If you are living with diabetes, the onset of winter can be dangerous for your feet. Colder temperatures combined with poor blood circulation and possible nerve damage in your extremities can make your feet vulnerable to infection, serious complications or possible amputation.

Take these precautions to keep your feet healthy throughout the winter season:

1. Keep feet dry. Moisture that collects between your socks and your feet and toes can form bacteria, which can cause infection. If heavy snow and slush have soaked your shoes or boots, remove your wet socks as soon as possible and towel dry your feet, paying close attention to the area between your toes.

2. Moisturize your feet. Use a moisturizer daily to keep dry skin from itching or cracking. Do not moisturize between your toes as this could lead to a fungal infection.

3. Avoid direct heat to your feet. Everyday activities during winter weather, such as warming your feet by the fire or adjusting the heat on your feet in a car can pose problems. With numbness caused by nerve damage, you may not be able to judge when your feet get too hot, which can result in second- or third-degree burns on your feet.

The best way to avoid burning your feet is to keep them away from direct heat. Do not use warming aids such as electric blankets, heated shoe inserts or heating pads. Do not put your feet in hot water. Test bath water with your hands or a thermostat first. Moisture wicking socks can also help keep your feet dry and warm.

4. Get the proper shoes. Wear well-fitting shoes with supportive soles and a wide toe box to reduce cramping. During colder seasons, consider how sock texture and weather will affect walking conditions. My office offers Extra Depth Shoes (EDS) for diabetics and others who can benefit from features not found in most shoes.

5. Make an appointment with my office for regular foot exams. The American Diabetes Association recommends an annual comprehensive foot exam and I can help detect diabetes-related foot issues before they become problematic.

Dr. Ruth Ann Cooper

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