Diabetes is a chronic disease that can not be cured but is controlled. It is characterized by an increase in blood sugar (hyperglycemia) caused by a lack or lack of use of insulin (a hormone secreted by the pancreas which plays a major role in controlling the sugar content in the blood. The high blood sugar in the blood will eventually lead to complications, especially in the feet.
The small nerves of the foot may be affected and cause a decrease in the sensation of pain. The small wounds are not felt by the person and end up rapidly in wider and deeper wound. The risks of infection and amputations are therefore much higher in a person with diabetes.
Blood circulation of the foot may also be affected by poorly controlled diabetes, thus decreasing the oxygen supply to the foot. This problem leads to a slowing of the healing process and an increase in the risk of infection.
The muscles and joints of the foot can also be affected, causing a deformity of the foot. The pressure will therefore be distributed differently on the foot causing the formation of dots where the pressure is excessive. Damage to the skin may be caused by this abnormal pressure.
For anyone with diabetes, it is recommended to consult a podiatrist at least once a year. The podiatrist is able to assess the general health of your feet by performing vascular and neurological tests and detect areas of abnormal foot pressures. He can give you the care and advice specific to your condition.
- Wear appropriate footwear. Avoid high heels and tight shoes
- Cut your nails appropriately
- Avoid walking barefoot
- Examine your feet regularly with a mirror and make sure you have no lesions (cuts, bulbs, cracks, wounds, etc.)