Hi everyone, I am newly diagnosed Type 2 and have developed a foot ulcer for which I have been having treatment for months but its not healing as well as it should be. I am overweight and a smoker and I am terrified I am going to lose my toe! It's certainly not at that stage but in my mind I keep going to worse case scenario. I wish I could stop worrying. Has anyone else experienced a toe ulcer and what was the outcome?? Thanks in advance.
Hi Sammy - So sorry you're going through the wars at the moment.
In terms of getting improvements with the ulcer, and your overall health, getting your blood sugars in a good place and ditching the smoking would be my priorities.
I appreciate smoking is an addiction and a tough thing to give up, but when my, then life-long smoker, mother was experiencing issues with blood supply to her feet, her consultant was delighted when (faced with the potential loss of her foot, she managed to give up. His statement was that every time a cigarette is smoked, the peripheral blood vessels shrank (then relaxed again over time), limiting the blood supply getting to the bits needing to be healed. Every single cigarette matters.
I know that's a bit of a horror story, but even as a never, ever smoked person, it stuck with me. (Mum eventually passed away with all her limbs and parts intact.)
Getting your blood sugar in a good place is very important too. Have your team given you any advice on that?
Bringing your weight down would obviously help, but tackling too many things at once can be just overwhelming.
When I was diagnosed with T2, I had luuuurve handles, but not too overweight, but I found as I got my blood sugars down, I trimmed right up, without trying.
Sooooooooo, I'd say a two-pronged approach of smoking cessation and getting a grasp on what you eat and drink.
I would imagine the NHS would help you with smoking cessation; whether patches, mouth spray or whatever, so worthwhile asking.