Why Foot Exams Are Important For Diabetics

Every time I go to the doctor's office, I see a sign with a cartoon on it that says "Be sure to take off your socks and shoes if you're diabetic." I've been asked by family members what that means; here's the answer.

Diabetes can damage nerves. It's called diabetic neuropathy, which means that the nerves don't always feel sensations such as pain when an injury happens. It can do a lot of other things, such as send false pain signals to the brain as well.

That's not the only threat diabetes poses for your feet. The immune system is not as strong and it doesn't fight off infections easily. Clogged arteries occur at an earlier age in diabetics, which can lessen the blood flow to the legs and feet.

Without feeling in the feet, an injury may go unnoticed. These injuries are more prone to infection and they don't heal as quickly. In fact, some wounds can take years to heal. Unfortunately, there are also some that lead to amputations. The earlier these wounds are found and treated, the less likely and amputation will be required.

There are things you can do, as well. Keeping your blood sugar under control is vital. This can prevent further damage to your nerves. You should also check your feet carefully every day. Ask your doctor what you should do if you do get an injury to your feet.

Keeping your skin properly moisturized is important. Cracked, dry skin can let bacteria in and start an infection. Be careful about bath temperatures also. Hot water can dry your skin out, so use warm or cool water only.

You may be told to wear special shoes. I've seen them and I know they look odd, but they help you avoid pressure points that cause calluses. These calluses can turn into ulcers very quickly in a diabetic. If you develop calluses, ask your doctor what to do about them. While caring for them yourself is possible, you may be better off letting a professional deal with them. This is especially important if you have poor eyesight or you have little/no feeling in your feet.

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