Care for Diabetic Foot Ulcers

Foot UlcersApproximately 15% of people with diabetes suffer from foot ulcers, according to the American Podiatric Medical Association. This dangerous condition is a threat to all diabetes patients, but learning about foot ulcers and taking preventative care measures can decrease your risk.

Foot complications lead to the highest percent of hospital visits for diabetics. And foot ulcers are the most common foot injury that results in amputation. Fortunately, the United States National Diabetes Advisory Board reports that early detection and treatment may prevent up to 85% of amputations.

The severity of your diabetes will affect the likelihood of developing a foot ulcer. This is true, of course, of all diabetes side effects and complications, but what exactly are the triggers that make patients more prone to foot ulcers?

Neuropathy is a complication associated with a number of medical conditions including diabetes. The condition makes diabetics more susceptible to foot injuries that can lead to ulcers. In general, neuropathy refers to nerve damage. Diabetes patients suffer from peripheral neuropathy, which is technically defined as nerve damage outside of the brain and spinal cord. It affects extremity nerves such as those in the legs and feet.

NeuropathyUp to 50% of people with neuropathy due to diabetes do not have symptoms. This may not sound so bad: you’re pain-free and your lifestyle is unaffected, but it’s a real danger if you receive an injury that goes undetected due to lack of sensation in your foot. In fact, some patients realize that they have foot injuries (even ulcers) only by seeing blood from the open wound on their socks.

If blood vessels in the feet are damaged, tissue damage may occur. This is caused by loss of blood circulation to the feet, known as a peripheral arterial disease (PAD) and is a problem faced by one-third of diabetics over the age of 50. Circulation problems not only cause nerve damage but also results in slow healing.

Physical changes that damage the feet are another concern for diabetics. It’s not uncommon to develop calluses on the ball pad or heel under the foot. The real danger is that callus skin can break down to form an ulcer, which often goes undetected because it is hidden under the calloused skin.

Nerve damage can cause changes in the shape of your feet and cause foot structural deformities. Proper fitting and comfortable shoes are a vital part of preventing calluses, bunions, and other foot and toe defacements that can result in ulcers. Treatment of calluses should be handled by a medical professional.


In addition to the routine care patients take to manage diabetes, there are specific precautions that will minimize the risk of developing a foot ulcer.

Broken skin wounds have a high likelihood of developing into foot ulcers. These painful injuries can lead to very serious problems. Foot exams should be a routine part of your medical checkups. Speak to your doctor about how frequently you need to schedule your office visits and what to look for on your own feet in between visits.

In addition to checking your feet, you should develop routine personal foot care habits that prevent wounds and reduce the risk of infection.

  • Toenail trimming and pedicure procedures should be handled with care and only with the proper sterilized
  • Keep your feet clean and nourished. The nerves that control moisture by producing oils in your feet may not work properly. Dryness can result in the cracked open skin. The American Diabetes Association ( recommends applying a thin coat of petroleum jelly or unscented hand cream on your feet after bathing to seal in moisture. Other tips they recommend: don’t put oil or cream between your toes (extra moisture can cause infection) and don’t soak your feet, which can backfire and cause dry skin.
  • Wear the correct shoes. Poor fitting and poor quality shoes can cause or exacerbate diabetic foot ulcers. We’ve already discussed the dangers associated with developing blisters, calluses or bunions. We recommend shoes that are specifically designed to address diabetic foot care.


Preventative care is key. But sometimes no matter how careful you are, stuff happens, and you or your doctor will find that you have a wound. Hopefully, your foot care routine will allow you to detect your injury early on. Consistent and frequent medical exams will provide early detection, which will have a profound impact on your quality of life.


If you develop a foot injury, your concerns shift to infection prevention. And if you are diagnosed with a foot ulcer, your doctor will help you best treat it to heal quickly and to prevent the possible recurrence. What care should you take to speed up your recovery if you’re afflicted with a foot ulcer?

  • Keep pressure off your foot to allow it to heal.
  • Never walk barefoot.
  • Keep your wound area clean and covered with a saline dressing (or dressed as advised by your doctor).
  • Always wear the right shoes to prevent a healing or a healed ulcer from returning. Once healed, scarred skin is sensitive and must be treated with care to prevent a recurrence.

Make sure you find the right shoe with the right closure system for you and all found at  and go to the main menu (above on the home page) and click the “Info Healthy Feet” section and scroll down to “DTF Orthotic Shoes  and view all the information that makes these shoes so much more or superior than any other line out on the internet. Then click styles and view all the great looks for Men and Women

Remeber 85 percent of our business is dealing with normal sizes but what makes us unique in the internet world is our added widths Narrow’s 4A, 2A ( for Ladies) B (Narrow) for Men to our extra -extra width widths of 9e 10e 14e for Men and Women. Then add those (1 to 3 sets) of FREE Heat Moldable Customize Inserts that makes our fit and support out of this world

Not too many, if any websites on the internet, carry the selection of widths that we offer Men and Women! That is 4A (8 styles of Slender for Women) 2A (43 styles and this is Narrow for Women), B (Narrow width for Men-8 styles to choose from – and B is also a Medium Width for Women), D, 2E, 3E, 4E, 5E, 6E, 7E, 9E, 10E and 14E widths for Men and Women

We have styles that go up to a 20 length for Men and 15 lengths for Women. We also are the ONLY WEBSITE ON THE INTERNET that offers FREE Heat Moldable Customize Inserts and that is 1 to 3 sets of them, If you want maximum comfort then you better start wearing these inserts. Remember, if your bottom of your feet hurt – you are not getting the proper support from your shoe and that involves the proper support or inserts.

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