November marks Diabetes Awareness Month, an important opportunity to highlight a critical—but often overlooked—aspect of diabetes management: foot health. Because diabetes affects circulation, nerve function, skin integrity, and the body’s ability to heal, the feet are particularly vulnerable to complications. Many of these issues develop gradually and painlessly, which is why proactive prevention and regular podiatric care are essential. Keep reading to learn more about diabetic foot health from our Wichita podiatrist.
How Diabetes Affects the Feet
Peripheral Neuropathy (Nerve Damage)
Over time, high blood sugar can damage the nerves in the feet, leading to tingling, burning, or complete loss of sensation. When feeling is diminished, patients may not notice cuts, blisters, or pressure spots. These small problems can worsen quickly when untreated.'
Poor Circulation (Peripheral Arterial Disease)
Diabetes often reduces blood flow to the lower extremities. With less oxygen and nutrient delivery, wounds heal slowly and infections become more likely—and more dangerous.
Skin Changes and Ulcerations
Dry skin, calluses, fissures, and pressure points can develop more easily in diabetic feet. Without proper care, these areas may break down and form ulcers. According to podiatric and diabetic-care experts, foot ulcers are one of the most common—and serious—complications in people with diabetes.
Structural Problems
Conditions such as hammertoes, bunions, flat feet, or Charcot foot (a severe weakening of the bones) can cause abnormal pressure areas. In diabetic patients, these pressure spots are far more likely to become wounds.
Infection Risks
Because of impaired immunity and reduced circulation, bacterial and fungal infections are more common and may progress rapidly. Even minor infections can become severe if not treated promptly.
Prevention Strategies: Daily Habits That Make a Big Difference
The good news is that many diabetic foot complications are preventable with consistent, proactive care. Organizations such as APMA and diabetes-care programs like those offered by Arche Healthcare emphasize a structured approach to foot health. Key prevention steps include:
Daily Foot Checks
Look for blisters, redness, swelling, cracks, or cuts. Use a mirror or ask for help if needed.
Proper Foot Hygiene
Wash feet daily with warm (not hot) water and mild soap. Dry thoroughly, especially between toes.
Moisturizing the Skin
Apply lotion to prevent dryness and cracks—but avoid between the toes, where excess moisture can cause infection.
Proper Nail Care
Trim toenails straight across and file edges to prevent ingrown nails.
Always Wearing Supportive Footwear
Choose shoes that fit well, protect the feet, and reduce friction. Many diabetic patients benefit from extra-depth or custom shoes prescribed by a podiatrist.
Never Going Barefoot
Even indoors—lack of sensation makes unnoticed injuries possible.
Managing Blood Sugar Levels
Good glucose control supports nerve health and improves healing.
Scheduling Regular Podiatric Visits
Professional exams help detect early signs of neuropathy, vascular issues, and skin changes.
How a Podiatrist Helps Prevent and Treat Diabetic Foot Problems
A podiatrist is an essential partner in diabetes management. They provide specialized care to prevent complications, detect problems early, and treat issues before they become severe. Here’s how they help:
Comprehensive Foot Exams
Podiatrists assess circulation, nerve sensation, skin health, foot structure, and shoe fit. These exams can uncover issues that patients may not feel or see on their own.
Early Intervention for Wounds and Infections
If a blister, ulcer, or infection develops, prompt podiatric treatment dramatically improves outcomes. Early care can prevent hospitalization and reduce the risk of amputation.
Management of Neuropathy Symptoms
Podiatrists can recommend protective footwear, orthotics, offloading devices, and strategies to reduce pressure on vulnerable areas.
Treatment of Fungal Nails, Calluses, and Corns
These common issues can be dangerous for diabetic patients when not professionally managed. Safe debridement and proper treatment lower the risk of skin breakdown.
Guidance on Footwear and Custom Orthotics
Proper shoe gear is one of the most effective preventive tools for diabetic foot complications. Podiatrists help select or prescribe diabetic shoes tailored to a patient’s risk level.
Ongoing Monitoring and Risk Reduction
Consistent podiatric care, combined with education and structured foot-care programs, has been shown to significantly reduce the incidence of ulcers and lower-extremity amputations.
Take the Next Step Toward Healthy Feet
Diabetic foot complications are common—but they are also highly preventable. This Diabetes Awareness Month, take time to prioritize your foot health. Whether you’ve had diabetes for years or were recently diagnosed, partnering with a podiatrist is one of the most powerful ways to protect your mobility and overall health.
If you or a loved one is living with diabetes, consider scheduling a comprehensive foot exam this month. Early care can make all the difference in keeping your feet healthy for years to come.
