1. Comprehensive diabetic Foot assessment with Risk Categorisation:
2. Management of foot problems preventatively:
Regular foot care nursing including corn and callus removal and toenail clipping – this prevents little problems from escalating into big problems.
Treatment of Fungal infection and Tinea pedis in the person with diabetes. It needs to be attended to seriously in the person with diabetes as it is a progressive infection that increases the risk for secondary systemic bacterial infections and limb amputation. While only a cosmetic nuisance in the general population, in the diabetes population, the likelihood of secondary complications which may lead to amputation is heightened by compromised vascular status and DPN.16 Clinicians should be vigilant in diagnosing and treating this silent infection in the immunocompromised diabetes population and not ignore it.
3. Patient education and daily self inspection::
Tips on foot care for people with diabetes
Inspect both feet daily, including the area between the toes. Ask a caregiver to do this if you are unable to.
Wash the feet daily with water at room temperature, with careful drying, especially between the toes.
Use lubricating oils or creams for dry skin, but not between the toes.
Cut nails straight across.
Do not remove corns and calluses using a chemical agent or plaster. They should not be excised at home and must be managed by trained staff.
Always wear socks with shoes and check inside shoes for foreign objects before wearing them.
Avoid walking barefoot at all times.
Ensure a qualified healthcare provider examines your feet regularly.
Notify the healthcare provider at once if a blister, cut, scratch, or sore develops.