Diabetic Foot Problems – Know What Happens to Your Feet and Legs Due to Diabetes

Last updated on April 12th, 2022

Diabetes problems arise when too much glucose (sugar) is in the blood for a long time. High glucose levels in the blood (also called blood sugar) can damage many organs in the body, such as the eyes, blood vessels, heart, and kidneys. Heart and blood vessel disease can cause heart attacks or strokes. Read this blog to know about diabetic foot problems.

You can do a lot to halt or delay diabetes problems. This article contains information on foot and skin problems caused by diabetes along with diabetic foot first signs. You will learn what you can do each day to stay healthy and prevent diabetes problems each year. High blood glucose levels can also lead to foot and skin problems.

What Should You do Daily to Stay Healthy Despite Diabetes?

• Follow the healthy meal plan that you and your doctor or dietitian developed.
• Be physically active for 30 minutes almost every day. Ask your doctor which activities are best for you.
• Take your medications as directed.
• Check your blood glucose levels every day. Each time you do this, write down the result on the record sheet.
• Check your feet daily for cuts, blisters, sores, swelling, redness, or sore nails.
• Brush and floss your teeth every day.
• Check your blood pressure and cholesterol.
• Do not smoke.

Also Read: Conversion of blood sugar level mmol/l to mg/dl

How Can diabetes Hurt Feet?

Nerve damage:  One of the problems is damage to the nerves in the legs and feet. When nerves are damaged, your legs and feet may not feel pain, heat, or cold. When you don’t have sensation in these areas, a sore or cut on your feet can worsen because you don’t know you have it. The lack of sensation arises from nerve damage, which is also called diabetic neuropathy. This can lead to a significant injury or infection.

Poor blood circulation:  The second problem occurs when there is not enough blood flow in the legs and feet. Poor circulation prevents sores or infections from healing. This problem is called peripheral vascular disease. When a person has diabetes, smoking worsens circulation problems.

For example, shoes can cause a blister when they don’t fit properly. But because of the nerve damage in the foot, you don’t notice the pain caused by the blister. Then the blister becomes infected. If blood glucose levels are high, the excess glucose feeds the germs that cause the infection.

The germs multiply, and the infection worsens. Reduced blood circulation in the legs and feet delays the healing of the infection. In some cases, extensive infections never heal. This type of infection could cause gangrene.

When gangrene is present, the skin and tissue around the sore die. The area turns black and smells terrible. The doctor may need surgery to cut off a toe, the entire foot, or even part of the leg to prevent gangrene from affecting more skin and tissue. This surgery is called an amputation.

Also Read: Glycomet gp1 Tablet For Diabetes

What is the Diabetic Foot?

Many people ask what happens to diabetics feet the answer being gangrene occurs due to the occlusion of the arteries that carry blood to the feet.

The foot of the diabetic patient is susceptible to all forms of trauma: the heel and the bony prominence are especially vulnerable.

Damage to the peripheral nerves of the feet causes sensory disturbances, foot ulcer, atrophy of the skin.

It is common in diabetic patients that the injuries typical of the so-called diabetic foot pass without pain. The injury usually worsens before the patient asks for specialized help.

Also Read: Sugar Level

What Can You Do to Take Care of Your Feet?

• Soak your feet every day with lukewarm water.  Touch the water with your elbow to make sure it is not too hot. Don’t soak your feet. Dry your feet wholly, especially between the toes.
• Check your feet every day for injuries, cuts, blisters, redness, calluses, or other problems.  It’s essential to check your feet daily if you have nerve damage or poor circulation. If you cannot bend or lift your foot to prevent it, use a mirror. If your eyesight is not great, have someone else check your feet.
• If you have dry skin, apply moisturizer after washing and drying your feet.  Don’t put moisturizer between your toes.
• Use a pumice stone or a cardboard file to file corns and calluses gently.  File them off after bathing or showering.
• Trim your toenails once a week at least.  Cut your nails when they are delicate after bathing. Cut them following the contour of your finger and make sure they are not too short. File nails with a cardboard file.
• Regularly wear slippers or shoes to protect your feet from injury.
• Regularly wear stockings or socks to avoid blisters.  Do not wear socks or short stockings that are too tight below the knees.
• Wear shoes that fit well.  Buy your shoes in the midday, when your feet are most swollen. Wear new shoes cautiously until they soften. Use them only 1 to 2 hours a day for the first 1 to 2 weeks.
• Before putting on your shoes, touch the inside of your shoes and ensure no sharp edges that could possibly hurt your feet.

Also Read: Fruits for diabetic patients

What are Common Foot Problems Caused by Diabetes?

• Corn and diabetic calluses on your feet are thick layers of skin caused by too much rubbing and pressure at a single point. Corns and calluses can become infected.
• The blisters can be formed if shoe pressure is at a single point. When shoes don’t fit well or when worn without socks, a blister can form. Blisters can become infected.
• Ingrown toenails tend to occur when the edge of a nail digs into the skin and grows. The skin can turn red and become infected. Toenails can become ingrown toenail callus when the corners of the toenails are cut too deeply. If the sides of the nails are sharp, file them with a cardboard file. Nails can also become ingrown when shoes are too tight.
• The bunion forms when the foot’s big toe is inclined toward the other toes, and as a result, the section of the bone is at the base of the significant toe size increases. Bunions can turn red, cause pain, and become infected. Bunions can develop on both feet as well as on 1 foot too. Pointed-toe shoes can cause bunions. Bunions are generally more common in some families. They can be removed with surgery.
• The hammertoes are formed when a foot muscle weakens. The weakness can be caused by nerves that have been damaged by diabetes. The weak muscle causes the tendons of the foot to become shorter and the toes to bend downward. You can also get sores on the bottom of your foot and the top of your toes. The feet can change shape. Hammertoes can make it difficult to walk and find shoes that fit well. Hammertoes are generally more common in some families. Shoes that are too little can also cause hammertoes.
• The dry, chapped skin occurs when the nerves in the legs and feet do not get the message to keep the skin moist and soft. Dry skin can break open and allow infection-causing germs to enter. If blood glucose levels are high, the excess glucose feeds the germs and makes the infection worse.
• The athlete’s foot is a fungal infection that causes the skin to become red and cracking. It itches. The split skin between the fingers allows germs to enter the skin. If blood glucose levels are high, the excess glucose feeds the germs and makes the infection worse. The infection can spread to the toenails, making them thicker, yellow, and challenging to cut.

Also Read: 1000 calorie diet for diabetics

FAQs:

References:

1. https://www.medicinenet.com/foot_problems_diabetes/article.htm
2.  https://www.onhealth.com/content/1/diabetes_affect_feet
3.  https://www.diabetes.org/diabetes/complications/foot-complications

Last Updated on April 12, 2022 by Dr. Damanjit Duggal