Diabetes UK is urging people with diabetes to look after their feet during lockdown and to seek medical help urgently if they notice anything unusual.
People with diabetes are at increased risk of developing problems with their feet because high blood sugar levels can damage blood vessels, affecting how blood flows to the feet and legs.
If something as small as a cut or blister becomes infected, it can develop quickly into an ulcer or infection and, at worst, lead to an amputation. Unhealed ulcers and foot infections are the leading cause of diabetes related amputations, with diabetic foot ulcers preceding more than 80% of amputations.
Amputations can be devastating to a person’s quality of life and can be life-threatening. But most amputations can be prevented with good, regular footcare. That’s why it is crucial that people living with diabetes know how to look after their feet and check them daily to look out for the signs of foot problems.
Scott Cawley, National Diabetic Foot Co-ordinator for Wales and Diabetes UK Clinical Champion said:
“Podiatry services across Wales have remained open to Emergency and urgent active diabetes foot problems during the coronavirus pandemic. It’s important you check your feet daily and find info on the footcare section of the Diabetes UK website. Knowing what to look out for, the early warnings signs, who to contact urgently if you have concerns, will be key to preventing harm. That’s why we are telling people: Don’t delay looking after your feet and be aware of how to contact your Podiatry services in Wales (through your Health Board’s website). In the meantime, take care of your feet and stay safe.”
How to look after your feet when you have diabetes:
- Check your feet daily to look out for the signs of foot problems
If, for example, your foot changes colour or is warm or swollen, or you have a break in the skin or any discharge, then contact your GP or podiatry service immediately.
- Seek medical help urgently if you’re experiencing unusual symptoms
If you notice a new change in your foot, like a cut or blister, a change in shape or colour, they are hot or swollen, or there’s a bad smell coming from an open wound, contact your GP, your foot care team or call 111 immediately.
- Check with your hospital or GP if you have a regular upcoming appointment to see if it’s taking place
All routine nail cutting and foot care services are not operating during the pandemic.
Specialist podiatry or multidisciplinary diabetes foot services for an active diabetes foot problem, such as wound care or an ulcer, will continue but may have different procedures in place to ensure safety while you wait. Contact your podiatry team or foot clinic team to check.
- Manage your blood sugar levels, cholesterol and blood pressure
Keeping your blood sugar within target will help prevent damage to your feet, and can stop existing problems from getting worse.
- Aim to eat well, be active and stop smoking, as much as possible
As well as looking after your feet, foot problems can be reduced by making healthier food choices, being active and stopping smoking.
For more information on footcare for people with diabetes, please visit Diabetes UK website www.diabetes.org.uk/footcare
Video resources: “Pocket Medic” videos
DUK video: https://www.youtube.com/watch?v=jC9hXPURsQA