Managing Diabetes Foot Care

Topics How can nerve damage and peripheral arterial disease (PAD) affect your feet? How to take care of your feet What shoes are best? What foot exams should you have?

Foot Care Diabetes increases your risk for foot problems: Nerve damage –from high blood glucose levels –called diabetic neuropathy –causes pain, tingling or numbness Peripheral arterial disease (PAD) –blood vessels in feet and legs narrowed or blocked by fatty deposits

Foot Care Affects of nerve damage and PAD May not feel pain May not be able to sense temperature Have slow wound healing Minor injuries can develop into serious infections if not detected early and treated promptly

Foot Care Keep your feet safe by Keeping your blood glucose levels on target Taking care of your feet every day – use your Foot Care Checklist

Foot Care Checklist  Wash your feet daily with warm (not hot) water and soap. (Check the water temperature with your wrist or elbow.)  Dry your feet gently but thoroughly with a soft towel.  If your skin is dry, apply lotion (but not between your toes).

Foot Care Checklist  Look at the tops, bottoms and sides of your feet as well as your toes. Use a mirror to help you see the bottoms and sides of your feet. Or get the help of a family member. Check for sores, cuts, bruises, rashes, blisters red spots, swelling and ingrown toenails.

Foot Care Checklist  Use your hands to feel for hot or cold spots, bumps or dry skin.  If you have a foot injury, call your health care provider. Do not try to take care of foot problems yourself. Some over-the-counter foot remedies can harm your skin, making problems worse.

Foot Care Checklist  Trim your toenails straight across and file the edges. Rounded edges help prevent ingrown toenails.  Choose socks that won’t irritate your feet, such as seamless socks or those with flat or soft seams.  Protect your feet all the time by wearing shoes or slippers, even around the house or at the beach.

Foot Care Checklist  Before you put on shoes, feel inside them to make sure there are no pebbles or rough edges that might injure your feet. You may not be able to count on the nerves in your feet to feel something wrong with your shoes or socks.

Shoes Buying the best shoes –Buy shoes with enough room so feet and toes don’t rub against the inside of shoe. –Shop for shoes in the afternoon or evening. –Shoes with low heels put less stress on feet.

Shoes Buying the best shoes –Break in new shoes gradually to avoid blisters. –If you have foot problems, your private insurance or Medicare may pay for special shoes. Ask your health care provider if you are eligible.

Foot Exams At each office visit: –Take off your shoes and socks when in the exam room –Your provider should look at your feet

Foot Exams At least once a year have: –a complete foot exam to check skin, muscles, bones and blood circulation –a monofilament test to check the nerves in your feet

Foot Exams Monofilament test Checks to see if you can feel the touch of a thin, plastic wire. If you cannot feel the wire, you are at high risk for serious foot problems.

Review What can you do to prevent foot problems?

For More Information For more information on diabetes, please call DIABETES or visit diabetes.org

For More Information Contact your local ADA at DIABETES to learn about activities and volunteer opportunities in your community