Taking Care of Your Feet for a Lifetime

You Can Take Care of Your Feet!

Do you want to avoid serious foot problems that can lead to a toe, foot, or leg amputation? Take Care of Your Feet for a Lifetime tells you how. It's all about taking good care of your feet.

Foot care is very important for people with diabetes who have:

  • Loss of feeling in their feet.
  • Changes in the shape of their feet.
  • Foot ulcers or sores that do not heal.

Nerve damage can cause you to lose feeling in your feet. You may not feel a pebble inside your sock that is causing a sore. You may not feel a blister caused by poorly fitting shoes. Foot injuries such as these can cause ulcers which may lead to amputation.

Keeping your blood sugar (glucose) in good control and taking care of your feet every day can help you avoid serious foot problems.

Use this guide to make your own plan for taking care of your feet. Helpful tips make it easy! Share your plan with your doctor and health care team and get their help when you need it.

There is a lot you can do to prevent serious problems with your feet. Here's how.

1. Take Care of Your Diabetes

Make healthy lifestyle choices to help keep your blood sugar close to normal. Keeping your blood sugar under good control may help prevent or delay diabetes-related foot problems as well as eye and kidney disease.

Work with your health care team to make a diabetes plan that fits your lifestyle. The team may include: your doctor, a diabetes educator, a nurse, a dietitian, a foot care doctor called a podiatrist (pah-di'ah-trist), and other specialists. This team will help you to:

  • Know how and when to test your blood sugar.
  • Take prescribed medicines.
  • Eat regular meals that contain a variety of healthy, low-fat, high-fiber foods including fruits and vegetables each day.
  • Increase your physical activity each day.
  • Follow your foot care plan.
  • Keep your doctor's appointments and have your feet, eyes, and kidneys checked at least once a year.

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2. Check Your Feet Every Day

You may have serious foot problems, but feel no pain. Check your feet for cuts, sores, red spots, swelling, and infected toenails. Find a time (evening is best) to check your feet each day. Make checking your feet part of your every day routine.

If you have trouble bending over to see your feet, use a plastic mirror to help. You also can ask a family member or care giver to help you.

Make sure to call your doctor right away if a cut, sore, blister, or bruise on your foot does not begin to heal after one day.

3. Wash Your Feet Every Day

Wash your feet in warm, not hot, water. Do not soak your feet, because your skin will get dry.

Before bathing or showering, test the water to make sure it is not too hot. You can use a thermometer (90 to 95 degrees F is safe) or your elbow.

Dry your feet well. Be sure to dry between your toes. Use talcum powder to keep the skin between your toes dry.

4. Keep the Skin Soft and Smooth

Rub a thin coat of skin lotion, cream, or petroleum jelly on the tops and bottoms of your feet.

Do not put lotion or cream between your toes, because this might cause an infection.

5. Smooth Corns and Calluses Gently

After bathing or showering, use a pumice stone to smooth corns and calluses. A pumice stone is a type of rock used to smooth the skin. Rub gently, only in one direction, to avoid tearing the skin.

Do not cut corns and calluses. Don't use razor blades, corn plasters, or liquid corn and callus removers -- they can damage your skin.

If you have corns and calluses, check with your doctor or foot care specialist.

Make sure to call your doctor right away if a cut, sore, blister, or bruise on your foot does not begin to heal after one day.

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6. Trim Your Toenails Each Week or When Needed

Trim your toenails with clippers after you wash and dry your feet.

Trim toenails straight across and smooth them with an emery board or nail file.

Don't cut into the corners of the toenail.

If you can't see well, or if your toenails are thick or yellowed, have a foot care doctor trim them.

7. Wear Shoes and Socks at All Times

Wear shoes and socks at all times. Do not walk barefoot -- not even indoors -- because it is easy to step on something and hurt your feet.

Always wear socks, stockings, or nylons with your shoes to help avoid blisters and sores.

Choose socks made of cotton or wool. They help keep your feet dry.

Check the insides of your shoes before you put them on to be sure the lining is smooth and that there are no objects in them.

Wear shoes that fit well and protect your feet.

8. Protect Your Feet from Hot and Cold

Wear shoes at the beach or on hot pavement.

Put sun screen on the top of your feet to prevent sunburn.

Keep your feet away from radiators and open fires.

Do not put hot water bottles or heating pads on your feet.

Wear socks at night if your feet get cold. Lined boots are good in winter to keep your feet warm.

Check your feet often in cold weather to avoid frostbite.

Make sure to call your doctor right away if a cut, sore, blister, or bruise on your foot does not begin to heal after one day.

9. Keep the Blood Flowing to Your Feet

Put your feet up when you are sitting.

Wiggle your toes for 5 minutes, 2 or 3 times a day. Move your ankles up and down and in and out to improve blood flow in your feet and legs.

Don't cross your legs for long periods of time.

Don't wear tight socks, elastic or rubber bands, or garters around your legs.

Don't smoke. Smoking reduces blood flow to your feet. Ask your doctor or nurse to help you stop smoking.

If you have high blood pressure or high cholesterol, work with your health care team to lower it.

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10. Be More Active

Ask your doctor to help you plan an activity program that is right for you.

Walking, dancing, swimming, and bicycling are good forms of exercise that are easy on the feet.

Avoid activities that are hard on the feet, such as running and jumping.

Always include a short warm-up and cool-down period.

Wear athletic shoes that fit well and that provide good support.

Make sure to call your doctor right away if a cut, sore, blister, or bruise on your foot does not begin to heal after one day.

11. Be Sure to Ask Your Doctor to:

Check the sense of feeling and pulses in your feet at least once a year.

Tell you if you are likely to have serious foot problems. If you have serious foot problems, your feet should be checked at every visit to your doctor.

Show you how to care for your feet.

Refer you to a foot care doctor if needed.

Decide if special shoes would help your feet stay healthy.

12. Get Started Now

Begin taking good care of your feet today.

Set a time every day to check your feet.

Note the date of your next visit to the doctor.

Cut out the foot care tip sheet in this booklet and put it on your bathroom or bedroom wall or night stand as a reminder.

Complete the "To Do" list at the back of this booklet. Get started now.

Set a date for buying the things you need to take care of your feet: nail clippers, pumice stone, emery board, skin lotion, talcum powder, mirror, socks, athletic shoes, and slippers.

Most important, stick with your foot care program.... and give yourself a special treat such as a new pair of soft cotton socks. You deserve it!

Make sure to call your doctor right away if a cut, sore, blister, or bruise on your foot does not begin to heal after one day.

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Tips for Proper Footwear

Proper footwear is very important for preventing serious foot problems. Athletic or walking shoes made of canvas or leather are good for daily wear. They support your feet and allow them to "breathe."

Never wear vinyl or plastic shoes, because they don't stretch or "breathe."

When buying shoes, make sure they are comfortable from the start and have enough room for your toes.

Don't buy shoes with pointed toes or high heels. They put too much pressure on your toes.

Ask Your Doctor about Medicare Coverage for Special Footwear.

You may need special shoes or shoe inserts to prevent serious foot problems. If you have Medicare Part B insurance, you may be able to get some of the cost of special shoes or inserts paid for. Ask your doctor whether you qualify for:

1 pair of depth shoes* and 3 pairs of inserts or,

1 pair of custom molded shoes (including inserts) and 2 additional pairs of inserts.

If you qualify, your doctor or podiatrist will tell you how to get your special shoes.

*Depth shoes look like athletic or walking shoes, but have more room in them. The extra room allows for different shaped feet and toes, or for special inserts made to fit your feet.

To Do List

Print this list and check each item when completed.

Task

by when:

Use the list of foot care tips and put it where I will see it every day.

Get a pair of nail clippers, an emery board, and a pumice stone.

Buy soft cotton or wool socks.

Buy a pair of shoes that fit well and cover my feet. Give away shoes that don't fit.

Place slippers beside my bed to wear when I get out of bed.

Get a mirror to help me see the bottoms of my feet.

Ask for help from a family member or care giver if I can't see my feet.

Keep my next doctor's appointment.

Ask my doctor if I qualify for special shoes covered by Medicare.

Plan my physical activity program with my doctor.

Stop smoking.

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For More Information, Please Contact:

American Association of Diabetes Educators
444 North Michigan Avenue,
Suite 1240
Chicago, IL 60611-3901
Internet: http://www.aadenet.org
1-800-832-6874

American Diabetes Association
1660 Duke Street
Alexandria, VA 22314
Internet: http://www.diabetes.org
1-800-DIABETES
1-800-232-3472

American Podiatric Medical Association
9312 Old Georgetown Rd.
Bethesda, MD 20814
Internet: http://www.apma.org
1-800-FOOTCARE

Centers for Disease Control and Prevention
Division of Diabetes Translation
Program Development Branch
4770 Buford Highway, NE,
Mailstop K-10
Atlanta, GA 30341-3724
Internet: http://www.cdc.gov/diabetes
(770)488-5015

Juvenile Diabetes Foundation International
120 Wall Street, 19th Floor
New York, NY 10005
Internet: http://www.jdfcure.com
1-800-JDF-CURE
1-800-223-1138

National Institute of Diabetes and Digestive and Kidney Diseases
National Diabetes Information Clearinghouse (NDIC)
1 Information Way
Bethesda, MD 20892-3560
Internet: http://www.niddk.nih.gov
1-800-GETLEVEL
(301)654-3327

WebMD Public Information from the U.S. National Institutes of Health

Sources

"The National Institute of Diabetes and Digestive and Kidney Diseases of The National Institutes of Health. Taking Care of Your Feet for a Lifetime. NIH Publication No. 98-4285. November 1997. (Online) http://www.niddk.nih.gov/health/diabetes/feet/brochure/index.htm"

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