Diabetes and your feet

Even though diabetes is a common health issue, many people with diabetes live a healthy and fulfilling lives. Diabetes does have some complications, and your feet can be particularly at risk, because they contain tiny blood vessels and nerves. The main risk factors for patients are:

Loss of protective sensation: peripheral neuropathy can lead to ulceration, edema (swelling), and if left untreated, sepsis, osteomyelitis, and possible amputation. To avoid complications, regular foot care appointments are crucial for high risk patients to assess numbness and protective sensation, as well as structural or gait changes.

Examination can detect minor loss of sensation and monitor and treat minor problems such as corns and calluses before any chronic ulceration occurs.

Reduced blood flow:

peripheral arterial disease is a common cause of foot ulceration. A minor cut or abrasion can lead to a major infection in patients with reduced blood flow. It’s important to check your feet daily and seek immediate treatment by your health professional if you develop any complications. Speak to your doctor about compression stockings to help improve circulation in your legs and to help prevent and treat complications.

Structural deformity:

none deformity, Charcot deformity, and joint mobility problems resulting from conditions such as bunions, hammertoes and arthritis can lead to high pressure areas within your foot. These areas can predispose you to corns, callus, and resultant ulcerations.

WHAT CAN I DO?

Have your feet examined by one of our Chiropodists at least once a year to assess and monitor any risks. If you are classified as high risk or have had ulceration or amputations in the past, then more regular assessments should be scheduled. During your visits, we assess protective sensation, foot structure, biomechanics, vascular status, skin integrity and footwear choices.

Check the colour of your legs and feet; if there is swelling, warmth or redness, or if you have pain, see your doctor or foot care specialist right away.

Wash and dry your feet every day, especially between the toes. Use a good moisturizer and wipe off any excess.

Invest in good footcare and speak to a member of our team about custom orthotics.