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Diabetes Footcare

  • December 1, 2006
  • Number of views: 2757
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Most foot problems affecting individuals with diabetes mellitus are preventable. There are four steps to follow to help maintain healthy feet.

1. Practice good hygiene

  • Wash feet every day. Clean around and under the toenails with a brush or manicure sticks. Dry carefully, especially between the toes. Use cream or lotion to prevent dry skin. Do not use lotion in between toes.

  • Toenails should be trimmed straight across with the corners sanded smooth. Never use home remedies on corns or calluses. Never use a razor blade or knife to cut corns, calluses or toenails. Keep feet cool and dry by changing shoes and socks frequently.

  • Walking barefoot puts feet at risk for injury and should be avoided at all costs. Any time that a cut, sore or break in the skin occurs it should be treated promptly. Assistance from foot care professionals is recommended, particularly for individuals with foot problems, neuropathy or impaired vision.

2. Inspect feet daily

  • Look for broken skin, blisters, sores, red, swollen, inflamed or infected areas. Report any problems to your physician immediately.

3. Wear proper fitting shoes

  • Buy shoes in the evening when feet tend to be larger. Have feet measured every time shoes are purchased to make sure the size hasn''t changed. Always try on shoes before they are purchased, making sure the heel of the shoe does not slip when walking.

  • Allow a thumb''s width between the front of the shoe and the end of the longest toe. A shoe should be wide enough at the ball of the foot to cover the foot without cramping the toes. Avoid extreme styles of shoes, such as very high heels, platforms or pointed toes. Try to wear leather or fabric shoes, as these stretch to conform to the shape of the foot and allow feet to breathe. Changes of shoes can help prevent wear and injury to the feet. Check choes regularly for signs of wear, such as torn linings. Replace or repair shoes when signs of wear appear. Check socks for tears and worn areas. Do not mend if torn. Avoid nylons or socks that are too tight because this may interfere with your circulation.

4. Exercise your feet

  • The best exercise for normal feet is walking. Wear a good pair of walking shoes. If your healthcare professional has directed you to do non-weight bearing exercise, swimming, bike riding and rowing are good options.

If you are in need of a foot screening, or would like a referral to a diabetes educator or physician, please call 314-TOP-DOCS (314-867-3627) or toll free 1-866-867-3627.

 

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