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Standing for long periods, breaking in new shoes, going for a jog—life is filled with things that can be hard on your feet. Count diabetes among them.

Diabetes can damage the blood vessels and nerves in your feet over time. You may experience tingling, numbness, pain or the loss of feeling, which are symptoms of diabetic nerve damage, also known as diabetic neuropathy.

"Fortunately, there is a lot you can do to delay the onset or reduce the symptoms of diabetes-related nerve damage," says primary care physician John Hines, DO. "You should also know that there are other causes of neuropathy that are not related to diabetes and might be reversible, such as a thyroid disorder or a vitamin deficiency. If you have symptoms of neuropathy, whether or not you have diabetes, you should be evaluated."

Follow these steps to protect your feet:

• Do your homework. As part of your daily routine, look for:
  • Blisters.
  • Cuts.
  • Bruises.
  • Cracked and peeling skin.
  • Redness and swelling.
• Pay attention. If you spot any cuts, bruises or blisters that haven't started healing after a few days, make an appointment to see your doctor right away. With diabetes, small sores can quickly turn into a major infection.
• Keep your blood sugar on target. High glucose readings are a major risk factor for developing diabetes complications, including diabetic neuropathy.
• Wash your feet daily with warm water and soap. After drying them, use talcum powder or cornstarch between your toes to soak up moisture that can cause infection.
• Choose the right footwear. Wear shoes and well-fitting cotton socks to protect your feet from injury. The best shoes are snug but not too tight and have a wide toe box. Be sure to change your socks daily too.
• Get regular foot exams. If you have diabetes, you should have a foot exam at least once a year. Make an appointment with your primary care provider.

Categories: Podiatry