Diabetic Foot Care

Diabetes can lead to foot problems in two ways: it can cause decreased sensation in the feet, so that injuries go undetected, or it can cause decreased circulation to the feet, which will result in poor blood supply that may be insufficient to fight infection and heal wounds.

The risk of developing foot problems can be greatly reduced if you follow simple foot care principles and see your physician.

Warning Signs

Inspect your feet daily especially in between the toes. If mobility and poor vision makes this difficult, have someone else do it. Remember any injury to the foot or break in the skin is potentially serious.

Notify your Physician or Chiropodist if you notice:

  • Cuts or scrapes
  • Corns and calluses
  • Puncture wounds
  • Discoloration, pain, redness or swelling
  • Ingrown toe nails
  • Pain in calf area during walking or exercising


Shoes that fit poorly can cause irritation and lesions. Shoes should fit snug, but not tight. Make sure that there is enough room to wiggle your toes, and only wear shoes that breathe well like leather. Also, it is wise to break in new shoes gradually. Inspect the inside of the shoes daily for loose objects and tears in the lining and/or the leather cover.
Never go barefoot – even at home. Always wear shoes or slippers, especially in the dark. Remember that an unnoticed minor cut, scrape, or burn can rapidly lead to a serious infection in a person with diabetes. Some diabetic patients may need specially designed therapeutic footwear to reduce the possibility of complications.

Do’s and Don’ts

  • Do wash your feet daily using warm water and mild soap, (test water with your hands to make sure water is not too hot), then pat your feet dry with a soft towel and make sure to dry between the toes.
  • Do not rub your skin vigorously, as you may tear and damage the area when drying.
  • Do use a moisturizing cream for dry skin, and foot powder if your feet get sweaty.
  • Don’t wear socks that have rough seams (special seamless diabetic socks are available).
  • Do trim your toe nails regularly, cutting them straight across and filing the edges and corners round.
  • Don’t cut your toenails if they are thick and hard or if you have difficulties cutting them – see your chiropodist.
  • Do not use razor blades, knives, or scissors to trim calluses and corns.
  • Do not try to remove ingrown nails.

If you are diabetic you must be very cautious not to burn, cut or harm yourself.

It is very important to check your feet daily to maintain proper foot health. See your local chiropodist to help you achieve long lasting healthy feet.

Available Treatment

Services available at Step By Step Footcare include:
• Routine management of nails and skin
• Ulcer Management
• Peripheral Neuropathy Management ( link to)
Diabetic Specific Footwear


Diabetic Assessment and Treatment

On your initial visit the Chiropodist will do:

  • a series of exams and tests.
  • a detailed history of your lifestyle, past and current medical status
  • Neurological exam on both feet to determine level of neuropathy
  • Vascular exam to determine status of blood flow
  • Perform a biomechanical and gait exam to determine level of stability
  • Assess your footwear
  • Explain in detail the status of your current foot health
  • Explain to you the best management plan according to the results of the above mentioned exams / tests.
  • Answer any questions and concerns regarding your foot health
  • Trim toe nails and clean up any callus areas that are present
  • Advise you on do’s and don’ts that pertain to you


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FREMS is a biophysical Treatment dedicated to NEUROVASCULAR REHABILITATION of leg complications and chronic wounds. For more info click here.

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Read our blog posts about Diabetic Feet