Dr. A P S Suri’s explanation of the need of foot care in the context of diabetes

Dr. A P S Suri sharing essential information about – Caring for the feet is crucial for individuals with diabetes because diabetes can lead to complications that affect the feet. Elevated blood sugar levels over time can cause damage to blood vessels and nerves, particularly in the extremities. This can result in a condition known as diabetic neuropathy, where there is a loss of sensation in the feet.

Here are some reasons why foot care is important for individuals with diabetes:

1. Reduced Sensation: Diabetic neuropathy can lead to a loss of sensation in the feet, making it difficult to detect injuries, cuts, or blisters. As a result, individuals may not notice when they have foot injuries, increasing the risk of infections.
2. Poor Circulation: Diabetes can affect blood circulation, leading to reduced blood flow to the extremities. Poor circulation can slow down the healing process, making it harder for wounds and infections to resolve.
3. Increased Risk of Infections: Due to reduced sensation and compromised circulation, individuals with diabetes are more prone to foot injuries and infections. Infections can be serious and may lead to complications if not treated promptly.
4. Foot Ulcers: Chronic wounds, combined with reduced healing ability, can result in the formation of foot ulcers. If not managed properly, these ulcers can become infected and may even lead to more severe complications, such as amputation.
5. Charcot Foot: This is a condition where the bones in the foot become weakened and can fracture, leading to deformities. Individuals with diabetes are at an increased risk of developing Charcot foot.

To care for the feet effectively under diabetes, individuals should:

• Inspect their feet daily: Check for any cuts, bruises, blisters, or changes in skin color or temperature.
• Keep feet clean and dry: Wash feet daily with mild soap and warm water, and thoroughly dry them, paying attention to spaces between the toes.
• Moisturize: Apply a moisturizer to prevent the skin from drying and cracking, but avoid applying it between the toes to prevent moisture buildup.
• Trim toenails carefully: Cut toenails straight across and avoid cutting into the corners to prevent ingrown toenails.
• Choose proper footwear: Wear comfortable, well-fitting shoes to prevent blisters and sores. Check inside shoes for foreign objects before putting them on.
• Manage blood sugar levels: Keeping blood glucose levels within the target range helps prevent or slow the progression of diabetic complications.
• Regular foot exams: Have regular foot examinations by a healthcare professional to detect any potential issues early.

It’s essential for individuals with diabetes to work closely with their healthcare team to develop a personalized foot care plan and address any concerns promptly. Regular monitoring, self-care practices, and early intervention can help prevent serious complications and maintain overall foot health.