Podiatry for people with diabetes is one of the most overlooked aspects of diabetes management.
Many people with diabetes are entirely unaware that they need to take special care of their feet and visit a podiatrist at once if problems arise. Higher levels of blood glucose can damage the nerve endings in many areas of the body and organs, which is why tight blood glucose control is an essential aspect of diabetes care.
Podiatrists are one of the essential professionals within diabetes care, and have a much underrated role to play in preventing and managing foot complications amongst people with diabetes.
Podiatrists are on hand at every stage, be it prevention, concern about a foot problem, and dealing with genuine problems once they occur.
A variety of foot problems can arise when poor foot care fails to catch issues at an early stage.
These may include:
- Damage to the foot
- Foot ulcers
- Foot infections
- Charcot’s joints
What will a Podiatrist check for?
Blood supply will be checked by looking at the colour of the skin, checking the pulses in the feet and by asking questions about certain kinds of pains in your feet and legs. Normally people have two pulses in their feet: one on the top (dorsalis pedis) and one on the inside of the ankle (posterior tibial). Most often the podiatrist will check these pulses by feeling the pulse with their fingers or they will use a small hand held scanner (called a doplar) to listen to the pulse.
Sensation will most commonly be checked with a monofilament and tuning fork. The monofilament is a plastic probe that is designed to buckle at a given pressure and is a good indicator for loss of feeling.
The podiatrist will also be looking for any foot deformity or signs of excessive loading that may warrant either footwear advice or in some cases an insole.
If you experience any form of neuropathy or pain or discomfort, it is advisable to consult your Diabetic Clinic or Podiatrist, since it is possible in many cases to alleviate these symptoms.
Here at The Colchester Foot Clinc, we offer Diabetic Neurological Testing with our Podiatry Assistant for £15.00.
(This is only available if you have seen one of our Podiatrists previously).