When you have diabetes, daily wear and tear can take its toll on your feet, especially in the areas that absorb the most pressure. Because of poor blood circulation, or loss of feeling in your feet, even a minor problem such as a tiny crack in your skin, may develop into a serious infection. Diabetic patients can develop what we call neuropathy which is a damaging effect to the nerves making it difficult to feel pain, pressure, heat and cold. You may notice irritated skin, pain, or pressure caused by collapsing joints. As the disease progresses in diabetic patients, blocked blood vessels will bring fewer nutrients to your feet. Without this nourishment, sores and pressure areas on the foot may not heal. Additionally, diabetic patients may develop weakened bones, that can slowly shift causing your feet to become deformed, changing the way your foot distributes pressure.

Podiatrists should perform a thorough podiatric evaluation including: a detailed medical history, foot examination, evaluation of the skin and blood supply, diagnostic testing, which can be very important, including doppler or ABI studies, to evaluate blood flow. Ask for a simple test, called the Semmes-Weinstein test, that is done in the office with a tuning fork in order to check the level of feeling in the foot. X-rays and other tests, such as bone scans and MRI, might also be utilized.

Often the best treatment, for our diabetic patients, is prevention. This may be accomplished by the education of our patients in the care and treatment of their feet. Learn to examine your feet on a regular basis, with a regular schedule of podiatric care to help identify and prevent problems that can become long term. Have your podiatrist examine your feet regularly, teach you about self-care, provide foot maintenance and even recommend special footware.