetes in the United States is 11.6%

  • 34% of diabetics will develop a foot ulceration
  • After healing a diabetic foot ulceration the reoccurrence rate is 40% in the first year alone

Treatment options:

  • Wound debridement (in office vs in surgery)
  • Antibiotic therapy (if indicated)
  • X-rays to rule out underlying bone infection
  • Lab work to determine if there is any underlying reasons why the wound may not be healing (i.e. low albumin, high HbA1c, high CRP or ESR levels)
  • Peripheral Arterial disease workup…. Do you have enough blood flow to heal your wound
  • Offloading – total contact casting vs surgical shoe vs CAM boot vs offloading pads vs diabetic inserts
  • Home health orders for dressing changes

  • Edema (swelling control)

    • Unna boot wraps
    • Lymphedema pumps
  • Advanced wound care products

    • Collagen products

  • Skin substitute products

    We will work with your insurance carrier to obtain prior authorization for cellular tissue products to accelerate wound healing.

For more on diabetic wound care and complications also see: Podiatry of Palatine Diabetic Wound Care Services