Individuals with diabetes are always educated on proper foot care because they are prone to foot problems caused by damaged nerves and reduced blood flow to their feet. Nerve damage in the feet leads to poor circulation and slow wound healing. Patients are more likely to have an infection. The American Diabetes Association estimated that one in five diabetics seek hospital care due to foot problems. Foot problems in diabetics can lead to amputation of the toe, foot or leg depending on the level of infection but most of these complications can be prevented with careful foot care.
1) Keeping Your Feet Clean
Wash your feet with lukewarm water and mild soap. Gently pat dry and apply lotion to keep it moisturized. Check your feet for any open wounds, blisters, or cracks. Remember to do this in between and underneath the toes. You can also use a mirror or ask another person for help.
2) Keep Them Happy!
Wear comfortable socks that are made from cotton and remember to change them every day. Choose shoes that fit snugly but not tight. If you have misshapen feet or ulcer, ask for customized shoes, use cushion pads to decrease pressure on the feet.
3) Avoid Activities That May Injure Your Feet
Avoid walking barefoot or using hot water on your feet as it may cause injury without you realizing it.
4) Stop Puffing!
Smoking causes constriction of the blood vessels reducing circulation to the feet and can worsen heart and vascular problems.
5) Cut Carefully
Cut your nails carefully following the shape of your toe and file the nail after to remove any sharp edges. Never let another person cut the cuticles, do not open blisters or breaking the skin on the feet. If in doubt, always see your doctor or podiatrist.
6) Don’t Be Shy
Remember to ask your doctor to check out your feet at least once every year and more if there are any changes with your feet. Screening for complications should be routine for most visits but can sometimes be overlooked.
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1) McCulloch D. Patient education: foot care in diabetes mellitus (beyond the basics). UpToDate. URL Link. Accessed 1/20/2017.
2) Aalaa M, Malazy OT, Sanjari M, Peimani M, Mohajeri-Tehrani MR. Nurses’ role in diabetic foot prevention and care; a review. Journal of Diabetes & Metabolic Discorders. 2012.
3) Heitzman J. Topics in Geriatric Rehabilitation:Foot Care for Diabetic Patients. 2010. 26(3):250-263.
4) Foot Care. American Diabetes Association. 2014. URL Link. Accessed 1/20/2017.
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