Published on: 2025-10-16 | Written by: Dr. Najib AlAskari Head of the Department
Diabetic foot is one of the most serious complications of diabetes, as it can lead to severe infections, ulcers, and in advanced cases, gangrene if not treated early. Professor Dr. Naguib Al-Askary, Professor and Head of the Department of Vascular Surgery, Diabetic Foot, and Catheterization at the Faculty of Medicine, Alexandria University, emphasizes that early diagnosis and treatment are the key to preventing severe complications and protecting the patient from limb loss.
Professor Dr. Naguib Al-Askary explains that diabetic foot occurs due to poor peripheral circulation and nerve damage caused by prolonged high blood sugar levels. This results in a loss of sensation in the feet, making minor wounds go unnoticed and develop into severe infections.
Dr. Naguib Al-Askary confirms that neglecting regular foot examinations, wearing tight shoes, or walking barefoot are among the main factors that worsen the condition and increase the risk of infection or amputation.
Professor Dr. Naguib Al-Askary stresses that early diagnosis of diabetic foot depends on a detailed examination of blood circulation and nerves, along with careful assessment of wounds and ulcers to determine the severity of the condition.
Dr. Naguib Al-Askary explains that using Doppler ultrasound to assess the arteries helps detect any narrowing or blockage, guiding the best treatment plan for each patient.
Professor Dr. Naguib Al-Askary confirms that treatment varies depending on the case and may include:
Cleaning wounds and removing dead tissue to prevent infection.
Using antibiotics and maintaining strict blood sugar control.
Improving blood flow to the foot through balloon angioplasty and stent placement in cases of arterial blockage.
Using interventional catheterization as a safe and minimally invasive alternative to surgery in many cases.
Dr. Naguib Al-Askary emphasizes the importance of daily foot care, continuous wound monitoring until complete healing, and wearing medical shoes that reduce pressure on weak or affected areas.
Professor Dr. Naguib Al-Askary warns that prevention starts with precise blood sugar control and daily foot inspection to detect any early injuries or changes.
Dr. Naguib Al-Askary explains that light physical activity, quitting smoking, and following a healthy diet improve blood circulation and reduce the risk of ulcers or amputation.