Type 1 Diabetes and Foot Care

Foot care amongst people with diabetes is incredibly important as foot related complications are very common.  Foot ulcers affect 1 out of 10 people with diabetes, these can all too easily develop from a blister or a small innocent wound which due to diabetes, especially if not controlled well, would end up posing a threat or in worst case scenarios amputation.

It is very important that once diagnosed with diabetes one should consult with a Podiatrist of his/her choice and trust. That way one has a proper regular assessment of his/her feet and lower limb circulation, which is vital in keeping the foot healthy. 

The presence of high blood glucose levels over a long period of time may result in a condition called diabetic neuropathy (damage to the nerves) or loss of circulation in the extremities of the body.

It is relatively common for people with diabetes not to feel foot problems until they have developed. Therefore, it is key to ensure regular visits. The podiatrist is there to help us safe guard our feet the longest possible.


What does caring for your feet mean?

Foot hygiene is of utmost importance.

 Always look or have somebody look at any possible ailment to your foot.

Look out for following signs:

  • Cuts

  • Sores

  • Bruising

  • Swelling

  • Grazes

  • Changes in  colour

  • Ulcerations

  • Calluses or hard skin


Never cut your nails too short and do not round the corners. On the other hand, leaving nails overgrown may incur trauma to the adjacent toes.

Socks are very important! Tight fitting socks are of great danger to the diabetic foot. Avoid synthetic material and always look out for cotton and seam less edges.


Finally, foot wear:

Foot wear is what can start or save a foot from ending up being amputated. 

Tight foot wear (pointed toe box) is a big NO NO!

Flip Flops or open sandals with no support at the ankle can cause great damage to the foot. Always find well supported shoes especially from the heal area and tied round the ankle.










The first image explains how our foot should be and feel inside of the shoe. There is no pressure at all from any side of the shoe. If one puts his/her foot on top and stands up, if the toes bulge out like in the 2nd image that means shoe will be too tight and will eventually cause problems. The 3rd image shoes how the foot will accommodate to fit the shoe. This does not mean that the toes are comfortable. The last image shows how the toes get crammed in a high heal shoe causing a lot of damage


Any doubts and queries please do not be afraid to contact a Podiatrist. We are there to help you enjoy healthy feet.



Rosemarie Lanfranco

Allied health care Professional Podiatrist

Information generated from Diabetic.co.uk

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