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Diabetes and Your Feet

Without proper attention, neuropathy (nerve damage) will affect about 50% of individuals with diabetes. Most at risk are people who have had diabetes for many years, and those diagnosed later in life. Many newly diagnosed seniors have had undiagnosed and uncontrolled diabetes for many years.

Proper foot care for people with diabetes is very important

  • Check daily for calluses, cuts or cracks in the skin and look for signs of infection, such as redness, swelling, warmth or discharge.
  • Use a mirror, if necessary, to look at the bottoms of your feet.
  • Annual foot exams are a must.
  • Keep your feet clean. Do not apply alcohol or hydrogen peroxide, as they dry out the skin.
  • Be careful when soaking feet in hot water as nerve damage decreases sensitivity to temperature.
  • Never go barefoot outdoors. Wear slippers or socks indoors.
  • Footwear should fit properly. Wear soft, thick socks with no seams. Seams can rub the skin and cause blisters.
  • Rotate the shoes you wear.  Don’t wear the same shoes every day.
  • Check shoes each morning before putting them on. Pebbles or debris can cause a sore. 
  • Apply a non-lanolin cream, free of dyes and fragrance (Aveeno, Ceravie and Nivea are good examples). Apply regularly with a thin coat to the tops and bottoms of feet, but never between the toes. Thorough drying between the toes is important.
  • If you can see, reach and feel your toes, you can cut your toenails.  Otherwise have someone else do it.

Symptoms

Symptoms can range from a tingling or burning sensation to a shooting or stabbing pain. Some people feel weakness in their feet and legs. People living with diabetes should receive an annual exam by a foot specialist. 

Treatment

Treatment for painful peripheral neuropathy is aimed at maintaining good blood glucose levels so that excess glucose in the system does not deposit on the small nerves of the hands and feet. Medications are available, however proper blood glucose control must be achieved for the full benefits of medication. Your care team will discuss your specific needs and options.

Other foot issues

Hammertoes, bunions, dry skin, and abnormally shaped toenails can also lead to problems. After age 40, the average person will find that shoe size increases up to 1½ sizes. It's important to have your feet measured annually. Wearing the wrong size shoe can cause severe damage for people with diabetes.