Diabetic Foot Complications — the Most Common Problems

People with diabetes are more prone to developing many types of foot problems. Neuropathy is the most common, and it can make it harder to identify other diabetic foot complications like:

• ulcers

• calluses, corns

• ingrown toenails

• dry, cracked skin

• infections

• injuries or fractures

• poor circulation

Neuropathy causes loss of sensation in the feet, making it harder to identify pain or changes in temperature. People with diabetes are also more prone to poor circulation in the legs and feet, known as peripheral artery disease (PAD). It can make it harder for wounds to heal. Loss of sensation and slow healing can lead to an ulcer or infection that, if not treated, increases the risk for amputation.

The good news is that with daily care and appropriate footwear, most amputations can be prevented! For this reason, it is important to regularly see a foot doctor and follow your provider's advice about proper treatment and prevention.

Here are a few things you can do to help reduce other complications (have someone help you if you can't see your feet):

• Check your feet daily for sores, blisters, cuts, calluses, swelling, or other problems.

• Wash your feet every day in warm water (use your elbow to test the temperature because you may have reduced sensation in your hands) and dry thoroughly.

• Keep your toenails trimmed and calluses filed. (Your doctor can show you how!)

• If the skin is dry, apply a thin layer of lotion to the feet. Be careful not to put any between your toes. (Excess moisture from lotion between the toes can lead to an infection)

• Avoid being barefoot and wear comfortable socks and appropriate footwear. Our in-office store can assist you in finding the best fit!

• Tell your doctor right away if you are having any problems—don't be afraid to ask for help with foot care too.

If you have any concerns about how to properly care for your feet like help filing calluses, treating ingrown toenails, or help with neuropathy, including questions about toe ulcers or treatment options like Neurogenx, Michele Kurlanski, DPM is here to help! Call us today at 207-774-0028 to set up an appointment. Dr. Kurlanski provides skilled and professional podiatry care in Cumberland County, Maine, at Lighthouse Foot and Ankle Center in Scarborough.