Did you know that about one in five people with diabetes enters the hospital for foot problems? In fact, many people with diabetes have mild to severe nerve damage. This can cause diminished feeling in the feet. As a result, you may not feel cuts, scratches, and breaks in the skin on your feet. These wounds can lead to unnoticed infection.
There are several specific problems that you should be aware of as a diabetic:
• Poor circulation can make your feet less able to fight infection and to heal.
• Calluses occur more often and build up faster on the feet diabetics. If not trimmed they can get very thick, break down, and turn into ulcers (open sores).
• Diabetic nerve damage (neuropathy) also can lessen your ability to feel pain, heat, and cold. Loss of feeling may mean that you might not feel a foot injury.
• Foot ulcers occur most often over the ball of the foot or on the bottom of the big toe. Ulcers on the sides of the foot are usually due to poorly fitting shoes. Neglecting an ulcer can result in infections, which in turn can lead to loss of a limb.
If the above problems are not cared for, amputation of the foot or leg may result.
Be sure to talk to your doctor if you notice any of these symptoms:
• Changes in the color of the skin on your feet
• Changes in skin temperature
• Pain in the legs, either at rest or while walking
• Swelling of the foot or ankle
• Open sores that are slow to heal
• Ingrown or fungus-infected toenails
• Corns or calluses that bleed within the skin
• Cracks in the skin, especially around the heel
Check your feet every day. Inspect the top, sides, soles, heels, and between the toes.