Diabetes Care / Live Healthy with Diabetes / How to Care for Your Feet

How to Care for Your Feet

When you have peripheral neuropathy caused by diabetes, your feet and skin need extra care and attention.

Very small, repetitive injuries to the feet, like those caused by poorly fitting shoes, can lead to bigger problems, says Tom Elasy, M.D., director of the Diabetes Clinic at Vanderbilt University in Nashville, Tenn.

"Calluses, blisters, sores, infections and foot ulcers may appear on numb areas of the foot because pressure or injury goes unnoticed. This happens simply because you can't feel the problem."

Also, people with uncontrolled diabetes have a hard time fighting infections. They may also have poor circulation that can lead to problems with healing. That means a minor cut in your skin could become an ulcer or develop into a serious infection. With good foot care, you can prevent most of these problems.

Inspect Your Feet Daily if You Have Diabetes

"We recommend that patients inspect their feet on a daily basis for cuts, any signs of redness, calluses or blisters," says Elasy. "Using a little mirror can help. Also, it's important to moisturize. But avoid getting (lotion) between the toes, because that area is already moist. So extra moisture tends to cause fungal infections."

Caring for your feet is easy. It's best to do it when you are bathing or getting ready for bed. Good foot care also involves getting medical help early if a problem develops. It's important to see your doctor for treatment right away to prevent serious complications like infections.

Here are good everyday foot care habits:

  • Inspect your feet daily. Wash your feet, then thoroughly dry them. Use a handheld mirror (a magnifying mirror is best) to inspect them. Look for blisters, cuts, cracks, dry skin, redness, tenderness or sores on the skin and on the soles of your feet.
  • Powder between your toes. This helps keep that moist skin dry and helps prevent fungal infections.
  • Rub lotion on your feet and legs to prevent dry cracked skin. But don't put lotion between your toes because of the risk of fungal infections.
  • Keep your nails trimmed. Use an emery board for filing so you don't hurt your skin.
  • Protect your feet. Always wear shoes or slippers to protect your feet from injury. Don't use a heating pad or hot water bottle to warm your feet.
  • Get checkups at the doctor. On each visit, make sure your doctor inspects your feet.
  • Don't use corn removers or other drugstore foot treatments. These can be harmful. Let your doctor treat your foot problems.
  • Wear properly fitted shoes. Also, wear socks at all times to prevent injury.

Dr. David Trenner

Diabetes Foot Care

Listen to podcast:

Dr. David B. TrennerDavid Trenner, D.P.M. is a Senior Associate in Orthopaedics at Vanderbilt University Medical Center, specializing in podiatry, orthopaedics and rehabilitation. Good foot care is very important for anyone with diabetes. Dr. Trenner will explain what specific problems are related to diabetes, how to assess any complications and what preventative medicine and treatments are available.

To learn more about what can be done to prevent foot complications, please visit:
Preventing Foot Complications