How To Prevent Complications

It is very important to have your feet evaluated and your shoes properly fitted, modified and adjusted by a qualified foot specialist. This is especially so if you are trying to qualify for the Medicare Therapeutic Shoe Bill.

Treatment and Prevention

Footwear and orthotics play an important role in diabetic footcare. Orthotics designed with Plastazote foam, the #1 material for protecting the insensitive diabetic foot, are usually recommended. Plastazote is a material designed to accommodate pressure hot spots by conforming to heat and pressure. By customizing to the foot, Plastazote provides the comfort and protection needed in diabetic footcare. Footwear constructed with Plastazote is also recommended frequently for the diabetic patient.

Diabetic footwear should also provide the following protective features:

•High, wide toe box (high and wide space in the toe area)

•Removable insoles for fitting flexibility and the option to insert orthotics if necessary.

•Rocker Soles designed to reduce pressure in the areas of the foot most susceptible to pain, most notably the ball-of-the-foot.

•Firm Heel Counters for support and stability.

10 Daily Foot Care Tips To Prevent Serious Problems

According to the National Institute of Health, the following simple everyday steps will help prevent serious complications from diabetes:

1.  Take Care of Your Diabetes

Make healthy lifestyle choices to keep your blood sugar close to normal. Work with your health care team to create a diabetes plan that fits your lifestyle characteristics.

2.  Check Your Feet Every Day

You may have foot problems that you may not be aware of. Check

your feet for cuts, sores, red spots, swelling, or infected toenails.

Checking your feet should become part of your daily routine. If you

have trouble bending over to see your feet, use a plastic mirror to

help. You can also ask a family member to help you.

Important Reminder: Be sure to call your doctor immediately if a

cut, sore, blister, or bruise on your foot does not heal after one day.

3.  Wash Your Feet Every Day

Wash your feet in warm, NOT HOT, water. Do not soak your feet

because your skin will get dry. Before bathing or showering, test the

water to make sure it is not too hot. You should use a thermometer

or your elbow. Dry your feet well. Be sure to dry between your toes.

Use talcum powder to keep the skin dry between the toes.

4.  Keep the Skin Soft and Smooth

Rub a thin coat of skin lotion or cream on the tops and bottoms of

the feet. Do not put lotion between your toes, because this might

cause infection.

5.  Wear Shoes and Socks At All Times

Wear shoes and socks at all times. Do not walk barefoot, not even

indoors. It is extremely easy to step on something and hurt your

feet. Always wear seamless socks, stockings, and nylons with your

shoes to help avoid the possibility of blisters and sores developing.

Be sure to choose seamless socks that are made of materials that

wick moisture away from your feet and absorb shock and shear.

Socks made of these materials help keep your feet dry. Always

check the insides of your shoes before putting them on. Make sure

the lining is smooth and there are no foreign objects in the shoe,

such as pebbles. Wear shoes that fit well and protect your feet.

6.  Protect Your Feet From Hot and Cold

Always wear shoes at the beach or on hot pavement. Put sunscreen

on the tops of your feet for protection from the sun. Keep your feet

away from radiators or open fires. DO NOT use hot water bottle or

heating pads on your feet. If your feet are cold, wear seamless

socks at night. Lined boots are good to keep your feet warm in the

winter. Choose socks carefully. DO NOT wear socks with seams or

bumpy areas. Choose padded socks to protect your feet and make

walking more comfortable. In cold weather, check your feet often to

keep your feet warm avoid frostbite.

7.  Keep the Blood Flowing to Your Feet

Put your feet up when you are sitting. Wiggle your toes for 5

minutes, 2 or 3 times a day. Move your ankles up and down and in

and out to improve blood flow in your feet and legs.

DO NOT  cross your legs for long periods of time.

DO NOT wear tight socks, elastic, or rubber bands, or garters around your legs.

DO NOT wear restrictive footwear or foot products. Foot products that can cut off circulation to the feet, such as products with elastic, should not be worn by diabetics.

DO NOT smoke. Smoking reduces blood flow to your feet. If you have high blood pressure or high cholesterol, work with your health care team to lower it.

8.  Be More Active

Ask your doctor to plan an exercise program that is right for you.

Walking, dancing, swimming, and bicycling are good forms of

exercise that are easy on the feet. Avoid all activities that are hard

on the feet, such as running and jumping. Always include a short

warm-up or cool-down period. Wear protective walking or athletic

shoes that fit well and offer good support.

9.  Communicate With Your Doctor

Ask your doctor to check the sense of feeling and pulses in your

feet at least once a year. Ask your doctor to tell you immediately if

you have serious foot problems. Ask your doctor for proper foot

care tips and for the name of your local podiatrist.

  1. 10.Monitor what is happening with your feet over time.        

  2. Be aware of changes happening with your feet over weeks,

  3. months and years.  The more you pay attention to what is

  4. happening over time with your feet (as well as your body and

  5. your overall health) the better you will be able to manage your

  6. diabetes.

Footcare & Diabetes

Proper foot care is especially critical for people with diabetes because you are prone to foot problems such as:

•Loss of feeling in their feet

•Changes in the shape of their feet

•Foot ulcers or sores that do not heal


It Also Requires Daily Attention and Care -                                 Or It Can Cost You More Than Just TIme

Of the sixteen million Americans with diabetes, more than 25% will develop foot problems related to the disease. Diabetic foot conditions develop from a combination of causes including poor circulation and neuropathy. Diabetic Neuropathy can cause insensitivity or a loss of ability to feel pain, heat, and cold.

Diabetics suffering from neuropathy can develop minor cuts, scrapes, blisters, or pressure sores that they may not be aware of due to the insensitivity. If these minor injuries are left untreated, complications may result and lead to ulceration and possibly even amputation. Neuropathy can also cause deformities such as bunions, hammer toes, and Charcot feet.

It is important for people with diabetes to take the necessary precautions to prevent all foot related injuries. Due to the consequences of neuropathy, checking your feet daily is critical.

Poor Circulation

Diabetes often leads to peripheral vascular disease that inhibits a person’s blood circulation. With this condition, there is a narrowing of the arteries that often leads to significantly decreased circulation in the lower part of the legs and feet.

Poor circulation contributes to diabetic foot problems by reducing the amount of oxygen and nutrition supplied to the skin and other tissue, causing injuries to heal poorly. Poor circulation can also lead to swelling and dryness of the foot.

Preventing foot complications is more critical for people with diabetes because poor circulation hampers the healing process and can lead to ulcers, infection, and other serious foot conditions.

When people with diabetes take the necessary preventative foot care measures, (including examinations by qualified medical foot specialists they can help reduce the risks of serious foot conditions.

Preventing foot complications is more critical for people with diabetes because poor circulation hampers the healing process and can lead to ulcers, infection, and other serious foot conditions.

If you have diabetes and are experiencing a foot problem, immediately consult your foot doctor.

If you are a diabetic, you should be particularly alert to any problems you may be having with your feet. It is very important for people with diabetes and neuropathy to take care to prevent injury and keep their feet clean, moisturized and healthy.

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