Diabetic Assessment

Diabetic patients may be predisposed to foot problems due to changes in sensation and circulation to the lower limb.

A Diabetic Assessment may include:

  • Doppler reading to assess the circulation to the feet.
  • Neuro filament testing to detect loss of sensation in part of the feet.
  • Visual inspection of all parts of the feet.

 

Diabetes, how do I know I have it ?.

Coslia Foot Clinic

Diabetes may affect your feet in a number of ways. One of the early changes can be loss of sensation (peripheral neuropathy) in your feet, often starting at the toes. Your chances of losing feeling in your feet (neuropathy) increases with the number of years that you have diabetes and research suggests that up to one in three people with diabetes have some loss of sensation. The onset of neuropathy is gradual and often people who develop this complication are unaware of it at the start. Often it occurs between 7 and 10 years of having diabetes, although in some cases it can occur sooner where blood sugar levels have not been so well controlled. Very occasionally pain or a burning sensation may accompany loss of feeling (painful neuropathy).

Additionally, when the nerves in your feet are affected, other changes may follow, for example, your toes may start to claw and the bones in your feet can become more susceptible to fractures.
Another change that can occur is reduced blood flow to your feet.
Diabetes may also affect your ability to heal and reduce your natural ability to fight bacteria. Consequently, you should take particular care of any scratches, cuts or blisters on your feet.

 

When should I see a podiatrist about it?

If you experience any form of neuropathy or pain or discomfort, it is advisable to consult your Diabetic Clinic or Podiatrist, since it is possible in many cases to alleviate these symptoms.

If you see any of the following in your feet, you should also seek medical attention or consult your Podiatrist at Coslia Podiatry

  • Walking becomes more difficult
  • Applying or wearing shoes becomes more difficult
  • Tingling sensation or pins and needles
  • Part or all of your foot becomes swollen
  • Breaks in the skin, opens sores/blisters or a discharge
  • Skin colour changes (redder, bluer, paler, blacker) over part or all of the foot
  • Swelling in your feet and/or an unusual odour
  • Part or all of your foot feels much hotter or colder than usual
  • Hard skin (callus)
  • Cramp in your calves
  • Shiny smooth skin and/or losing hair on your feet and legs