This is something I will criticize many
doctors and even patients with diabetes for not doing. There are
many things that you can do at home, or your spouse can help you with
these suggestions.
Check your feet daily:
This is especially important if you have been diagnosed with a loss
of sensation or neuropathy. A quick visual inspection will do -
check the bottoms of your feet and between your toes. If you notice
a change - an open cut that isn't healing or a fungal infection
contact your doctor or podiatrist.
Wear protective shoes:
Do not walk around barefoot or in open toed shoes. If you have any
type of neuropathy, you may not sense a hot surface or an object that
is caught on your foot. It's important to purchase protective shoes
that conform to your feet. Avoid getting shoes that fit too snugly,
which can increase the risk of rubbing your feet, creating blisters
or broken skin.
Shake out your shoes before
putting them on: You never know what has made its way into
your shoe - a pebble, your dog's toy - shaking out your shoes reduces
the risk of foot injury if you have neuropathy. Also, some spiders
can bite a toe and you may not know it until it becomes a large sore.
Depending on where you live will determine how carefully you need to
shake out your shoes.
Dry well between your toes:
Excess moisture can be a breeding ground for fungal
infections. After bathing or showering, it's important to dry your
feet well especially between your toes.
Keep good hygiene: Change
your socks daily. Purchase cotton socks and do not go sock less in
your shoes.
Do not apply lotions between
your toes: Avoid putting lotion between your toes, because
this can increase the risk of fungal infections. You can apply
lotion to the heels of your feet to prevent dry, cracked skin.
Avoid nail salons: Getting
pedicures at nail salons may not be the best idea. Nail salons can be
a breeding ground for bacteria and fungus. You might be better off
getting a 'pedicure' by your foot doctor where you'll know that your
nails will be cut straight across and not too short with sterilized
tools. If you must go to a nail salon, request that they clean the
foot bath in front of you and purchase your own set of tools or bring
your own from home.
Following or doing the above is
important and gives you a better chance to avoid some foot problems.
With diabetes, we are more susceptible to foot problems and good foot
care is needed. Several of our single support group members have
mirrors that they use to look at the bottom of their feet and they
also see a podiatrist at least quarterly. This is something that the
support group emphasizes and we have had foot inspections one time
for everyone. Yes, there was some grumbling, but when it was done,
everyone was glad it was done and had more questions of the two
podiatrists that participated.
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