I haven’t posted for awhile, because I fell into the roughly 5% camp that gets an infection from the surgery. Hopefully, my comments will help others that fall into the same category as me.
Diabetes and and ATR
I have been a Type 2 diabetic for about 5 years now and to be honest, I haven’t really seen it affect me until this ATR. No extra pain, nothing that limits physical activity, and no visible signs of effects. Yea my doctor does a blood draw every 3 months and the lab comes back with a number that has been “good” for a diabetic most of the time. There are very few instances where I have been physically affected until now. Even my blood sugar has been high the majority of the time there are no indicators to let me know that unless I do a blood test.
At my 6 week post-op meeting, my orthopedic sturgeon saw that I had gotten an infection and that had opened up a wound about the size of my pinky fingernail. 10 weeks and various different treatments later and that wound is yet to close. For the past 8 weeks, I have pretty much heard the one more week story. I am optimistic that this week will be the week.
I believe my diabetes has been a big factor in my wound taking so long to close, especially given its location. The Achilles is at one extremity of the body, and thus there already isn’t much blood flow to that area of the body and thus not as much “nutrients” to facilitate normal healing. Top that off with Diabetes and you have the makings of a very slow healing process. And the first time that I have really seen Diabetes affect me in a tangible way and not just a number.
So, in closing, I just want to say that I wouldn’t change my decision to have surgery again, but in the future I will factor that in as a part of the risk. I know my surgeon did bring up that my complication risk was higher because of my diabetes, but that was hard for me to groc, given the limited visible physical affects have had on me up to his point.
When I can finally go to PT and return to my regular workout routine, I am going to look for ways to further reverse or at least slow down the progression of my diabetes.

5 comments
Comments feed for this article
December 3rd, 2011 at 2:07 am
efrain66
Being diabetic for the last 3 years that was my biggest fear. Sound like you don’t do a good job of self monitoring, I don’t either. Every once in a while I check. I am on insulin I take once a day. I have been checking myself more and keeping your blood sugars in check will help you heal.
It has been harder for me as my levels have een higher since I have been on the blood clot medicine. Good luck and take care of yourself.
December 22nd, 2011 at 4:37 pm
mljackson60
Dave, I am very sorry to read about your complications. Diabetes is such an awful disease. My mom and most of my aunts were diabetic so I know from their experiences. Take care of yourself. I hope the wound heals soon.
December 23rd, 2011 at 1:00 am
DaveB
Hi efrain and mljackson,
Glad to say that my wound is healed and I was able to get some “swimming” and PT in this past 3 weeks.
As for my blood sugar levels, it is interesting that I have measured my bloog sugar in the morning nearly every day since my ATR and my blood sugar levels have been between 90 and 100, which is very good for me and for most diabetics, I believe.
Take care and have a Merry Christmas,
Dave
December 23rd, 2011 at 2:04 am
housemusic
Dave,
I am not diabetic, however, I also suffered a wound compliacation that was explained to me as an “allergic reaction”, possibly due to the fact I shaved my leg prior to the surgery. The area around my incision was extremely red, swollen, painful, and itchy. It was aweful, and it took over 3 weeks to heal. Wound complications are not that rare with AT surgery, even for people without the added risk factor of diabetes. I wish you continued healing. Keep us posted of your progress with the PT.
December 23rd, 2011 at 3:06 am
DaveB
Hi Housemusic,
Sorry to hear about your complication. Interesting that shaving the area would cause that.
For me, at least work has been interesting, so that has kept my mind preoccupied while my docs and body tried to figure out how to close the wound.
I am gonig to add another post about all of the treatments that they tried and what eventually worked.
Dave.