diabetic foot ulcer cases…1

Up to85%

of lower extremity amputations…2

…could be

1. Boulton AJM. The diabetic foot. Diabet Med 2006;34:87-90

2. International Diabetes Federation Atlas – 9th edition 2019: page 89.

There are 4 steps you can take to keep your feet safe and prevent foot ulceration

Glycemic control

Checking that your blood glucose is within the normal range throughout the day is the first step to prevent ulceration. Keeping your blood glucose within target will help prevent damage to your feet and can stop things getting worse.

Foot check

Check your feet every day for cuts, blisters, redness and wounds. Whether you’re about to put their socks on, or you’re taking them off before bed, have a good look. Examine your feet for thickening of skin, toe nail infection and fungal infection. Any changes, and you should consult your doctor. If you struggle to lift your feet up, you might want to use a mirror the see the soles of your feet. If this is too hard, try to get someone else to check your feet for you. You can also get your feet checked in a clinic or hospital.

Did you know?

Everyone with diabetes should have a foot check at least once a year that’s arranged by their GP practice. If you’ve not had your foot check this year, ask your GP or nurse for one.

Foot care

Wash your feet daily with lukewarm but not too hot water, and dry them properly. Don’t forget to dry between your toes. Use moisturising cream to keep your skin soft but don’t apply this cream between your toes or it may make the skin too moist. .Trim your nails straight across and file the edge with nail file. Avoid self-surgery of callus or corn. Maintain a well balanced diet, quit smoking and have your blood pressure under check.

Foot wear

  • Avoid walking around barefoot, in socks, or in thinsoled standard slippers.
  • Do not wear tight or knee-high socks.
  • Wear properly fitting footwear: nor too tight or too loose.The inside of the shoe should be1-2 cm longer than the foot, allowing room for foot to breathe. The internal width should equal the width of the widest part of the foot, and the height should allow enough room for all the toes.
  • Avoid shoes that are too small or pointed at the ends. If your shoes are too tight, too loose or rub you then don’t wear them. Even if they look great.
  • Never walk bare foot either indoors or outdoors.
  • Examine your shoes, socks and stockings for damage each time before putting them on. Cracks, small stones and nails can irritate and damage your skin.
  • Change socks daily; avoid tight socks.
    Avoid walking barefoot in religious places especially in summer; wear a cotton socks while visiting such places.


If you notice any change or anything unusual in your foot, remember that…

When it comes to diabetic foot, every day counts

1. Boulton AJM. The diabetic foot. Diabet Med 2006;34:87-90

2. International Diabetes Federation Atlas – 9th edition 2019: page 89.

3. IWGDF Practical Guidelines – The IWGDF Risk Stratification System and corresponding foot screening frequency – 2019: page 7.