HPC Registered Chiropody and Podiatry.

84a Allestree Lane (Off Harewood Road), Derby
DE22 2HT
01332 551593

 

 

Diabetic Foot Care

Diabetes and Your Feet Care

Diabetes can lead to changes in your feet which may increase the risk of developing serious foot complications. These changes may be the result of peripheral neuropathy, which is damage to the nerves in your feet affecting feeling and sensation, or peripheral vascular disease, which is damage to blood vessels leading to reduced blood flow to the feet.
Diabetes can also reduce your body's own ability to naturally fight infection and bacteria and make healing more difficult and so it is important to take particular care of your feet. At PFC4Feet We provide the complete diabetic foot care treatment and other feet care services for you.

General Foot Care You Can Do At Home

Check Feet Daily - Any loss of sensation may mean that you are unaware of injuries or problems with the feet and so daily inspection of your feet with special attention to look for any changes in skin colour, blisters, swelling or broken skin will help to catch any potential foot problems before they have a chance to deteriorate or become more severe. You may need to use a mirror to do this or find that you need help from a relative or carer.

If you do find any cuts, scratches or broken skin then remember that due to your diabetes, your body's natural ability to heal may be reduced so the area should be cleansed with water and covered with a sterile dressing. Seek the advice on diabetic foot care from your podiatrist, GP surgery or district nurse.

Wash Feet Daily - Washing feet on a daily basis helps to reduce the chance of bacterial and fungal infection. Care should be taken to dry feet thoroughly with extra care to ensure that you dry between the toes.
Note - The feet (and hands) can be susceptible to poor temperature sensation so always check the temperature of water before bathing to avoid scalds or burns. This can be gauged more accurately by dipping your forearm or elbow as the arms normally maintain good temperature perception.

Moisturise Feet daily - Diabetes can lead to a drop in the body's natural sweating process, which can in turn lead to dry, flaky skin that may progress to cracks or fissures, particularly in weight-bearing areas, such as, the heels. Daily moisturising can help to keep feet hydrated and prevent dry and cracked or fissured skin which is more prone to infection. So moisturise your feet daily in order of diabetic foot care at home.
Note - moisturiser should NOT be applied in between toes where it tends not to be as well absorbed and can make the skin macerated and vulnerable to infections.

Always Wear Footwear - If you have lost sensation they you may not feel or be aware of sharp or painful sensations making it easy to step on a harmful object, such as, a sewing needle and be unaware of it. These potential harms can be prevented by wearing shoes or slippers with a thick sole at all times.

Wear Properly Fitting Shoes - Poorly fitting shoes will cause rubbing and pressure on the skin which is likely to lead to blistering and broken skin over time. This of course applies to shoes that are too tight but also to shoes that are too big as the foot will slide back and forth leading to friction and cramming of the toes. When buying new shoes, ensure that you have your feet measured and purchase shoes that are the correct length with enough width and depth around the toes. A soft upper and shoes with padded seams will help to prevent pressure and rubbing 'hotspots'. See footwear checklist overleaf for further information.

EXAMINE YOUR SHOES & SLIPPERS REGULARLY FOR GRIT, NAILS OR OTHER SMALL ITEMS THAT COULD LEAD TO SKIN DAMAGE

Home foot care "Do Not's"

Don't attempt 'bathroom surgery' - As tempting as it may be poke the edge of a nail with scissors or other sharp object to relieve an ingrown toe nail, this could lead to more serious damage. Seek advice from your Podiatrist. If you struggle to reach your feet to trim nails yourself then you may benefit from more regular podiatry.

Don't remove corns or hard skin yourself - some hard skin removal tools may be too abrasive and over the counter corn removal remedies contain potentially harmful acids. Fine/minimal callus can be managed with a regime of gentle foot filing and regular moisturising Podiatry treatment is recommended for anything more than this.

For complete diabetic foot care and additional services visit our clinic.