Our podiatry team has recorded this video for you if you have found out that your feet are of low risk of diabetes foot problems. We’ll take you through your results and what they mean for you. Also, we’ll talk about how to keep looking after your feet so they’ll look after you.
If videos aren’t your thing we’ve summarised the information below.
Related diabetes videos and information:
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Low Diabetes Foot Risk Means
If you have a low risk of diabetes foot problems it means that your feet are functioning well in the following three areas:
Circulation
Circulation is how well the blood flows down from your heart to the tips of your toes and then back.
If your blood flow is reduced then your healing and health of your feet will be compromised.
When you’re low risk your circulation remains excellent.
Sensation
Sensation is the ability of your nerves to feel and tell you what is happening.
If we can’t feel our feet, we can’t feel when things are sore.
Pain is an important signal. Knowing that you’ve stepped on something or your shoes are rubbing is crucial for you to act and do something about it.
When you’re low risk your sensation is intact.
Lesions
The main lesions we focus on for diabetes foot risk level are pressure lesions.
Corns and callus are lesions which develop in response to consistent pressure and friction on the skin.
A small amount of callus is protective. If it builds it can lead to more significant problems as callus comes before most diabetic foot ulcers.
When you’re low risk your foot lesions are either non-existent or very mild.
How To Manage Your Diabetes Foot Risk
There are also three areas for you to participate in to ensure your feet stay at low risk of diabetes foot problems and complication free. They involve what you can do at home, what you do with your podiatrist, and what you do with your extended health care team.
At Home Management
Foot Checks
Check your feet every day. Look for changes in skin colour, breaks in the skin, inflammation or just anything different from normal.
Foot Hygiene
Foot hygiene is more important when we have diabetes. Ensuring you wash with a soap free wash and dry thoroughly after bathing is crucial. Applying a moisturiser rich in natural acids (rather than plain sorbolene) will also help your skin stay soft, supple and strong.
Nail Care
For toenail care it’s sometimes safe, appropriate and helps fuel our feelings of independence to look after them ourselves. Other times they get a bit to hard to reach to attend to safely. Your podiatrist and you will be able to establish what is best for your needs. Having your pod help out can certainly be a great way to take this task of your hands too if the burden of looking after your diabetes needs becomes a little heavy.
Footwear
Shoes or footwear is also important. Make sure you have the right shoes for the right activities and your feet. Appropriate fit and fixation (they should have laces, straps or velcro) to hold onto your feet. If you opt for slip on shoes there is a greater chance of over-working your toes as they have to grip tight to hold onto your shoes. The other risk with slip on shoes is that to get them to stay on they fit too tight.
Physical Activity
Physical activity is also vital to look after your low risk feet at home. Your feet need 30 minutes of cardiovascular activity every day and 2 sessions of resistance training per week. Cardiovascular exercise is something that increases your heart rate and involves some movement. Think walking, jogging, dance, swimming and cycling. Resistance training involves lifting weights.
Probably the most misunderstood and poorly utilised aspect of diabetes management is weight training. For foot health as well as a host of other benefits you must work out with weights at least twice per week. If you’re not doing this, the transformation you’ll feel when you start will be nothing short of incredible.
At The Podiatrist Management
You and your podiatrist will see each other at minimum every 12 months to test and retest your overall diabetes foot risk. You circulation, sensation and lesion check up.
Depending on your other needs you might be seeing your podiatrist monthly for nail and skin care, or rehabilitating an injury or tweaking your footwear and orthotic prescription.
Your Health Care Team Management
To stay on top of your health and feel positive, energetic and well you’ll likely have the following health professionals in your team.
Your GP is your trusted regular contact for all your needs. Your doctor will coordinate your testing, referrals and play an integral role in your health and wellbeing.
As we’ve touched on above, your podiatrist will be at least an annual supporter in your health needs.
Eye tests are also reccomended annually for those with diabetes.
You might also have further medical management via an endocrinologist or dietary planning with a dietitian.
Most people with diabetes will benefit from regular exercise physiology as well. EPs are exercise experts who can motivate, support and train you to ensure you’re feeling your best. An example of how this helps is with the Sugar Burners🔥 Diabetes Program.
