At Harrison Podiatry, we specialise in the care maintence and treatment of the "at risk" diabetic foot.
The following information applies whether you are a Type 1, insulin dependent diabetic, or a Type 2, non-insulin dependent diabetic.
Diabetes often reduces the circulation and sensation in your feet and your awareness of changes in temperature, pain and touch may all be diminished. As a result, foot problems may occur without your being aware of them. It is most important that all diabetics have a regular foot check-up by an HPC Registered Podiatrist, because most problems can be prevented if discovered and treated early.
Keep your feet clean, free from infection and check for signs of change in colour or temperature.
Wash your feet in tepid water using a mild soap, but don’t soak them for long periods. Rinse your feet well and carefully dry them, especially between the toes. If you have moist skin, lightly apply baby talc between the toes and wipe away any excess with cotton wool. If you have dry skin, apply a water-based moisturising cream like Aqueous Cream B.P. This is available at all pharmacies, is inexpensive and effective.
Change your socks or stockings every day. Avoid those with thick seams by the toes or those which cramp your toes. Avoid garters or “hold-ups” and “pop-socks” which can reduce your circulation.
Check carefully for any abnormal changes, for any discharges, throbbing or itching. If you find any of the above or are worried about the condition of your feet, consult your Podiatrist without delay. Your Podiatrist will cut your nails correctly and treat any corns, callus, ulcers or pressure sores which may have developed. Self treatment is to be avoided. Regular maintenance by your Podiatrist will give you peace of mind.
It is important that your shoes fit correctly, so always have your feet measured properly when buying shoes. Walking bare-foot or wearing open toe sandals can leave the foot exposed to injury. It is better to wear only well-fitting, soft leather shoes that are wide and deep enough to accommodate your foot without rubbing and which have either laces or a Velcro fastening. These will hold the foot firmly in place and prevent it from slipping forward and putting pressure on the toes. New shoes should be worn for only a couple of hours on the first occasion, after which your feet should be inspected for any signs of redness, which might indicate rubbing.