Diabetes Treatment Guidelines

What is Diabetes Mellitus?

This is a condition where you have raised blood glucose levels (called hyperclycaemia) due to a metabolic disorder. There are two main types of diabetes:

Type I – Insulin Dependant Diabetes Mellitus where the patient controls their diabetes with insulin.

Type II – Non Insulin Dependant Diabetes Mellitus where the patients may control their diabetes through diet, tablets or sometime insulin.

Both of these types of diabetes can be harmful to feet.

How regularly should I see a Podiatrist?

It is essential that everyone with diabetes of either type visit a Podiatrist regularly for a 6-12 monthly check up and whenever they have a foot problem. Your Podiatrist may recommend a much more frequent visit.

Why should diabetics see a Podiatrist?

Diabetes is directly linked with profound changes to your feet. The circulation to and around your feet can deteriorate meaning you are more susceptible to infection, less likely to heal quickly and your skin quality reduces meaning it is easier to damage. The sense of feeling in your feet can also reduce so that it is possible to damage your feet and not know about it.

It is important we monitor your feet regularly so that we can detect these changes early on.

You can see how even a seemingly simple problem like corns, callus or toenail cutting could cause much bigger problems under these circumstances.

Basic guidelines for Diabetics

Wash feet daily and dry thoroughly – especially between the toes.

Apply an aqueous cream such as E45 to your feet daily but not between your toes

Check your feet daily for anything unusual – colour changes, breaks in the skin, swelling, discharge etc.

Seek medical attention urgently if these are noted – we can offer daily emergency appointments

Always wear shoes or house slippers on your feet to protect them

Ensure your shoes are the correct fit and are adjustable – flat, laced shoes are the best

Warning signs

Redness, swelling, pus, discharge, pain.

Important

It is also important to see your GP or Practise Nurse for regular check-ups. Your Optician will also be recommending regular eye checks.