Have Diabetes? Take Steps to Protect Your Feet.

Most of us look forward to spending time in bare feet, whether we’re burying our toes in the sand on the beach or lounging in our favorite chair at home. But for individuals suffering from both diabetes and chronic foot wounds, this may not be the case.

People with diabetes are prone to foot problems because high blood sugar can damage nerves and cause poor circulation, particularly in the extremities. This negatively affects the body’s ability to heal – even from minor traumas. This can bring about a diabetic foot ulcer.

What is a Foot Ulcer?

Foot ulcers can develop from any break in the skin caused by common ailments such as dry skin, calluses, blisters, corns and athlete’s foot. The problem may go unnoticed initially because of the lack of feeling in the foot from nerve damage and poor circulation.

In addition, individuals with diabetes are generally more susceptible to infection. This means wounds can become seriously infected quickly, leading to possible limb loss. In fact, 85 percent of all amputations in people with diabetes begin as a simple ulcer.

How Should I Care for My Feet?

By taking proper care of your feet, some of the most serious health problems associated with diabetes can be prevented.

Here are some steps you can take to care for your feet, according to the American Diabetes Association:

• Take care of your glucose levels. Partner with your health care team to keep your blood glucose in your target range.
• Perform a daily foot check. Check of your feet for red spots, cuts, swelling and blisters.
• Get active. Work with your health care team to create (and stick to) a physical activity program.
• Purchase quality shoes. Ask your doctor about possible Medicare coverage for special shoes.
• Perform proper foot care. Wash and dry your feet carefully every day, followed by a moisturizing lotion on the tops and bottoms of your feet (avoiding the area between the toes). Trim your toenails regularly when needed, cutting straight across the nail and filing the edges carefully.
• Avoid being barefoot. Wear comfortable shoes that fit well and protect your feet.
• Check the inside of your shoes before wearing them. This will ensure that there are no objects inside that could cut your feet.
• Avoid smoking cigarettes. Among many other health problems, smoking cigarettes impedes healthy circulation. If you smoke, take steps to quit.
• Protect your feet from extreme temperatures. Always wear shoes in environments that might have extreme temperatures, such as the beach or hot pavement. Always test water before jumping in. You can easily burn your feet without realizing it so avoid heating pads, electric blankets, hot water bottles and similar heating methods.
• Keep the blood flowing. Wiggle your toes and stretch your feet two to three times a day to stimulate circulation. Avoid crossing your legs for extended periods of time and prop your feet up when sitting.

What If I Have a Wound?

Have a wound on your feet or other part of your body that you’re concerned about? Consider visiting one of University of Maryland Medical System’s Wound Care Centers.

This specialized, patient-centered care offers a comprehensive approach to wound care, starting with a complete assessment of the wound and its cause.