Our Experts 15 Do’s and Don’ts for Optimal Diabetic Foot Care

Diabetes and Amputation, University Foot and Ankle Institute

How do you tend to your feet? If you’ve been diagnosed with diabetes, you know that your entire relationship to your body changes. Watching your diet, taking medication, and monitoring your blood sugar – these healthy habits should become a part of your new routine. It’s time to practice optimal diabetic foot care.

With diabetes you need to pay special attention to your feetDiabetic Foot Ulcer

About 1 in 10 adults in America have diabetes. If you’re not diabetic, chances are you have a friend or family member who is diabetic. They will benefit from the information and recommendations provided below. My father has been a diabetic for over 30 years and I monitor his feet at least once per month. Although he has nerve damage in his feet, he has not experienced any complications thus far.

Diabetes causes a type of nerve damage called neuropathy in about 70% of patients. Researchers don’t yet know exactly why this happens, but, according to the Joslin Diabetes Center, it is believed that excess sugar in the bloodstream causes swelling in the cells that cover nerve endings. This pinches the nerves, inflicting lasting damage.

As a result, diabetic patients may experience numbness, tingling, and even pain in their hands and feet.

Why foot ulcers are so common among diabetics

Foot ulcers  are common in diabetic patients – and the risks of developing an ulcer can be dire. If you have diabetes, the chances that you’ll develop a foot ulcer at some point in your life are about 1 in 4. And each year in the U.S., diabetic foot ulcers lead to about 73,000 lower-leg amputations.

This becomes a major problem when patients don’t take care of their feet. Patients may not be able to feel when they have a cut, scrape, blister or injury. In addition, poor circulation (another symptom of diabetes) can thwart your body’s ability to heal the wound. And, if it becomes infected, the foot can develop gangrene, requiring an amputation.

The truth of the matter is that the vast majority of complications and amputations in diabetic patients are avoidable with appropriate patient education, early detection of potential problems, and regular checkups by a podiatrist.

You can avoid disruptive outcomes by starting an optimal diabetic foot care routine that minimizes your risk while fitting with your lifestyle.

Here’s our 15 Do’s and Don’ts of healthy diabetic foot care!:

1. Do inspect your feet every day for cracks, cuts, sores, and other wounds.

Even an ingrown toenail or hangnail could grow into a much bigger problem. You can use a mirror, or have a loved one check your feet every night before bedtime.

2. Don’t go barefoot, outside, at the beach, or even around the house.

One displaced carpet tack or dropped needle could be all it takes to start a diabetic foot ulcer.

3. Do choose comfortable, supportive shoes or boots

Make sure you have plenty of room in the toe box, and protective coverings on all sides.

4. Don’t wear flip-flops, sandals, or old shoes with worn-out soles.

Always avoid shoes with seams in the interior, as these can rub your feet and cause blisters.

5. Do dry your feet with a clean towel after every washing.

Don’t even think about skipping this suggestion!

6. Don’t skip drying the spaces between your toes.

“The skin between the toes can be watertight, locking in moisture,” says my colleague Dr. Bob Baravarian here at UFAI. “This can lead to a fungal infection and cause the skin to break down.”

7. Do moisturize your feet with lotion.

Neuropathy inhibits the signals from your brain telling your feet to sweat. Chronically dry feet are prone to cracks, especially if you live in an arid region. Those cracks can expose your feet to germs which may lead to an infection.

8. Don’t apply lotion between your toes.

Again, this tightly-squeezed area doesn’t need your help staying moist.

9. Do control moisture with Merino wool, polyester, or other sweat-wicking socks.

Again, try to find seamless products to avoid any excess friction. You might want to invest in specially-designed diabetic socks. If you get sweaty, remove your socks and put on a fresh pair.

10. Don’t soak your feet in hot water.

This can open up pores and make your skin too soft and fragile, and vulnerable to injury.

11. Do support your feet in comfort with orthotics.

Orthotics designed with diabetic needs in mind can be found over the counter or online or you can get fitted with custom orthotics by your foot and ankle specialist. Fortunately, Medicare Part B does cover one customized pair of orthotic shoes for diabetic patients each year.

12. Don’t smoke.

Cigarette smoking constricts your blood vessels, slowing the flow of oxygen-rich blood cells to your feet, and compromising your body’s ability to fight infections.

13. Do keep your blood sugar under control.

The higher your blood sugar levels, the more you’re risking nerve damage to your feet.

14. Don’t ignore any corns, blisters, calluses, cuts, or sores.

These problems may not be able to heal on their own without medical attention.

15. Do visit your foot and ankle specialist for a regular exam.

Your doctor can keep an eye on your feet and provide resources and treatment for numbness, pain, and other foot problems you may encounter.

If you are experiencing diabetic problems with your feet or ankles we are here to help. Our nationally recognized podiatrists and foot and ankle specialists offer the most advanced foot and ankle care along with the highest success rates in the nation. The doctors at University Foot and Ankle Institute are leaders in the field of research and treatment of all foot and ankle conditions.

For more information or to schedule a consultation, please call (877) 736-6001 or visit us at www.footankleinstitute.com.

Dr. Cyrus Sircar

Dr. Cyrus Sircar

Dr. Cyrus Sircar has lived in Southern California for over 25 years. He is a graduate of Southern California's only podiatry school, Western University of Health Sciences and has been trained using the latest orthopedic foot and ankle surgical technology and techniques.

After completion of podiatry school Dr. Sircar feels honored to have continued his training at the Department of Veterans Affairs during his residency where he not only worked with our veterans, but also with active duty military personnel and their families.

During his residency, he became passionate about limb salvage as he worked with numerous veterans who had initially returned from war without any bodily harm but were now loosing limbs due to diabetes, vascular disease, and other medical conditions.

Dr. Sircar also had the opportunity to participate in multiple community outreach activities including a medical mission trips to Honduras where free surgical care was provided to children with complex deformities rarely seen in the United States.

He takes delight in seeing his patients transform from having constant foot pain to being able to return to pain free activity and wearing regular shoes following conservative care or surgical correction of common foot problems.
Dr. Cyrus Sircar

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