Diabetics: Keep an eye on your feet
Diabetes can be brutal on your feet
Diabetes can make your feet red, numb, swollen, or develop sores that don't heal. The damage can become so bad that surgeons must amputate your lower leg to save your life. In fact, diabetes is the leading cause of lower-limb amputations.
Lower leg amputation due to  diabetes can be reduced by up to 85 percent simply by having your feet examined  regularly by a Doctor of Podiatric Medicine (DPM). 
            DPMs specialize in diabetic foot  care and work with you to preserve your feet, your mobility, and your quality  of life.
Risk factors for diabetes
You might be prone to diabetes if you have a family history of diabetes, or are of African American, Latino, Native American, Asian American, or Pacific Islander descent. Certain health problems—including obesity, high cholesterol, smoking, high blood glucose, high blood pressure, and physical inactivity—also increase your risk.
A DPM can examine your feet for diabetes warning signs such as redness, numbness, swelling, scaly skin, inflammation, loss of hair on the toes, and non-healing wounds or sores. If symptoms are found, the DPM will refer you to other physicians, in addition to scheduling you for regular visits.
Check your feet daily
Look for cuts, sores, blisters, or changes to your skin or toenails. Also check for areas that have less sensation when you touch them, or seem "asleep." If you notice a change in your feet, see your DPM immediately.
Clean your feet daily
Be sure to wash in warm—not hot—water. Completely dry your feet after washing and pay special attention to drying between your toes.
Keep your skin healthy
Lightly apply lotion or moisturizer to your feet to help prevent dry, flaky, or cracked skin. Use lotion on the tops and bottoms of your feet, but never between the toes.
Always wear shoes and socks
Wear soft, lightly padded socks to help avoid blisters and sores. Socks with no seams are best. Wear sturdy, supportive, and well-fitting shoes at all times to avoid injuries to your feet.
Take a walk
Walking is one of the best all-around exercises for people with diabetes. Walking is also an excellent conditioner for your feet.
Don't drink too much
Nerve damage is one of the consequences of diabetes. Drinking alcohol can speed up the damage associated with the disease, deaden more nerves, and increase the possibility of overlooking a cut or injury.
Don't wear anything tight around your legs
Pantyhose, girdles, thigh-highs, knee-highs, or even tight socks can constrict circulation to your legs and feet.
Never remove calluses, corns, or warts yourself
Avoid over-the-counter products to remove warts or corns because they can burn the skin and damage your feet. Never try to cut calluses with a razor blade or any other instrument. The risk of cutting yourself is too high.
Check your doctor's license
A Doctor of Podiatric Medicine who practices in California must be licensed by the Podiatric Medical Board of California. Check a license online at www.pmmc.ca.gov or call 916.263.2382.
For more information
    Podiatric Medical Board of California 
            2005 Evergreen Street,    Suite 1300
            Sacramento, CA   95815 
            www.pmbc.ca.gov 
            tel: 916.263.2647
            Fax: 916.263.2651 
            Send a message to the Board 
  California Podiatric Medical Association 
            2430 K Street, Suite    200 
            Sacramento, CA   95816 
            www.podiatrists.org 
            tel: 916.448.0248 or  800.794.8988 
  American Podiatric  Medical Association 
            9312 Old Georgetown    Road 
            Bethesda, MD   20814-1621 
            www.apma.org 
            tel: 301.581.9200 
  American Diabetes  Association 
            1701 North Beauregard    Street 
            Alexandria, VA   22311 
            www.diabetes.org 
            tel: 800.DIABETES or 800.342.2383 

