Diabetic Foot Health

Diabetes and Foot Health

Understanding How Diabetes Affects the Feet

Diabetes can impact various parts of your body, including your feet. Understanding how diabetes affects your feet and knowing the common podiatric treatments can help you maintain good foot health.

Causes:
  • Neuropathy (Nerve Damage): High blood sugar levels can damage the nerves in your feet, leading to numbness, tingling, and loss of sensation.
  • Peripheral Artery Disease (PAD): Diabetes can cause reduced blood flow to the legs and feet, increasing the risk of wounds and ulcers.
  • Infections: High blood sugar levels weaken the immune system, making it harder to fight infections. Small cuts or blisters can become serious problems.
  • Charcot Foot: A condition where bones in the foot weaken and fracture due to nerve damage, causing deformities and instability.
  • Skin Changes: Diabetes can lead to dry skin, calluses, and skin changes that increase the risk of complications.
Common Podiatric Treatments:
  • Regular Foot Exams: Routine foot check-ups with your podiatrist are crucial for early detection and prevention.
  • Footwear Guidance: Wearing proper, well-fitting shoes is essential to protect your feet. Your podiatrist can recommend appropriate footwear.
  • Nerve Function Monitoring: Periodic nerve function tests can help assess the extent of neuropathy and guide treatment decisions.
  • Wound Care: Prompt and proper care of wounds or ulcers is essential to prevent infections and complications.
  • Custom Orthotics: Custom-made shoe inserts can help alleviate pressure points and prevent calluses.
  • Medication Management: Properly managing your diabetes with medications and lifestyle changes can reduce the risk of complications.
  • Vascular Interventions: In cases of reduced blood flow, interventions like angioplasty or stent placement may be considered.
  • Charcot Foot Management: If Charcot foot is diagnosed, your podiatrist can provide guidance on orthopaedic devices and, in severe cases, surgical intervention.
Preventing Diabetes-Related Foot Complications:

To maintain healthy feet with diabetes, follow these guidelines:

  • Keep blood sugar levels within your target range.
  • Perform daily foot inspections for cuts, blisters, and changes.
  • Wash and moisturize your feet daily.
  • Trim toenails carefully and straight across.
  • Avoid walking barefoot and protect your feet from extreme temperatures.
  • Maintain a healthy lifestyle with regular exercise and a balanced diet.

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