December 2017

Diabetes affects millions of people every year. Blood vessels located all over the body are damaged due to diabetes—even the blood vessels of the feet. Neuropathy, or nerve damage, can result from slower blood flow in the legs and feet. In diabetic patients neuropathy is very important to monitor, as diabetics are at risk for developing ulcers.

Always washing and thoroughly drying the feet are pertinent parts of diabetic foot care. There should be a focus on cleaning between the toes. Even if no pain is felt, the entire foot should be examined for redness and sores. Neuropathy can often mask the pain of sores and ulcers, and cause these conditions to be overlooked. Use a mirror to examine the underside of your feet if needed. It is recommended that diabetics wear will-fitting socks.

Patients with diabetes should have their doctor monitor their blood levels because blood sugar levels play a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised. It is very important to keep your blood sugar levels in the normal range, which can be determined by your physician. There are medications that a physician may prescribe to help with neuropathy of the diabetic patient. It is also advisable to visit a podiatrist if the diabetic patient is experiencing any conditions involving the feet such as ingrown toenails, which in more severe cases can cause infection.

Diabetic foot care at home is possible if a patient is provided with instructions from their physician. Patients can cure dry heels with creams or ointments. If trying to remove a callus with a tool, practice caution as severe diabetics may not be able to feel pain. Improper removal may cause a wound to develop.

Diabetic feet must be inspected on a daily basis. Set up regular visits with your podiatrist since proper diabetic foot care is necessary. If you suspect that you have a wound, notify your doctor immediately. Gangrene is a serious problem for diabetics and can lead to sepsis and amputation in its worst cases. Early treatment and daily inspection of diabetic feet are keys to staying healthy.

Jonathan M. Kletz, DPM, PA

Dr. Kletz received his undergraduate education at The University of Maryland and attended medical school at the Pennsylvania College of Podiatric Medicine. After graduating in 1989, he completed two years as a surgical resident in Dallas, Texas. Dr. Kletz is board certified as a foot and ankle surgeon by the American Board of Foot and Ankle Surgery.  He is also a fellow of the American College of Foot & Ankle Surgeons. Dr. Kletz specializes in the medical and surgical treatment of foot and ankle conditions and has been in practice since 1991.