Multidisciplinary Management of Diabetic Foot

What Is Diabetic Foot?

Foot problems are very common in people with diabetes. Over time, high blood sugar can damage the nerves and blood vessels in the feet, causing numbness, tingling or a total loss of feeling – a condition called diabetic neuropathy. Without sensations of pain, injuries to the foot like cuts or blisters may go unnoticed and become infected. And, because diabetes causes poor blood flow, foot wounds may not heal well or at all.

Slow-to-heal or nonhealing wounds can potentially lead to gangrene or tissue death that may require amputation of the affected toe or foot.

Symptoms of Diabetic Foot

• Changes in color and temperature of the skin on and around the foot
• Lack of feeling or numbness in the feet and toes
• Swelling in the foot or ankle
• Burning or tingling sensations in the feet
• Cuts, ulcers, burns or blisters on the feet that are slow to heal

If you have any of these symptoms, it’s important to see a healthcare professional right away to have your blood sugar tested. If you’re diagnosed with diabetes or pre-diabetes, there are many ways manage the disease and slow its progression.

Self-Care for the Diabetic Foot

In addition to keeping your blood sugar under control under the guidance of a medical professional, there are several ways to keep your feet healthy, including:

• Inspect your feet every day. Look for skin changes and any injuries on the top and bottom of the foot and between the toes.
• Wash and dry your feet thoroughly every day using warm water and soap. Talcum powder or cornstarch may be used between the toes to soak up excess moisture. Do not apply lotion between the toes.
• Trim toenails straight across with clippers.
• Do not attempt to remove corns or calluses yourself. Have a foot doctor do it for you.
• Wear well-fitting shoes and avoid walking barefoot.
• Elevate your feet when sitting and wiggle your toes and circle your feet frequently to keep the blood flowing.