About Diabetes (Part 2)

Foot health is vital for people with diabetes. Complications of diabetes, such as loss of sensation, poor circulation and infections, make feet easier to injure and more difficult to heal, which is why a good pair of quality shoes that fit well is essential.

A foot care guide for Diabetics

Do’s

• Inspect the feet daily for blisters, cuts and scratches. The use of a mirror can aid in seeing the bottom of the feet. Always check between the toes
• Wash feet daily. Dry carefully, especially between the toes.
• Avoid extremes of temperatures. Test water with hand or elbow before bathing.
• If feet feel cold at night, wear socks. Do not apply hot water bottles or heat pads. Do not soak feet in hot water.
• For dry feet, use a very thin coat of lubricating oil such as baby oil. Apply this after bathing and drying the feet. Do not put the oil or cream between the toes. Consult your physicians for detailed instructions.
• Shoes should be comfortable at the time of purchase. Do not depend on them to stretch out. Shoes should be made of leather. Running shoes may be worn after checking with your physician.
• Avoid crossing your legs, this can cause pressure on the nerves and blood vessels.
• Notify your physician or podiatrist at once, should you develop a blister or sore on your feet.

Don’ts

• Do not walk on hot surfaces such as sandy baches or the cement around swimming pools.
• Do not use chemical agents for the removal of corn and calluses. Do not use corn plasters.
• Do not use strong antiseptic solutions on your feet.
• Do not use adhesive tape on the feet.
• Do not cut corns and calluses. Follow special instructions from your physician or podiatrist.

Remember to inform every doctor you visit that you are a diabetic.

Diabetes Care Schedule

Depression screening – Diabetes increases the risk of depression, which raises the risk of complications. Ask your doctor to screen you.

Diabetes education and nutrition counselling – If you have a change in your diabetes management plan, ask for a referral.

Source: CLDC – Caribbean Lifestyle Diabetes Centre