April 01, 2018
SUNDAY, April 1, 2018 (HealthDay News) -- If you have diabetes,
it's time to think about your feet.
"Diabetes is a multisystem disease," Dr. Ronald Lepow explained in a news release from the Baylor College of Medicine in Houston. "Circulation in the feet and legs may be diminished because there are problems with blood vessels that get narrowed or clogged as a result of the diabetes.
"A major cause of foot problems in diabetics is lack of blood flow," added Lepow, a professor of orthopedic surgery at Baylor.
This can cause calloused or injured areas on the feet to heal
more slowly, which can lead to ulcers or infections.
Another problem is that diabetes-related nerve damage can affect
the normal oil and moisture on the skin of the feet. That results
in dry and cracking skin, which allows bacteria to get in and cause
infections or ulcers, Lepow said.
What to do?
Lepow says it's important for anyone with diabetes to wash and
dry their feet and inspect them for scratches, blisters, injuries,
cuts and bruises every day. Once feet are dry, apply a cream that's
at least 20 to 40 percent urea.
Proper footwear is also crucial for people with diabetes.
Because of the special needs, Lepow suggests seeing a podiatrist
For instance, you'll need a wide and deep toe box. That will
allow free movement of your toes and reduce friction and pressure.
Also important are a solid sole and cushioning in areas that
store-bought shoes typically do not have, he said.
Podiatrists also can recommend different types of custom shoe
inserts, Lepow said.
Also, wear socks that don't cause friction or pressure. Cotton
socks are recommended. People whose feet sweat a lot should wear
moisture-wicking socks. And, Lepow said, everyone should wear
thicker socks in the winter.
The American Diabetes Association has more on