10 Tips For Healthy Feet

by Joy Pape, RN, BSN, CDE, WOCN, CFNC

You may have heard that having diabetes increases your risk for foot problems, including amputations. The good news is that there is a lot you can do to keep this from happening to you. Learn and follow these diabetes foot care tips to help prevent problems with your feet.

1 Manage your diabetes

Do all that you can to keep your blood glucose, blood pressure and cholesterol (lipids) in their target ranges. This is your first step—and one of the most important ones— toward protecting your feet.

2 Never walk barefoot

Walking barefoot gives you no protection against stepping on something, dropping something on your foot or being stepped on. Wear water shoes at the beach and keep slippers near your bed so you can get to them easily in the middle of the night.

3 Protect your feet from hot or cold temperatures

Cold causes your blood vessels to constrict, which can decrease circulation. On the other hand, heating pads, hot water bottles, electric blankets or putting your feet on radiators, fireplaces or space heaters can cause burns if you are unable to sense the temperature. Use wool blankets or comforters to keep warm instead. Keep your feet warm with wool or cotton socks.

4 Wear shoes that protect your feet

High heels put pressure on the balls of your feet, which can cause blisters, open sores, calluses and bunions, among other problems. Also, sandals and flip-flops provide almost no protection for your feet.

5 Be a foot detective

Look at your bare feet every day. Look at the tops, bottoms and in between your toes for redness, bruises, blisters, cuts, swelling, a shift in the color or temperature of your skin and other changes. By looking at your feet daily, you will notice changes right away. Report any changes to your health-care provider immediately.

6 If you smoke, try to stop

Smoking causes your blood vessels to become narrow. Diabetes increases your risk for blood vessel disease. The two together can decrease the blood flow that carries oxygen to your legs and feet. A lack of oxygen makes it much harder for wounds to heal. Get help by asking your healthcare provider to refer you to a program that can help you stop smoking.

7 Keep your feet clean and dry

You don’t need to do more than take your usual shower. Do not soak your feet unless your healthcare provider directs you to do. Dry your feet well—especially between your toes. Use lotion if your skin is dry to keep it soft and protect against drying and cracking. Putting socks on immediately after you put on the lotion helps lock in the moisture.

8 Trim your toenails to follow the curve of your toe

Use an emery board to file the edges. If you cannot reach your toes or your nails are thick, have your toenails cut by a podiatrist.

9 See a podiatrist

Besides trimming your toenails, podiatrists provide the foot care and education you need. Don’t practice podiatry yourself, which means don’t use anything sharp on your feet, and don’t use any over-the-counter medicines on your feet, such as wart, corn or callus removers. See your podiatrist for those treatments.

10 Get help right away

If you have any changes in your feet, contact your healthcare provider immediately. Don’t put it off. Getting care early can mean getting and keeping your feet safe. Putting it off can lead to the problems you want to avoid.

 


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Constance Brown-Riggs, MSEd, RD, CDE, CDN—an award-winning RD, certified diabetes educator, and past national spokesperson for the Academy of Nutrition and Dietetics, is the author of The African American Guide to Living Well With Diabetes, which received the Favorably Reviewed designation from the American Association of Diabetes Educators, and Eating Soulfully and Healthfully with Diabetes.

Dr. Lori Shemek, PhD, CNC, CLC, the best-selling author of “Fire-Up Your Fat Burn! and leading health and weight loss expert, is also known as “The Inflammation Terminator.” She has made it her mission to educate the public on the toxic effects of certain foods and lifestyle choices and how they create inflammation in the body. She is a leading authority on inflammation and its role in weight loss, preventing disease and optimizing health.

Rebecca Bitzer – MS, RD/LD, CEDRD is an award-winning Registered Dietitian, writer, speaker, blogger, and REBEL Dietitian business owner. Rebecca and her team of six Registered Dietitians have counseled thousands of clients struggling with diabetes for over twenty-five years. They work closely with each other along with internists, endocrinologists, therapists, and families.

Maureen Sullivan – RN, CDE has worked for many years as a Registered Nurse, most of them in emergency and trauma services. She is a Certified Emergency Nurse, Certified Diabetes Educator, and the former manager of a hospital stroke program. Maureen’s wealth of knowledge, passion for nursing and education, and ability to engage people makes her an excellent teacher and a captivating lecturer. Recently, Maureen has been concentrating on writing, speaking and teaching, as well as working on her award-winning weekly podcast, “The Health and Humor Show.”

Lauren Harris-Pincus, MS, RDN is a nutrition communications specialist, registered dietitian in private practice, social media consultant, speaker, spokesperson and corporate consultant. She is currently the owner of Nutrition Starring YOU, LLC and www.NutritionStarringYOU.com. Lauren strongly believes that we should “Think Healthy, not Skinny”, and “EveryBODY is unique, your diet should be too”. Lauren was co-host of the Family Food Experts Kitchen radio show, available for listening on iHeart Radio and iTunes. Also known as one of the “NutritionBabes”, Lauren co-founded NutritionBabes.com, a popular Health and Wellness website in 2009. NutritionBabes.com was voted one of Healthline’s Top 100 Health Blogs in 2011, 2012 and 2013.

Mark Heyman, PhD, CDE is a clinical health psychologist and the director of the Center for Diabetes and Mental Health (CDMH). In addition to treating patients with type 1 and type 2 diabetes, Dr. Heyman provides training for health care providers on how to identify and address the emotional and behavioral aspects of diabetes in their patients. He also works with pharmaceutical and medical device companies to help them understand these issues and incorporate this information into their sales, marketing, and patient education materials. He is particularly interested in empirically supported behavioral interventions that promote behavior change and improve physical and mental health in people with diabetes.

Katie Ferraro, MPH, RD, CDE is a nationally-recognized registered dietitian, certified diabetes educator and author with an expertise in nutrition communications and curriculum development. She is the co-author of “Diet Therapy in Advanced Practice Nursing” (McGraw Hill, 2014) and an Assistant Clinical Professor of Nutrition at the University of California San Francisco and University of San Diego’s graduate schools of nursing.

Dr. Beverly S. Adler, PhD, CDE (aka “Dr. Bev”) is a clinical psychologist and certified diabetes educator, author and speaker. She specializes treating the emotional issues of people with diabetes. In her private practice, she provides individual, family and/or group therapy utilizing a cognitive behavior therapy orientation, combined with a spiritual approach. Her goal is to empower her patients to manage their diabetes.

Dr. Bev is the author of two self-help diabetes books. She has written numerous articles which are published in print and online – always focused on diabetes from the emotional perspective. She also speaks to audiences of people living with diabetes, as well as, to audiences of healthcare professionals and diabetes educators. Dr. Bev, herself, has been living successfully with type 1 diabetes for 40+ years.

In August 2016, Dr. Bev was honored to receive the “CDE Entrepreneur of the Year” Award from her Metropolitan NY Association of Diabetes Educators.

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Marlene Koch (pronounced ‘cook’) is a nationally recognized nutritionist, popular TV personality and New York Times bestselling author. She graduated Magna Cum Laude from UCLA with a Bachelor’s degree in Nutritional Science. She is a registered dietitian and one of a select group of dietitians to hold an advanced certificate in Child and Adolescent Weight Management from the Academy of Nutrition & Dietetics.

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Barbara Ruhs – MS, RDN is a Registered Dietitian Nutritionist and owner of Neighborhood Nutrition LLC, a consulting firm focused on providing solutions to help food companies and supermarkets improve consumer health & wellness. She’s a former supermarket dietitian and has run a successful business for 17 years. A leader in the field of nutrition, her mission is to help people by impacting the way food is produced, marketed and sold. She’s a strong advocate for supermarket dietitians and believes the retail food industry has the greatest potential to impact public health.

Cheryl Orlansky has over 25 years of experience in health promotion and chronic disease prevention and management. Her first career as a registered dental hygienist led her towards a path of wellness and nutrition! Her expertise is in diabetes, weight management and cardiovascular disease for individuals and groups. She works in a large private practice including endocrinology, internal medicine, rheumatology, neurology and sleep medicine. She is an award winning dietitian with current leadership positions in state and local dietetics organizations.

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Jackie Newgent, RDN, CDN, is a registered dietitian nutritionist and classically-trained chef. With a passion for helping people (including her father) with diabetes, she’s author of The With or Without Meat Cookbook: The Flexible Approach to Flavorful Diabetes Cooking and the award-winning The All‐Natural Diabetes Cookbook, both published by the American Diabetes Association. Jackie is also author of 1,000 Low-Calorie Recipes and Big Green Cookbook. Her next book, The All-Natural Diabetes Cookbook—2nd Edition, was published in 2015.

Nutritionist Rania Batayneh, MPH is the author of the best-selling book, The One One One Diet. She holds a master’s degree in public health nutrition from the University of Michigan School of Public Health and is also a Wellcoaches Certified Health and Wellness Coach endorsed by the American College of Sports Medicine (ACSM).

OmnichannelHealth Media, publisher of DiabetesDigest.com, does not provide medical advice, diagnosis or treatment. See additional information.