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Field Notes

Diabetic Foot Care: How to Prevent Complications and Improve Healing

Posted on January 22, 2025

Diabetes increases the risk of foot complications through a combination of poor circulation, nerve damage, and slower wound healing. Without proper care, minor issues can develop into serious concerns — but daily habits and early intervention go a long way toward preventing that.

Daily Foot Inspections

Checking both feet daily for cuts, bruises, blisters, swelling, or discoloration helps catch issues before they become serious — especially since reduced sensation from nerve damage means pain isn't always a reliable warning sign. A mirror can help you check the soles and heels.

Moisturizing, Footwear, and Nail Care

Daily moisturizing (avoiding the area between the toes, to prevent fungal growth) helps prevent the dry, cracked skin that can become an entry point for infection. Footwear should offer cushioning, arch support, and a roomy toe box — diabetes-friendly shoes with seamless interiors help protect sensitive feet. Toenails should be trimmed straight across; anyone with thickened or difficult-to-manage nails should have them trimmed professionally.

Protecting Against Injury

Walking barefoot, even indoors, raises the risk of unnoticed cuts or burns. Supportive, closed-toe footwear (or firm-soled diabetic slippers indoors) adds a meaningful layer of protection.

Blood Sugar and Circulation

Stable blood sugar directly supports healing and lowers the risk of ulcers, while regular low-impact movement — walking, swimming, gentle stretching — supports circulation without overloading the joints.

Warning Signs That Need Attention

Any of these warrant a prompt evaluation, since early treatment is what prevents a minor wound from escalating into a serious infection.

Have questions about this, or want to get checked out?

Southeast Foot Care provides expert foot, ankle, and diabetic wound care in San Antonio. Reach out to schedule a visit with Dr. Wilburn Thomas.

Book an appointment →