Diabetic Footcare

Many complications of Diabetes have an impact on your feet, so it is important to check your feet daily, wear good shoes and socks and have your feet checked by a foot specialist.

Socks:

  • Wearing white socks makes it easier to see any blood or discharge on your feet

  • Seamless socks can prevent blisters and areas of friction

  • DO NOT wear socks with tight elastic at the top. This can constrict the vessels in the legs 

Shoes:

  • It is important to have shoes that give good protection and support 

  • It is recommended to wear a running or walking shoe with:

    • Laces or velcro

    • Good arch support 

    • A deep and wide toe box (lots of room for your toes- there should be 1 finger with between the longest toe and the front of the shoes)

  • DO NOT go barefoot around the house or outside. This increases your risk of trauma 

Foot Hygiene:

  • Wash feet daily with soap and water. Make sure to wash between the toes 

  • Always make sure to dry your feet well, especially between the toes. Moisture between the toes can lead to a fungal or bacterial infection. 

  • It is important to keep the skin healthy. For dry feet, use a moisturizer (but not in between the toes!)

DO NOT: 

  • Try to remove corns or calluses yourself 

  • Use sharp objects on the foot

  • Use chemical corn removers 

Nail Care: 

  • Trim the nails straight across. DO NOT cut into the corners as this could cut the skin or cause an ingrown toenail. 

  • File the edges of the nail to avoid leaving any sharp edges that can get caught on your socks 


Daily Foot Checks:

Diabetes can cause damage to your nerves, which leads to less sensation, especially in your feet.

  • Inspect feet every night before bed for signs of redness or swelling

  • Touch your feet (top and bottom) with your hand to feel for temperature or skin changes 

  • Hot or cold is bad, if your feet feel HOT please SEE A MEDICAL PROFESSIONAL as this could be a sign of infection or Charcot foot (a complication of diabetes) 

  • Inspect between the toes to make sure the skin is not damaged and nothing has gotten in between. 

  • If you cannot see your feet, use a mirror and against a wall or ask a family member to check for you 

  • Also inspect your shoes on a regular basis to make sure there are no foreign objects in them

Foot Check-Ups:

  • See a medical professional on a regular basis for a diabetic foot check up. This should include the following: 

    • Vascular: Checking the blood flow to your feet by assessing pulses and temperature 

    • Neurological: Checking the nerves to assess how much sensation is in the foot

    • Biomechanical: Checking for any deformities 

  • Please keep your doctors informed of any changes in your sugar levels, loss of sensation in your feet or anything that seems abnormal to you.