Diabetes and Foot Care

Managing diabetes does not just mean keeping your blood sugar levels in an acceptable range. It also means taking steps toward preventing health complications that can occur with diabetes. Diabetes can put you at risk for foot complications like foot ulcers , which if not treated early, may lead to amputation . However, with proper attention and care you may be able to prevent such problems.

It is essential that you routinely check your feet for any foot conditions or injuries. Doing so will allow you to spot problems before they worsen. If it is hard for you to bend down to check your feet, try using a mirror or ask someone to check for you. Here are some common foot problems to look out for:

• Athlete’s foot —infection caused by a fungus leading to itchy, red, cracked skin; may also infect the toenail causing it to appear thick, yellow, and brittle
• Blisters—fluid-filled bumps caused by wearing shoes that do not fit well or by wearing shoes without socks
• Bunion —large bump on the big toe
• Corns and calluses —thick layers of skin caused by continuous rubbing or pressure
• Cuts and scrapes
• Dry, cracked skin
• Hammer toe —curling of a toe caused by a problem with the middle joint of the toe
• Ingrown toenails —when the edge of a toenail grows into the skin
• Plantar warts —growths caused by a virus; usually found on the bottoms of feet

If you do notice any foot problems, tell your doctor right away. Doing so will ensure that you get proper treatment and prevent infection.

In addition to routinely checking your feet, here are other things you can do to avoid foot problems:

• Changes in the shape of your feet and toes can happen with nerve damage. Talk to your doctor about special shoes you can wear, rather than trying to force your feet into regular shoes.
• Completely dry your feet. Do not forget to dry between your toes!
• Cut your toenails straight across. It may be easier to cut them after washing your feet, since the nail will be softer. Do not cut them too short.
• Do not use any medicine or ointments for your feet unless your doctor says it is okay.
• If you can do so safely, put your legs up when sitting.
• If you have dry skin, rub lotion on your feet after they are washed and dry. Do not put lotion between your toes.
• Keep blood flowing to your feet by wiggling your toes or rotating your ankles several times a day.
• Keep your feet away from hot places, like a fireplace; hot bath or spa; or an electric blanket.
• See your doctor regularly and make sure she checks your feet at each visit. Take off your shoes once you are in the exam room so that she sees your feet.
• Use a pumice stone regularly to keep calluses thin. Do not cut at them with sharp objects.
• Wear shoes or slippers, even if you are at home. Make sure your shoes fit well. Also, make sure they are closed-toe. Do not wear sandals.
• Wear socks or stockings. Wear them to bed if your feet are cold.
• When cleaning your feet, avoid soaking them in water. Instead, wash your feet in warm water every day.
• When shopping for shoes, try to go shopping at the end of the day. Your feet are biggest during this time of day, so you will be able to buy shoes that are not too tight.

Paying attention to your feet, as well as maintaining a healthy lifestyle, such as not smoking, eating healthy, and exercising, will decrease the likelihood of dangerous infections, keeping you more in control of your diabetes and its complications.