Our Maine Street's Aroostook Issue 16 : Spring 2013 | Page 41

pebble in the shoe, or a rub spot from a shoe seam can lead to hospitalization or even amputation. The American Diabetes Association reports that 15% of people with diabetes will develop foot ulcers that lead to more severe complications, one in five ulcers leading to some level of amputation. 80,000 amputations are caused by diabetic ulcers each year, accounting for 60% of all non-traumatic amputations. With such serious consequences, it is of paramount importance that people with diabetes pay close attention to the health of their feet and condition of their footwear. If you are currently managing diabetes: Wear properly fit shoes at all times and check them often for rough spots, rocks, or other objects that could cause excess pressure on the foot. Thoroughly check the tops, bottoms, sides, heels, and between the toes of your feet (or have someone else check) once or twice a day for any cracks, blisters, sores, redness, swelling or changes in color or temperature. Wear clean, dry socks or hose without seams. Have your feet checked regularly by your physician. Let the podiatrist treat callouses, corns, blisters, infections, nail fungal, etc. Immediately notify your doctor of any new sores. Establish a daily care routine: Wash your feet with mild soap and warm water, being well aware of water temperature. Overly hot water will cause burns. Dry feet thoroughly, especially between the toes. Soften dry skin areas with lotion, but don’t apply lotion between the toes. Trim nails while they are soft. Cut the nail straight across, because curved nails are more likely to become ingrown. Stop smoking. Smoking causes decreased blood flow to feet. Use diet, exercise, and/or medication to manage your blood sugar. This includes testing/recording blood sugar levels, knowing what to eat and when, knowing how to recognize and treat high or low blood sugar levels, and properly administering medica ѥ