Early blood-flow checks urged to help prevent diabetic foot amputations

A South Delhi medical meeting highlighted how timely assessment and specialist referral can identify poor circulation behind slow-healing wounds and help preserve limbs.

Diabetic foot problems can become limb-threatening when nerve damage hides injuries and poor circulation slows healing. The National Institute of Diabetes and Digestive and Kidney Diseases explains that unnoticed cuts or blisters may develop into sores and infections, while reduced blood flow makes them harder to heal. Regular checks and prompt medical attention can help identify problems before they worsen.

At a clinical dinner meeting organised by the Indian Medical Association’s South Delhi Branch, vascular surgeon Apurva Srivastava stressed the need for early assessment and referral when diabetic foot wounds raise concerns about blood supply. MedGate Today reported that the meeting was held under the Save the Limb India initiative, with PACE and NoWound by Medvital. Srivastava said: “Diabetic foot complications require early assessment, particularly when nerve damage masks pain or poor circulation affects wound healing. Timely referral helps identify the underlying problem and determine whether vascular intervention is needed. Addressing these factors early can support treatment and help preserve the limb,”

The American Diabetes Association advises that people with diabetes check their feet regularly and seek medical care for problems. It notes that a non-healing ulcer combined with poor circulation may warrant referral to a vascular surgeon. The Society for Vascular Surgery says vascular specialists can assess blood supply and consider options to restore it, including minimally invasive procedures or open bypass surgery, depending on the person’s condition.

Care may also involve reducing pressure on the affected area, controlling infection and treating the wound. International Working Group on the Diabetic Foot guidance supports suitable footwear, attention to early skin problems and integrated care for people at higher risk. At the meeting, M. K. Mudgal, president of the IMA’s South Delhi Branch, said: “Early diagnosis and timely specialist referral are critical to preventing diabetic foot amputations. Regular foot assessments, prompt attention to wounds and timely vascular intervention can help prevent complications and preserve limbs. A coordinated approach involving vascular surgeons, diabetologists and wound-care specialists is equally important for effective treatment,”

The meeting also covered wound-care technologies, including liquid bandages, advanced negative pressure wound therapy and extracellular matrix-based products, according to MedGate Today. The report said Sir Ganga Ram Hospital’s Diabetic Foot Care Centre uses a multidisciplinary approach to treat and prevent ulcers and infections. The American Diabetes Association’s 2026 Standards of Care recommend a comprehensive foot evaluation at least once a year, with more frequent checks for people at increased risk, and support team-based care for ulcers and high-risk feet.

Disclaimer: This content is for informational purposes only and is not intended to be a substitute for professional medical judgment, advice, diagnosis, or treatment.