Several factors contribute to the development of diabetic ulcers:
1. Hyperglycemia: High blood sugar levels can damage blood vessels and nerves, impairing the body's ability to heal wounds.
2. Peripheral Artery Disease (PAD): Diabetic patients often suffer from PAD, where narrowed blood vessels reduce blood flow to the extremities, exacerbating ulcer formation.
3. Neuropathy: Loss of sensation due to neuropathy can lead to unnoticed injuries, which can then develop into ulcers.
4. Infection: Diabetic patients are more susceptible to infections, which can worsen and prolong the ulcer healing process.
