Foot Care for Diabetes

Treatment and Management

Presented by:

Dr. John Brandeisky

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Because you have diabetes, it is very possible that circulation of blood to your legs and feet is slower and more sluggish.  If you are a newly diagnosed diabetic, this is a future possibility.  This problem could be a factor in your ability to fight infection.  A little sore or cut on your foot or lower leg, if not properly treated, might lead to serious complications.  Therefore, it is important that you prevent any injury to your feet and follow a very careful plan of foot hygiene.  I have listed some very basic steps that all diabetics should consider.  You must always remember that if you have a question or concern; you should call your referring doctor or my office and just ask!

1. 

Bathe your feet daily in lukewarm soapy water and rinse thoroughly.  Make sure the water is NOT HOT.  Test temperature with your hand, thermometer or another person.   Diabetes affects sensation and your temperature sensation may not be true.   This will prevent burns.  Carefully and gently pat your feet dry after soaking, do not rub.  Use a soft towel and remember to dry gently between all toes.

2.

Wear clean socks, change them daily and discard when worn out.  Inspect  the socks daily for signs of drainage from an open sore that you do not know you have or can feel.

3.

Wear shoes that fit snugly, but not tight.  To help assure dryness, rotate  your shoes every day and keep your shoes in good condition.  Break in new shoes gradually.   Wear only a few hours at first to prevent blisters and sore spots.

4.

Keep your toenails trimmed.  Since you are a diabetic, it is not recommended that you cut your own toe nails because you could cause an infection.  Visit your podiatrist regularly for routine care, examination and circulation tests.

5.

Do not attempt to trim your own corns and calluses.  Do not use commercial corn or wart remedies.  These contain harmful acids that are very dangerous to diabetics.

6.

Always wear shoes or slippers around the house, especially outside of the house, in your yard or at the beach.  Remember, bare feet invite injuries!

7.

Avoid wearing anything tight around your legs or ankle that might in any way reduce of cut off the blood supply to your feet. Avoid extremes of cold or heat.   Never use hot water bottles or heating pads to warm your feet as you may get a burn.  Use warm socks if feet are cold.

8.

DO NOT SMOKE !!  Smoking constricts blood vessels and directly affects the blood supply to your feet.  Nicotine gum does the same.

9.

Examine your feet daily.  If you find any sores, cuts, redness, swelling, pus, blisters (EVEN IF YOU HAVE NO PAIN !!)  report this to Dr. Brandeisky's Office   IMMEDIATELY.    Tell the answering service or receptionist that it is a diabetic emergency.

If you have questions about foot care or would like to receive more information, you can reach my office at (732) 308-1090 or  E-mail me at  jb@njfootdoc.com.



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