The Best Diabetic Wound Dressings for Ulcers

By ADW|2025-02-12T10:51:35-05:00Updated: February 11th, 2025|Diabetes Management|0 Comments
  • A person wit a bandage on their foot

With so many diabetic ulcer dressing options available, choosing the right one can be overwhelming. We’re here to help! For over 15 years, ADW Diabetes has been a reliable source for diabetic supplies and information about diabetes. Our in-house experts are here to walk you through the different types of wound care products so you can make an informed decision.

As always, the information in this blog is not intended to be medical advice. Everyone has unique needs, so it’s very important that you speak to a health care professional for personalized guidance if you’re not sure which type of diabetic wound dressing you should use.

Here’s what you need to know to choose the best dressing for diabetic ulcers.

Key Factors to Consider

In most cases, the most crucial factor is the absorbency of the dressing. The goal is to choose a dressing with an absorptive capability that matches the amount of exudate (fluid) the ulcer produces.

You should also consider if the ulcer is infected or at risk of becoming infected. Some dressings are infused with antimicrobial agents that can help treat or prevent infection and speed up healing.

Another point to keep in mind is the size and depth of the ulcer, as well as the condition of the skin surrounding it. You might need a diabetic wound dressing that can be applied and removed gently to prevent further injury. For example, standard gauze can exacerbate damaged skin.

You may also need to consider the dressing’s adhesive. Depending on the location of the ulcer, you may require a diabetic ulcer dressing with a powerful adhesive. For example, an ulcer located on the bottom of the foot might require extra adhesion to keep the dressing in place.

Types of Dressings for Ulcers

A nurse applying a bandage to a patient's hand and wristNow that you understand the basic considerations, let’s explore the pros and cons of the most commonly used types of ulcer dressings on the market.

1. Hydrogel Dressings

A hydrogel diabetic wound dressing is a gel that consists mainly of water, typically around 96%.

Pros:

  • Supports healing by providing a moist environment that promotes growth and migration of cells
  • Acts as a protective barrier against bacteria and other infection-causing contaminants
  • May include antibiotics or antimicrobial agents to further prevent infection
  • Painless application and removal

Cons:

  • May not have the absorptive ability required for ulcers with moderate to heavy exudate
  • May cause surrounding skin to become macerated
  • May not be durable enough for some physical activities
  • May exacerbate ulcers that are already infected

2. Foam Dressings

A foam diabetic wound dressing is ideal for ulcers with moderate to heavy exudate.

Pros:

  • Excellent absorption often makes them the best dressing for diabetic ulcers that produce a lot of fluid
  • Soft and comfortable
  • Easy to apply and remove
  • Padded foam offers effective protection from physical trauma
  • Can be cut to fit various wound sizes and body parts
  • May be suitable for wearing for multiple days

Cons:

  • Excessive exudate absorption can cause the ulcer to become too moist and may lead to bacterial growth
  • Thick foam material can obscure healing progress and may require regular removal and reapplication
  • Infection risk, if not managed properly
  • Foam diabetic ulcer dressing may not be suitable for dry ulcers

3. Antimicrobial Dressings

An antimicrobial diabetic wound dressing is impregnated with antimicrobial agents.

Pros:

  • Antimicrobial agents may treat or prevent infection
  • Can help ulcers to heal faster
  • Can reduce the risk of antibiotic resistance by providing the ulcer with antibiotics directly

Cons:

  • Potential for allergic reaction or skin irritation
  • Overly aggressive antimicrobial agents may hinder the body’s natural healing process
  • Potential for bacteria to develop resistance

4. Alginate Dressings

Made from calcium and sodium salts of alginic acid derived from brown algae, alginate dressings are another great option for those seeking the best dressing for diabetic ulcers with heavy exudate.

Pros:

  • Forms a moisture-absorbing, gel-like substance when applied to exudate
  • Creates a moist environment that promotes healing
  • Naturally antibacterial diabetic wound dressing
  • Hemostatic properties may reduce bleeding
  • Non-adherent design allows for easy application and removal
  • Conforms to the wound for comfort and protection from contaminants

Cons:

  • May dehydrate dry ulcers (not suitable for dry wounds)
  • Can stick to the ulcer if allowed to dry out
  • May have an unpleasant odor
  • Requires a secondary dressing to retain moisture level

5. Hydrocolloid Dressings

A hydrocolloid diabetic ulcer dressing is a self-adhesive bandage that contains a gel-forming agent and has a waterproof backing.

Pros:

  • Hydrocolloid particles absorb exudate
  • Forms a gel that promotes a moist environment for faster healing
  • Easy to apply and remove
  • Easy to wash
  • Can typically be left in place for up to a week
  • May be more convenient and comfortable compared to other diabetic wound dressing options
  • Suitable for uninfected ulcers with minimal to moderate exudate

Cons:

  • Not suitable for ulcers with heavy exudate
  • Not suitable for ulcers that need to be assessed regularly
  • May cause adverse reactions among some users
  • Can stick to fragile skin
  • Requires moisture to activate gel (not suitable for dry ulcers)

Shop High-Quality Wound Car Supplies

A couple using a laptop in a kitchenAs you can see, there are many factors to keep in mind when picking out the best dressing for diabetic ulcers. Fortunately, you have plenty of options when you shop at ADW Diabetes. We carry a wide range of wound care supplies from top medical brands. Best of all, we keep our prices affordable so you can use a diabetic wound dressing that fits your needs and your budget.

In addition to stocking the best dressings, we have everything else required to manage ulcers and other wounds from the comfort of home, including bandages, gels and liquids, tapes, wraps, and pads, swabs, and wipes.

Join our Diabetic Coverage® Auto-Ship Program to have your favorite diabetic ulcer dressing products and other go-to essentials delivered to your home on a set schedule. Be sure to check out the ADW Diabetes app if you enjoy shopping on your mobile phone or tablet.

We hope this guide to choosing the right diabetic wound dressing is helpful as you navigate the road ahead. If you have any questions, contact us to speak with an expert. Count on ADW Diabetes to be your dependable one-stop shop for discount diabetic supplies!

About the Author: ADW

ADW Diabetes is a diabetic supply mail order company that is dedicated to keeping diabetes management affordable. ADW takes a leading role in offering free diabetic education through Destination Diabetes, an informational component of the ADW website featuring tips and advice from diabetes and nutrition experts, diabetic recipes and more.

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