 Diabetic foot problems are a major health concern and are a common cause of hospitalization.
 Most foot problems that people with diabetes arise from two serious complications of the disease: nerve damage and poor blood circulation.
 The lack of feeling and poor blood flow can allow a small blister to progress to a serious infection in a matter of days.
 Chronic nerve damage (neuropathy) can cause dry and cracked skin, which provides an opportunity for bacteria to enter and cause infection.
 The consequences can range from hospitalization for antibiotics to amputation of a toe or foot.
 For people with diabetes careful daily inspection of the feet is essential to overall health and the prevention of damaging foot problems.
 Footwear that is too tight too loose or without enough support can lead to unwanted stress on the feet, ankles, lower leg, hip and spine.
 This ongoing pressure can cause pain and injuries that may limit or prevent participation in work, sports and hobbies.
 Fortunately many feet related problems can be prevented with footwear that is appropriate for an individual’s feet, body and lifestyle.
 Never walk bare foot. The nerve damage decreases sensation so you may not notice that little pebbles or objects have gotten stuck in your foot. This can lead to a massive infection. Always wearing shoes or slippers reduces this risk.
 Wash your feet everyday with mild soap and warm water. Test the water temperature with your hand first. Do not soak your feet.
 When drying them pat each foot with a towel rather than rubbing vigorously.
 Be careful drying between your toes.
 Use lotion to keep the skin of your feet soft and moist. This prevents dry skin cracks and decreases the risk of infection.
 Do not put lotion between the toes.
 Trim your nails straight across. Avoid cutting the corners. Use a nail file or emery board. If you find an ingrown toenail see your doctor. Good nail care is important in preventing infections.
 Do not use antiseptic solutions, drugstore medications, heating pads or sharp instruments on your feet.
 Do not put your feet near radiators or in front of the fireplace.
 Always keep your feet warm. Wear loose socks to bed. Do not get your feet wet in snow or rain. Wear warm socks and shoes in winter.
 Do not smoke. Smoking damages blood vessels and decreases the ability to deliver oxygen. In combination with diabetes it significantly increases your risk of amputation.
 Choose and wear your shoes carefully. A poor fitting shoe can cause an ulcer and lead to an infection.
 Buy new shoes late in the day when your feet are larger. Buy shoes that are comfortable without a breaking in period.
 Check how your shoes fits in width, length, back, bottom of heel and sole.
 Have your feet measured every time you buy new shoes.
 Your foot changes shape over years and you may not be the same shoe size you were 5years ago.
 Avoid pointed toe styled and high heels.
 Do not wear the same pair every day.
 Avoid long walks without break .Check for signs of pressure and ulcers.

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