What’s Behind that Non-Healing Wound? | Living with Diabetes

non-healing wound

A non-healing wound that lingers can be annoying, but it should also be cause for great concern — especially if you have diabetes or are in the early steps of developing the disease. Chronic non-healing wounds, especially those that won’t heal within three months, can impact you more frequently and more significantly.

According to the Centers for Disease Control & Prevention, chronic wounds affect approximately 5.7 million adults, leading to nearly $20 billion in medical care costs. Knowing why these long-lasting sores develop can not only improve your health, but it could also reduce your medical expenses.

How Diabetes Puts You at Risk with a Non-Healing Wound

Diabetes does increase the likelihood that you’ll develop a chronic wound at some point. These sores frequently start small, such as a small pimple or scratch. However, even after repeatedly scabbing over, they won’t heal. If you notice this type of wound, contact your doctor for medical attention immediately.

According to the Cleveland Clinic, there are three factors that increase your risk for developing a chronic wound:

  1. Neuropathy: Having limited feeling in your feet makes it harder to notice any small cuts or trauma to your feet. This increases your infection risk and can lead to a chronic wound.
  2. Poor blood flow: Poor circulation limits how well your blood can bring the cells to your wound that can increase your likelihood of healing.
  3. Infection: With diabetes, it’s harder for you to fight off infection. If your wound becomes infected, it could progressively worsen, putting you at risk for amputation.


Reducing Your Risk with Non-Healing Wounds

Although having diabetes makes you more vulnerable to chronic wounds, you can take steps to decrease your chances or bolster your healing abilities.

  • Proper footwear: Choose properly-fitted shoes that won’t create sores on your feet. Avoid pointed-toe shoes or ones that are too flat or high heels because they make it harder to distribute your foot pressure. Soft insole leather, canvas, or suede shoes will let your feet breathe, and laces, buckles, or Velcro will make adjusting shoes easier.
  • Manicure your toenails: Be sure to keep your toenails cut short. Longer nails put you at risk for scratches you might not be able to feel. Visit a podiatrist for foot care.
  • Control your blood sugar level: Actively monitor your glucose. If you’re pre-diabetic, make healthy food choices and exercise to control your weight and blood sugar levels. Your doctor could conduct an A1C test, measuring the percent of blood sugar attached to your red blood cells, to determine your blood sugar level over the past 2-3 months.
  • Eat well: Stay hydrated, and eat complex carbohydrates that help control your blood sugar, such as whole grains and vegetables. Also, be sure to eat enough protein because it supports new cell and tissue growth needed for wound healing. Chicken, fish, turkey, eggs, yogurt, peanut butter, and cheese are good options. Limiting your fat intake can also improve your immune system.

Ultimately, you need to take a chronic wound seriously. Don’t delay treatment — see your doctor or contact the Amputation Prevention Centers of America as soon as you notice a non-healing wound or sore.