Diabetic foot care

Why feet need extra care with diabetes

Over time, diabetes can damage the nerves (peripheral neuropathy) and blood vessels in your feet. Reduced feeling means a blister, cut or pressure area may go unnoticed, and reduced circulation slows healing. Diabetes Australia recommends that everyone with diabetes has their feet checked at least once a year, and more often if they're at higher risk.

What a diabetes foot assessment includes

• Testing sensation with a monofilament and tuning fork
• Checking the pulses and blood flow in your feet
• Looking at your skin, nails and any pressure areas
• Checking your footwear for fit and rubbing
• Working out your foot risk level and how often you should be seen

Your foot risk level

After your assessment we'll tell you your foot risk level. Australian guidelines group people with diabetes by risk, and this sets how often your feet should be checked:

• Low risk: normal feeling and circulation. A foot check at least once a year.
• Intermediate risk: one risk factor, such as reduced feeling or poor circulation. Every 3 to 6 months.
• High risk: more than one risk factor, or a past ulcer or amputation. Every 1 to 3 months.

Checking your feet every day

• Look over your feet, including the soles and between the toes. Use a mirror, or ask someone to help
• Look for cuts, blisters, redness, swelling, cracks or changes in colour
• Check inside your shoes for stones or rough seams before putting them on
• Test bath water with your elbow or a thermometer, not your feet
• Never walk barefoot, even at home

Ongoing care

Depending on your risk level, we'll see you regularly for nail, corn and callus care and keep an eye on any changes. With your permission, we can share our findings with your GP so everyone involved in your care is up to date.

Funding

Diabetes foot checks and ongoing care are covered for DVA Gold Card holders with a D904 referral. See how DVA podiatry works. Private patients are welcome.