Why diabetes affects the feet
- Neuropathy reduces sensation, so cuts, blisters and pressure spots can go unnoticed
- Reduced circulation slows healing and makes infection harder to clear
- Dry skin, calluses and foot deformities create pressure points that can break down
- Elevated blood sugar can impair healing and the body's ability to fight infection
What a diabetic foot examination includes
- A check of the skin and nails for sores, calluses, cracks and infection
- Sensation testing to look for loss of protective feeling
- A check of pulses and circulation
- Assessment of foot shape, joint motion and any deformity
- A review of your footwear and any orthotics
Guidelines recommend a comprehensive foot examination at least once a year for people with diabetes, and more often if you have neuropathy, poor circulation, a foot deformity or a history of foot ulcers.
Preventing problems
- Properly fitted shoes, diabetic footwear or custom orthotics when indicated
- Checking your feet every day and never walking barefoot
- Moisturizing the skin, but not between the toes
- Professional care for nails and calluses rather than cutting them yourself
- Blood sugar management together with your primary care doctor or endocrinologist
- Reporting any new sore or color change early
When problems develop
A wound that is not healing needs prompt attention. Treatment can include wound care, offloading pressure, treating infection and checking circulation. Learn more about non-healing wounds and limb salvage and about Charcot foot deformity, a serious complication in people with neuropathy. When a deformity keeps causing pressure and sores, surgical correction may be considered.
What to expect at your visit
A first visit typically includes a review of your symptoms and history, an examination of the foot and ankle (often including how you stand and walk), and imaging such as X-rays when needed. Dr. Ajdari will explain your options, including non-surgical care, so the two of you can choose a plan that fits your goals. Dr. Ajdari sees patients in Metairie on the Southshore and in Slidell on the Northshore, serving the Greater New Orleans area.
This page is for general education and is not a substitute for an examination and advice from a qualified clinician. Treatment recommendations depend on your individual situation. If you think you may have a medical emergency, call 911.