Ulcers can form due to a combination of factors such as poor circulation, lack of feeling, foot deformities, irritation and trauma. Patients who have diabetes for years can develop neuropathy, a reduced or complete lack of feeling in feet. The patient may no longer feel pain, heat, or cold in their feet, which means they may not notice if a wound develops. Dr. Diaram can test your feet for neuropathy with a simple and painless tool called a monofilament.

Peripheral artery disease (PAD) may occur when arteries harden due to diabetes-damaged blood vessels. The hardened arteries, known as ischemia, restrict blood flow. This increases the risk of developing ulcers and decreases the body’s natural healing abilities.