Understanding Diabetic Foot Risks
Diabetes affects blood circulation and nerve sensitivity in the feet. Poorly controlled blood sugar can lead to neuropathy (reduced sensation), slower healing, and increased vulnerability to infection. A small blister or cut may progress rapidly without being noticed.
That is why regular podiatric follow-up is an essential part of overall diabetes management, especially for older adults.
Common Complications
The most frequent issues seen in consultation include:
- Diabetic foot wounds and ulcers
- Skin and nail infections
- Deformities (bunions, claw toes)
- Dry skin and fissures
- Numbness or tingling (neuropathy)
An untreated wound can compromise mobility and, in severe cases, require hospital care. Prevention remains the most effective strategy.
The Podiatrist’s Role
As a podiatrist specializing in diabetic foot care in Tel Aviv, I perform regular examinations to detect early signs of complications. My role includes:
- Neurological and vascular foot assessment
- Treatment of calluses and thickened nails
- Management of superficial wounds
- Patient education on hygiene and footwear
Daily inspection
Check your feet every day, ideally after showering. Look for redness, blisters, cuts, or temperature changes. Use a mirror to inspect the sole if needed.
Daily Hygiene and Care
A simple but consistent routine protects your feet:
- Wash feet in lukewarm water without prolonged soaking
- Dry thoroughly, especially between the toes
- Moisturize dry skin without applying cream between toes
- Wear clean cotton socks and appropriate shoes
- Never walk barefoot, even at home
Footwear choice is critical: choose wide, well-fitted shoes with a smooth interior and no irritating seams.
Therapeutic Footwear
For some patients, therapeutic shoes are recommended to prevent ulcer formation. These devices are prescribed after a complete assessment of foot structure and gait.
When to Seek Urgent Care
Consult promptly if you notice:
- A wound that does not heal within a few days
- Sudden redness, warmth, or swelling
- Unusual odor or drainage
- Fever associated with a foot lesion
- Unexplained sudden pain
Home visits are especially helpful for diabetic patients with mobility limitations.
Regular podiatric follow-up helps maintain quality of life and preserve independence. Do not wait for complications to appear before taking action.
