Diabetic Foot Care
Diabetes can affect the nerves and circulation in the feet, which is why regular podiatric care is an important part of managing the diabetic foot and reducing the risk of amputation. Our practice has a particular clinical interest in diabetic foot care.
Why does foot care matter if you have diabetes?
Diabetes can reduce sensation and blood flow in the feet over time, which means corns and calluses can go unnoticed, take longer to heal, and – left untreated – can result in a diabetic ulcer which can become limb-threatening. Regular assessment and management helps identify early changes and reduces the risk factors before they become more serious.
Warning signs to watch for
- Numbness, tingling, or burning sensations in the feet
- Callus and corns, a precursor to a diabetic foot ulcer
- Cuts, blisters, or sores that are slow to heal
- Changes in skin colour or temperature
- Swelling, redness, or any sign of infection
- Changes in the shape of the foot
Can diabetic foot problems be prevented?
Daily care makes a meaningful difference. Some general habits we recommend include:
- Checking your feet daily for cuts, blisters, or changes
- Washing and drying feet thoroughly every day, including between the toes
- Moisturising dry skin, while avoiding the area between the toes
- Wearing well-fitted shoes and clean, dry socks
- Avoiding walking barefoot, particularly outdoors
- Having all calluses and corns removed by a podiatrist before they ulcerate and lead to an amputation that could have been prevented
What we look for during an assessment
- Vascular Doppler screening to check blood supply and circulation
- Changes and reduction in sensation
- Skin and nail changes
- Areas of pressure or friction that could lead to injury
- Any wounds or areas that need closer monitoring
Our approach
Andy has served on the committee of the Diabetic Foot Working Group of South Africa and has completed training in the use of Total Contact Casts for complex diabetic foot ulcers and diabetic foot complications. Diabetic foot care at our practice is provided as part of a comprehensive clinical framework, with careful monitoring and referral where advanced wound care is required.
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