Diabetic Foot Care
Did i inspect my feet today?
Do i have any bumps or sores?
Did i check my shoes for foreign objects?
have i moisturized my feet today?
Do my shoes fit well?
- Wash feet with warm not hot water check temperature with elbow or thermometer.
- Prevent burns by wearing sunscreen of feet when outdoors
- Dry feet well especially between toes where moisture is at its worst. This will prevent infection, skin breakdown, and wounds.
- Moisturize with products researched and approved by your foot health specialist. Products with urea to break up hyperkeratosis (calluses and corns) are the best, product contents that are hypoallergenic are best and often found at your foot health providers clinic. Basic skin care products at drug stores are often not appropriate for diabetic feet. Foams are most appropriate and safe to use between the toes.
- Diabetic socks should be made of moisture wicking materials (not cotton as it absorbs and holds onto moisture), socks should not have seams, quality diabetic socks will be comprised of mild compression around the ankle and a reinforced heel to prevent socks from bunching up in shoes. Beware of companies that claim diabetic friendly and look for these important components.
- Ensure footwear is appropriate- toe box deep enough to accommodate possible structural deformities such as hammer toes, ensure structure of shoe is supportive in the arch and heel, wide enough to accommodate your entire foot however, not to large. Our clinic recommends and measures feet and fits shoes.
Professional medical foot and lower limb care should be performed every six to eight weeks and provided by a regulated health care professional such as; a Podortho Nurse, Chiropodist, or Podiatrist. These professionals will perform regular diabetic foot and lower limb health assessments and report finding to your general practitioner.
Cut your own nails with clippers
Cut your own calluses, or corns
Treat your own ingrown toenails, or slivers with sharp objects
Use over-the-counter medications to treat corns or warts as they are dangerous for people with diabetes
Apply heat to your feet using a hot water bottle, or electric blanket. Due to decreased sensation, you could burn your feet without realizing it
Take very hot baths
Use lotion between your toes
Walk barefoot indoors, or outdoors
Wear tight socks, or shoes
Sit for prolonged periods of time
See your Podortho Nurse for routine assessment and foot care
Check your feet every day for cuts, cracks, blisters, sores, infection, bruising, or unusual markings
Use a mirror to view the bottom of your feet if you cannot lift them up
Check the colour of your legs and feet. Check for swelling, warmth, redness, or if you have pain contact your physician, or Podortho Nurse immediately
Clean a cut, or scratch with a mild soap and water. Cover with a dry dressing for sensitive skin. Inspect cut daily. Follow up with Podortho Nurse
Trim your nails straight across if you are able to do so safely and shape with the contour of your toe smoothing jagged edges with a file
Wash and dry your feet daily especially in between the toes. Check the temperature of the water with your elbow, or use a thermometer to prevent scalding
Apply a good quality lotion to the heels and soles of the feet daily
Change your socks daily
Wear a good supportive shoe and purchase in the late afternoon since feet tend to be more swollen at this time
Avoid extreme heat and cold
Exercise regularly. Eat a balanced diet. Monitor glucose levels daily