Make Strides Against Diabetes-Related Foot Problems

For people with diabetes, taking extra-good care of their feet needs to be a priority. “Diabetes increases the risk for nerve damage that causes a loss of feeling in the feet,” said Bradford Unroe, D.P.M., a podiatrist at Sts. Mary & Elizabeth Hospital. “Diabetes also frequently causes blood vessel changes that hamper circulation. Those two conditions can lead to foot problems, including sores, infections, fractures and other injuries,” he said.

Up to one-quarter of individuals with diabetes at some point will develop an open, inflamed ulcer on the foot, according to a recent study in the Journal of the American Medical Association. Such foot ulcers often become infected and are to blame for 85 percent of amputations among people with diabetes.

Fortunately, you can prevent ulcers and other diabetes-related foot problems. Start by following your doctor’s guidelines about keeping blood sugar, blood pressure and cholesterol close to normal.

Bradford Unroe, D.P.M.

• Inspect your feet every day for cuts, sores, swelling and infected toenails.
• Wash your feet daily in warm — not hot — water. Rub a thin coat of lotion or cream on the tops and bottoms of your feet. Stick to talcum powder or cornstarch between your toes.
• Wear lightly padded socks and shoes that fit well. Athletic shoes or therapeutic shoes made especially for diabetic feet are good choices.
• Have a foot exam at least once a year.
• Call your doctor if a cut, sore, blister or bruise on your foot doesn’t begin to heal after a day.