Diabetic Foot Care
Footcare
Patients are encouraged to wash their feet daily in warm, but not hot water, and dry carefully between the toes. Many problems are caused by poor hygiene. Tinea Pedia can cause splits in the skin between the toes. Diabetics tend to get dry skin on their feet and legs, especially in the winter and the use of emollient cream daily will help prevent cracks, especially around the heals (as shown in the picture.) Emollient should not be used between the toes as this area is often too moist in the first place.
Additionally, toenails should be cut straight across and filed smooth. Diabetics who cut down on the sides of their nails can end up with in-grown toe nails. The irritation of the in-grown nail generates hyper granulation tissue which then becomes infected. In severe cases the only option is to remove part of the nail under local anesthetic.
It is also a good idea for diabetics to inspect their feet daily. If unable to reach the feet, simply use a hand mirror to inspect each foot and make sure they are all right. This is especially important for individuals who have sensory loss and may be unaware of an injury or problem, because they are unable to feel it. A visual inspection will help catch potential problems before infection or other complications spread.