Diabetes and Dry Cracked Skin

Image via WikipediaDo you find it annoyingly painful to walk due to dry cracked skin on the heels of your feet? Have you tried lotions and potions, yet still have a difficult time treating this condition? We are here today to offer some practical suggestions to try to help you make things a bit more tolerable.

Dry cracked skin is usually most problematic during the winter months. Thickening and drying of the skin occurs, and deep cracks can appear, which makes it painful to even walk. For some, dry cracked heels are a mere cosmetic annoyance, but for a person with diabetes, it can pose a greater problem and health risks. What causes dry cracked skin?

    •    Age

    •    Existing skin conditions like psoriasis

    •    Diabetes

    •    Thyroid problems

    •    Vitamin deficiencies

    •    Excess weight

As we age, the skin loses its normal elasticity. Skin conditions caused by medical disorders can contribute to dryness and weight bearing can become problematic, especially if we stand for long periods of time and the skin is under excessive stress.  Any combination of these conditions can increase the likelihood of dry cracked skin.

Symptoms of dry cracked skin include discoloration (yellowish) and thickening of the skin. If it goes untreated, the skin can crack and bleed. Deepening cracks can harbor infections. People with diabetes should check their feet regularly, because they may have decreasing sensation in their feet due to nerve damage.

    •    Bathe feet daily, test for proper temperature and dry thoroughly.

    •    Apply vitamin enriched moisturizers to the feet, but not between toes.

    •    Use a pumice stone to remove dry and calloused skin.

    •    Wear shoes and socks to protect feet. Check them for small objects that could cause injury.

    •    Check your feet daily for sores. People with diabetes are at greater risk for infection.

For the person living with diabetes, proper foot care is essential. Have regular medical checkups, and do not be bashful about exposing your toes. Still, tell your doctor immediately if you have a concern about your feet. Some doctors may prescribe orthotics to help relieve pressure on problem areas. Follow their instructions closely. If you implement a sound plan of prevention, you should make it through the winter with fewer problems, but if you have a problem, call East Penn Foot & Ankle Associates for an appointment.

So what’s worked well for your feet and dry skin? We’d like to know so comment below!

References: 

www.footsmart.com/healthcondition.aspx?ailmentid=83
http://diabetes.niddk.nih.gov/dm/pubs/complications_feet/#hurtfeet

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Diabetes – Harsh Climate Protection

Image via WikipediaPatients who suffer Type I or Type II Diabetes are at greater risk during the cold winter months. This is because they deal with the loss of feeling in their feet, as a result of nerve damage. Therefore, it is necessary that Diabetic patients use extra care to avoid lengthy exposure to the elements, especially during the winter months. Excessive exposure could cause frostbite, damaging skin and other cells.

When it is necessary to be outside, try to plan ahead. A common sense approach and a few items can be very helpful. Move around to stimulate circulation. Take more regular breaks to get inside out of the cold. Make sure your foot wear fits appropriately, is non-restrictive and allows enough room for an extra pair of socks. Keep an extra pair or two of warm, dry socks with you, in case your feet get damp or perspire. Make sure your outer footwear is waterproof, and replace inadequate shoes and boots as soon as possible. If you travel, allow for periodic rest stops to get out and get moving. This will allow for better circulation. Also, it is a good plan to pack along a blanket. Keep the blanket in the automobile passenger compartment with you, not in the trunk.

If you suspect that prolonged exposure to cold, snow, wind or sleet may have caused skin damage or frostbite, use caution and warm up slowly. The affected area should not be rubbed or massaged. This could cause further damage. Instead, wrap in a blanket and allow for gradual re-warming, allowing circulation to slowly improve.

If you are Diabetic and suspect over-exposure, it is recommended that you seek the advice of your foot-care specialist. The freezing of the skin or other tissue could have serious health consequences. Your doctor can advise you.

If you have any questions concerning diabetes and the affects it causes to the feet, contact Dr. Teichman at East Penn Foot & Ankle Associates on our website.

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Diabetes - Living with Diabetes

Image by Newbirth35 via FlickrImage by Getty Images via @daylifeWhether you have just been diagnosed with diabetes or have had it for years, you know that life is different (or going to be) for those with diabetes than for those without.  If you are new to it, know that isn’t the end of your life.  Living with diabetes is much easier these days then it use to be.  There are just a couple things you now have to deal with. 

First of all, you need to make sure you watch what you eat.  Things with a lot of sugar should be avoided (though they should be avoided by everyone) so that you don’t spike your blood sugar exponentially.  But you also need to make sure that you are getting enough in your diet to keep your blood sugar from dropping too low.  Too high and your be in risk of eye, kidney, heart disease and nerve damage.  Too low and your run into feeling lethargic, possibly shaking, and you even might lose consciousness, which is never a good thing.  Make sure to watch your blood sugar levels regularly, but don’t get crazy about it.  It’s too much stress to be taking your blood sugar every hour, not to mention how much your finger tips will probably not like you. 

Second, make sure you take your medication when you’re suppose to.  If you have type two diabetes, this means that you inject your insulin when you need it.  Your doctor will let you know how much and how many times you need to take insulin in a day.  If you have type one diabetes, this means taking your pills on time.

The third major difference is that you are at a higher risk of developing neuropathy, which is a nerve damage in your feet, resulting in a inability to feel your feet.  If you have this already, make sure you monitor your feet daily for wounds.  For more on how to take care of your feet, click here. 

East Penn Foot & Ankle Associates would love to talk to you if you have any questions on how diabetes can effect your feet.  Contact us if you have  any questions.

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Diabetes and Charcot Foot

Image via WikipediaWhen you read that title you might wander what charcoal has to do with feet?  Just know that this has nothing to do with charcoal, but Charcot (pronounced “sharko”) foot is a real problem that many, mostly diabetics, face.

Charcot foot is a extreme condition that happens to someone who can’t feel their feet.  The reason Charcot foot is more common with people with diabetes is because of diabetic Neuropathy, where the feeling in the foot is lost because of nerve damage.  Charcot foot is where your foot actually changes shape because of bones fracture and disintegrate.  The fact that you can’t feel the extreme pain because your foot is numb, allows you to continue walking on the foot, thus damaging the bones more.  If the Charcot foot is caught early, the problem can be treated with a total contact cast.  If the problem goes on without being treated, reconstructive surgery or amputation will be needed.

If you do catch it early enough, the cast you’ll get will be molded to fit your foot and will control your foot movement, supporting your foot in all areas.  This allows the foot to heal fully, as long as you stay off the foot, thus not damaging the foot further.  The cast will be changed frequently to continually move the shape of your foot back to normal or as close as possible without reconstructive surgery.  To get the total contact cast though, you must have good blood flow through you foot.

The other route you can go if the Charcot foot is caught early on is a custom walking boot, but this will take longer to heal because you’ll be putting weight on your foot.  The boot helps reduce the swelling in your foot, thus allowing your body’s natural healing processes to get into the injury and fix it.  The fastest way to heal a Charcot foot is to keep your weight off of it though.

If you have any questions on Charcot foot or how diabetes effects your feet, contact Dr. Adam Teichman at East Penn Foot & Ankle Associates.

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Diabetes Blog - Don’t Let Calluses Slow You Down

Image by Jill A. Brown via FlickrImage via WikipediaWhen a person has diabetes they also can develop neuropathy, which can cause damage to the nerves in the feet and can lead to loss of feeling and sensation, there is the heightened danger of developing ulcers from this loss of sensation or protective threshold.  Since people with diabetes lose the feeling in their feet, ulcers develop easier because they do not feel the discomfort that the ulcers cause. Since calluses are caused by the constant rubbing of a certain part of the shoe on a person’s foot, again – it isn’t felt and so the problem develops into a ulcer. Without neuropathy, this is usually felt and taken care of, but someone with neuropathy can’t feel the constant rubbing. Other issues can arise as a result of this rubbing – the next stage of an ulcer that hasn’t been taken care of can become very dangerous and can possibly lead to infection or even worse loss of limb.  

The danger comes in the next stage as a result of diabetic complications. A callus can be taken care of easily with routine visit to your podiatrist.  But the danger arises when a callus is fully developed and the constant rubbing continues to wear on the callus, the skin can and probably will split open and become an ulcer.  For a diabetic, a wound raises the risk of infections that can lead to that person having to have their foot amputated if it goes untreated or ignored.  This is why it is extremely important to make sure that if you have neuropathy, you need to check your feet daily!  If you catch the developing callus early, you’ll be able to take care of it before it gets worse.  It is highly recommended that you visit your podiatrist to treat the callus rather than getting treatments from the store, because your podiatrist can treat the callus more effectively and the callus will be controlled, rather than continue to develop and your podiatrist can make sure other problems do not arise.  Make sure you check your feet daily!  Getting that callus treated could save your foot from becoming a problem in the future!

If you do not have a podiatrist, Dr. Adam Teichman at East Penn Foot & Ankle Associates would love to be your podiatrist.  Check out our website at www.eastpennfoot.com or give us a call at 610-432-9593.

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