Pressure Ulcers (also called Bedsores, Decubitus Ulcers), Diabetic Ulcers, Vascular Ulcers, and Xerosis

Diabetic Ulcers: Classification

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Diabetic ulcers are a severe complication of diabetes that can lead to amputation and even death. In this article post, we will shed light on the classification of diabetic ulcers so that you can better understand the treatment options available.

There are three types of diabetic ulcers: neuropathic, ischemic, and vasculitic. Each type has its own characteristics and treatment options. Let’s take a closer look at each type.

Neuropathic Diabetic ulcers

Neuropathic diabetic ulcers are one of the most severe complications of diabetes. They are caused by damage to the nerves that control blood flow and sensation in the feet. This can lead to an absence of feeling in the feet, making it difficult to detect early signs of injury or infection. If left untreated, neuropathic ulcers can become infected and lead to amputation.

Early detection and treatment are mandatory for preventing this complication. There are several ways to monitor for neuropathic ulcers. Checking your feet regularly for hot spots, redness, or open wounds is essential. You should also see your doctor or podiatrist if you develop any new foot pain or changes in sensation.

Treatment typically involves wound care and off-loading pressure from the ulcer site. Surgery may sometimes be necessary to remove dead tissue or repair damage to nerves or blood vessels. With proper treatment, most neuropathic ulcers will heal and prevent further complications.

Ischemic diabetic ulcers

Ischemic type diabetic ulcers are a severe complication of diabetes. They can lead to amputation of the affected limb if left untreated. A lack of blood flow causes these ulcers to the area and typically occur on the feet or lower legs. Symptoms include pain, redness, and swelling. You must see a doctor immediately if you develop any of these symptoms.

Treatment typically involves improving blood circulation to the area and keeping the wound clean and free from infection. In severe cases, surgery may be necessary to remove dead tissue. With prompt treatment, ischemic type diabetic ulcers can be successfully healed without resulting in amputation.

Vasculitic diabetic ulcers

One type of diabetic ulcer is vasculitis, which occurs when the blood vessels become inflamed. This can cause the vessels to narrow, making it difficult for blood to flow correctly. As a result, the tissue around the ulcer can become starved of oxygen and nutrients, leading to tissue death.

Treatment for vasculitis usually involves corticosteroids or immunosuppressive drugs, which can help to reduce inflammation. In some cases, surgery may also be necessary to repair damage to the blood vessels. Although diabetic ulcers can be painful and difficult to treat, prompt and aggressive treatment is often successful in healing the ulcer and preventing further complications.

Prevention of diabetic ulcers

Diabetic ulcers are a severe complication of diabetes, leading to amputation or even death. Therefore, it is crucial to take steps to prevent them. The most important thing you can do is control your blood sugar levels. This will help reduce the risk of nerve damage and poor circulation, which can contribute to the development of ulcers.

Furthermore, it would be best if you took care to protect your feet from injury. Wear shoes that fit well and avoid walking barefoot. If you develop a cut or blister, see your doctor immediately so it can be appropriately treated. By taking these precautions, you can help to prevent diabetic ulcers and keep your feet healthy.


  1. FRYKBERG, R. G. (2002). Diabetic Foot Ulcers: Pathogenesis and Management. American Family Physician, 66(9), 1655–1663.

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