Diabetes and Your Feet

As many as 23 million Americans have been diagnosed with diabetes and podiatrists are one of their primary doctors they see on a regular basis.  Over time diabetics may develop neuropathy (peripheral neuropathy) which is a loss of sensation that starts in the toes and moves up the legs.  This can be very dangerous as it is nearly impossible to feel any cuts, injuries, wounds or ulcers.  Also, with decreased or poor circulation to the feet any injury to the foot can quickly lead to infection and worse.  Diabetes is one of the leading cause of lower leg and foot amputations.

Signs and Symptoms

Initial symptoms can include numbness, a wound that won't heal or a chronic infection.  In fact, a podiatrist is often the first to diagnose a patient as diabetic.  Care of the diabetic foot is essential for preventing further symptoms from developing.  Diabetes can damage the nerves, leading to peripheral neuropathy.  Diabetes can cause poor circulation which can slow the healing process and even lead to infection.

Treatment

A significant part of treatment of the diabetic foot is regular visits to your podiatrist to prevent further complications.  Our podiatrist can treat any wounds or ulcers and help prevent new ones.  We can manage any infection you may have and help prevent new ones as well.  We offer diabetic shoes which have extra depth and width to prevent skin breakdown, sores or ulcers.  We perform diabetic exams at least annually to determine the quality of the circulation in your lower legs and feet and any temperature changes.  We will trim your toenails and calluses.  It is dangerous for you to trim your own feet and nails as this can lead to cuts or knicks that can become infected. We perform vascular exams to detemine the quality of blood flow in your legs. We work closely with some of the top vascular surgeons in town if you need further care for your circulation issues.

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