Diabetes can damage the nerves and reduce the blood flow to the feet. You could develop a blister or cut your foot and yet, not recognise the injury. A seemingly small and insignificant injury can quickly progress into a larger problem. Diabetic foot can be an extremely difficult condition, which may progress to gangrene and loss of limb.
The Preventive Drill
vCleanliness is a must: Wash your feet each day with lukewarm water.
vBe gentle: Sponge down your feet in a gentle, massage-like motion, using a soft washcloth or sponge and a mild soap. Dry carefully between the toes to prevent fungal infection.
vMoisturise your skin: Diabetes can leave your skin dry so use a moisturiser regularly.
vTrim your toenails: Clean your toes carefully using a soft toothbrush and mild soap. Then cut the nails straight across so that they are even with the end of your toe. File rough edges. If you notice redness around the nails, report this to your doctor.
vChoose socks carefully: Wear clean, dry socks, preferably cotton-made. Avoid socks with tight
elastic bands that reduce circulation.
vFootwear selection: Wear shoes, or sturdy slippers. Look inside your shoes for rough edges that might injure your feet. Always select comfortable foot-wear, that isn’t narrow, allows air to circulate, is low-heeled, and has a flexible sole.
vCare of neuropathic feet: If your feet lose sensation be vigilant. Never be tempted to keep them too close to a heater during the winter.
vDo not use a file or scissors on calluses, corns or bunions: You can injure your feet that way. Do not put chemicals on your feet, such as wart remover plasters. See a doctor instead.
vCheck your feet every day: Look for blisters, cuts, bruises, cracks, peeling, redness, and swelling.
vDo not delay treatment: If a wound isn’t healing, appears to be growing in size or looks as if it may be infected, see your doctor immediately.
The author is a well-known columnist, Senior Specialist, Safdarjung Hospital and Professor, VM Medical College