Tips for the Diabetic Foot
- The feet of diabetic patients are more likely to form calluses, become infected, lose sensation, ulcerate and develop poor blood supply. This makes diabetes a major cause of the ‘High Risk’ foot. The lack of sensation causes injuries to the feet to go unnoticed and the poor blood supply makes the tissues less viable, repair slower and be more likely to become infected. Pain and numbness can present before loss of sensation occurs. These neuro-vascular problems lead to ulcers, infections and slow healing processes. Properly fitting shoes are absolutely essential for diabetics (see the section on Tips for Shoes). It is a good idea to check inside your shoes for sharp or rough areas before you put them on.
- If you are diabetic, visibly inspect your feet every day when you wash and dry them. Be on the lookout for colour changes (especially redness), temperature changes (hot or cold feet), cuts, sores, ulcers, exudates (discharge of fluids), callus formation and infections (e.g. whitlows, athlete’s foot and fungal nail infections). Be aware of any foul smell coming from your feet. Do not hesitate to inform your GP of any issues with your feet as early diagnosis and treatment can save a foot or toe. The adage ‘If in doubt, check it out’ is highly relevant in diabetes.
- Follow all the advice you have been given by your multidisciplinary team on normalising your HbA1c, blood glucose levels, cholesterol and blood pressure.
- Attend regular screening clinics.
- Avoid tobacco and caffeine as these tend to impair circulation.
- Try to exercise every day in order to stimulate circulation. Build up to 40 minutes a day if you can. Brisk walking, Nordic walking, cycling, stationary cycling and swimming are ideal forms of exercise.
- If possible, don’t cut your own nails.
- Don’t try to treat foot conditions such as athlete’s foot, corns and calluses yourself. Seek professional help for these tasks.
- Even in your home, don’t walk barefoot. People often stub a toe or get a splinter. If you have impaired sensation you may remain unaware that there is a problem.
Medical Disclaimer
Every word on this site is provided for information only. This information is NOT a substitute for professional medical care by any medical professional. ALWAYS check with your GP or Consultant if you have any concerns about your condition or treatment.
“Foot Respect” is not responsible or liable, directly or indirectly, for ANY form of damages whatsoever resulting from the use (or misuse) of information contained in or implied by the information on this site.
