1. Medication used to treat both infection and Neuropathic Pain
The Diabetic Foot
Medication used to treat both infection and Neuropathic Pain

2. What is a Diabetic Foot The objectives of today…
What are the risks to the foot in a person with diabetes?
Why do we have to be so vigilant of feet in diabetes?
Why are some people on long term Anti-Biotics?
Why do some people have such bad pain and some not feel anything?

3. Causes of a Diabetic Foot Ulcer?
Pressure- Any point on the foot where pressure is applied- from shoes, socks
Ischemia- Peripheral Vascular disease causing bad blood supply
Trauma- Standing on an object, stubbing toe, blister

4. Ischemia

5. Trauma

6. Trauma/Pressure

7. Pressure

8. Long term Antibiotics Wound Infection
How does high blood glucose levels/bad controlled diabetes contribute towards wound infection?
* The wound itself may be infected which is established by taking a swab- the swab will identify the antibiotic it is sensitive to
* You may have heard of some of them- Amoxicillin, Flucloxicillin, Trimethroprim, Co-Amoxiclav, Doxycycline, Metronidazole
* These need to be taken as per the instructions to ensure they work. Anti- biotics are usually taken several times a day
(These are sometimes used for other infections in the body- ie.. Trimethroprim- Urinary tract infections)

9. Long term anti-biotics cont…
Bone infection
* Bone infection is called what? O_____________
How do we find out there is infection in the bone?
What can bone infection lead too?
Why do we take the anti-biotics for so long?
The anti-biotics have to be able to penetrate the bone to eradicate the infection- Some examples of antiobiocs used in osteomyelitis- Co- Amoxiclav, Doxycycline, Ciprofloxacin

10. Medications used in Neuropathic Pain
Standard medications usually used for pain relief , (i.e Paracetamol) do not work on Neuropathic Pain because the pain is caused by the nerve endings dying/being over active due to the bad controlled diabetes
Most of the medications used to treat Neuropathic Pain are primarily prescribed for other health conditions… For example-
You may have heard of some of these- Pregabalin- Anti-epileptic, Amitriptiline- Anti-depressant
Most will be on some kind of opioid based medication like morphine/tramadol as well