Diabetics have an increased risk of complications with their foot health. This is due to a number of reasons which include:

• Reduced sensation in the feet (poly-distal neuropathy)
• Poor blood supply to the feet
• Changes in the structure of the foot (flexor substitution)
• Changes in the skin (anhidrotic)

It is important that on a daily basis the feet are checked visually at least. This may involve using a mirror if you find it difficult to see the soles of your feet, or asking someone else to look for you. Any breaks in the skin, redness, swelling or heat should prompt you to seek advice from a Podiatrist as soon as possible. It is important to check your feet daily as with reduced sensation you may not feel any damage that has ocurred.

This reduction in sensation also makes it wise to wear footwear at all times, this will reduce the chance of damage to the foot by standing on sharp objects. Footwear should be well fitting, with adequate cushioning in the sole. Podiatrists can prescribe devices that will add to cushioning, or reduce pressure from areas of high pressure.

Daily use of a good moisturiser will aid in keeping the skin flexible and reduce the build up of hard skin. The use of a foot file on hard skin is recommended to prevent excessive build up, which can lead to cracks in the skin.

Visit your Podiatrist at least once a year so that they can assess your blood flow, sensation and give you advice appropriate to you.