Text Box: Management of the Diabetic Foot Text Box: No diabetic foot problem should be underestimated. Here are some management tips for people with diabetes: Never wear shoes without socks or go barefoot Stockings should be fitted (never to long or tight) Stockings should be soft, warm, dry and have minimal seams Change your stockings twice a day Inspect your feet frequently Wear properly fitted shoes with little stitching or bulky seams Shoes need to be supple, supportive and in good repair Wear foot orthotics to redistribute pressure Use urea rich moisturizers to keep skin soft Do not apply heat directly to feet The diabetic’s family, spouse or caregiver is their greatest resource. They can assist and observe, helping the diabetic keep regular care habits and discipline. Non-compliance is the greatest cause of diabetic foot problems. Neuropathy can lead to procrastination or ignoring problems in the early stages when easily treated. Don’t be shy of help from those who are close and know you. Listen to the advice of your healthcare professional. It might just save your feet. Orthotic therapy for diabetic feet is more critical than other cases. Material selection for orthotics is crucial as proper unloading of a compromised area may protect it or heal it more effectively. The certified pedorthist will be able to suggest the right combination of footwear, stockings and orthotic appliance to suit your particular needs. Text Box: Orthotic management Text Box: Diabetic feet can be effectively treated with foot orthotic devices. The most important aspect of orthotic management is a detailed assessment of the condition. This includes: patient history information relating to onset helpful and aggravating conditions previous treatments range of motion and biomechanical assessment pressure mapping of the foot This information determines the exact manufacturing specifications. Through the right combination of support and cushioning, stress to the inflamed area can be significantly reduced. This in its turn reduces pain and enables return to normal routines with less pain. Given proper orthotic management, noticeable improvement should take place within 6 weeks. If treatment has been significantly delayed this may take longer.

VER 11/03/06