Did you know 280 Australians get diagnosed with Diabetes every day? That’s about 1 every 5 minutes. There’s a good chance you, or someone you know, may be dealing with this disease. Podiatry is an essential component of diabetes management, as the disease can have drastic impact on the lower limbs.
How can diabetes affect the lower limbs?
When sugar levels aren’t controlled for extended periods of time circulation to the lower extremities can be heavily impacted causing peripheral arterial disease.
Symptoms of peripheral arterial disease (PAD) can include:
- Cramping in the legs during activity or at rest.
- Leg and muscle weakness
- Cold extremities
- Change in the colour of the skin
- Cuts and abrasions taking longer to heal
When sugar levels aren’t maintained at a healthy level for extended periods of time, it can lead to damaged nerve endings. This is called Peripheral Neuropathy.
Symptoms of peripheral neuropathy can include:
- Areas of numbness or tingling in the feet
- Burning pain in the legs and feet
- Unnoticed break in the skin, swelling or infection
How do Podiatrists check diabetes and your feet?
- Vascular assessment: We first perform a visual assessment checking skin colour, temperature and appearance. This is followed by a Doppler ultrasound which helps us determine the quality of blood supply.
- Neurological Assessment: Here we will ask specific questions about your sensation. We also complete a monofilament test to determine whether your neurological sensations are intact.
- Dermatological assessment: This involves a thorough assessment of your skin and nails. We assess the skin for any callus, corns, warts or lesions that may require treatment. We assess the nails for any fungal infection or ingrown toenails. We will also assess for any deformities such as bunions or clawed toes during this process.
How can you avoid diabetic complications?
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Visit your podiatrist every 12 months for a diabetes foot assessment, and more frequently for toenail and skin care if you have difficulty managing your foot health.
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Check your feet thoroughly every day, including the soles, for any cuts, abrasions, or changes. Avoid walking barefoot to reduce the risk of injury.
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When washing and drying your feet, be sure to check between your toes as this significantly reduces the risk of developing fungal infections.
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Apply moisturising cream to your feet daily, especially to areas prone to dryness and cracking, such as the heels.
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Stay fit and active, just 30 minutes of exercise a day can help you manage your blood glucose levels effectively.
