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General Illness Information

Common Name:

Care of Feet and Skin

Medical Term:

Diabetic foot ulcers
Description:

Because of impaired nerve supply and nerve involvement people with diabetes are more susceptible to have foot injuries and foot infections. In diabetes, care of feet is very important.

Causes:

As above.

Prevention:

Report the foot injuries and ulcers to your doctor promptly. Wash feet daily with soap and warm (not hot) water. Dry thoroughly and gently, especially between the toes. Powder the feet with talcum. When the feet are thoroughly dry, rub lanolin gently into the skin of the feet to keep the skin soft and free from scales and dryness.

Do not cut corns or calluses or try to remove them with patent or other medicines. If toenails are brittle and dry, apply lanolin generously under and about the nails for a few nights after soaking. Cut nails carefully straight across.

Do not cut on the sides of the nail or the cuticle. If you go to a podiatrist, foot specialist, or chiropodist, be sure to tell this doctor that you have diabetes. If your toes overlap or are pushed close together, separate them with lamb's wool.

Remove shoes for short periods when you can. Wear thin socks of cotton (not wool) to prevent moisture, which stimulates germs that cause athlete's foot or other skin infections. Wear clean socks that you change at least once a day. Do not wear loose socks with raised seams.

Do not wear bedroom slippers when you should wear shoes. Slippers do not give proper support. Do not step on the floor or go outside with bare feet. Wear shoes of soft leather, which fit but are not tight. Break in new shoes gradually 1 hour a day.

Use cotton bed socks if you need extra warmth for your feet when you are in bed to sleep, but do not use hot-water bottles, or electric heating pads. Don't burn the feet! Electric blankets are satisfactory.

Do not wear garters or sit with legs crossed. Either will decrease circulation to the feet, and the circulation may already be less than normal because of the effects diabetes may have on your blood vessels.

Signs & Sypmtoms

Diabetics often have no pain associated with infection or injury to the foot.

Numbness and reduced sensation in feet.
Sores or ulcers take unusually long to heal.

Occasionally muscle weakness of legs and feet.

Risk Factors

Ingrown toenail.

Plantar corn or callus; blisters.

Poor fitting shoes.

Foot injury.

Diagnosis & Treatment
General Measures:

See section on prevention.

Additional information available from the local chapter of the American Diabetes Association or call them at (800) 232-3472.

Medications:

Specific drugs for infections may be prescribed.

Activity:

Continue with regular activities unless foot problems interfere.

Diet:

Follow prescribed diet.

Possible Complications :

Serious foot infections, gangrene and amputation.

Prognosis

Using preventive measures and seeking early treatment of infections should avoid serious complications.

Other

Nothing specified.