Diabetes, Diabetes: Hypertension and diabetes: Can it cause leg ulcers? – This is how hypertension and diabetes become the reason for foot ulcers

Hypertension along with diabetes can cause and worsen leg ulcers. Consultant, Diabetologist and Endocrinologist on the relationship between high blood pressure, diabetes and leg ulcers
Dr. Arpan Bhattacharya (MD (Med), DNB (Med), DM (Endo), MRCP (UK), CCST (Internal Medicine, Endocrinology – UK), FRCP (Edin)) speaking.
Hypertension, also known as high blood pressure, is a condition where the blood in your body flows through your arteries at a higher pressure than normal. This puts undue pressure on your organs and the walls of those blood vessels.
In general, if your blood pressure is above 120/80 mm Hg, you have hypertension. If the blood sugar level is high, diabetes is constant. With type 2 diabetes, your body either does not produce enough insulin, or is resistant to it. This causes glucose to build up in your blood.

How is diabetes diagnosed?
Normal blood glucose is less than 100 mg before eating in the morning. There are four ways to diagnose diabetes. Urine glucose is unreliable for diagnosis.

  1. A blood glucose level of more than 200mg at any time of the day is a sign of diabetes.
  2. If there are no symptoms, a thorough examination is essential.
  3. If diabetes is suspected, a glucose tolerance test can be performed by administering a glucose drink.
  4. HbA1C, average control over the last 3 months, diabetes – normal <5.7, pre-diabetes 5.7 - 6.3, diabetes 6.4 or more can also be determined.

Hypertension is a condition that occurs with diabetes. The risk of developing the disease also increases significantly. Studies have found that keeping blood pressure under control significantly reduces the risk of macrovascular (large blood vessels) and microvascular (small blood vessels) complications.

Also read: Diabetes: Here are some sugar substitutes that people with diabetes can use…

How are hypertension, diabetes and leg ulcers related?

Hypertension increases the risk of damage to blood vessels in the body and can lead to peripheral artery disease. Peripheral vascular disease is a condition commonly seen in people with diabetes. It is one of the main causes of foot ulcers in people with diabetes.

This condition reduces the oxygen and nutrients that are delivered to your feet, and can lead to the formation of ulcers in cellular detoxification (where your body’s cells eliminate toxins) in the feet.
In addition, blood pressure greater than 130/80 mmHg can damage the endothelium and lead to ulcers. It occurs especially in the feet of diabetic patients. There may be a common association between arterial atherosclerosis.

  1. How to reduce foot ulcers in diabetic patients
  2. If you pay attention to certain things, you can prevent the formation of wounds on the feet of diabetic patients.
  3. Control your blood sugar levels
  4. Control your blood pressure well
  5. Stop smoking and drinking
  6. Control high cholesterol levels
  7. Wear the right type of shoes and socks
  8. Check your feet during your regular medical check-ups, especially when you visit your doctor
  9. Cut the nails carefully to avoid cuts

All of these will go a long way to reducing the risk of foot injury.

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