In a recent interview with DiabeticCouncil.com, Dr. Ian S. Goldbaum, a podiatric physician and surgeon with over 30 years of experience, was presented with two questions regarding foot care for newly diagnosed diabetics.

The full article, which features responses from 47 podiatrists around the United States, can be found here, but if you are looking for just Dr. Goldbaum’s responses, they can be be found below.

Dr. Ian S. Goldbaum (pictured) has been practicing medicine for over 30 years, arriving to South Florida in 1985.
Dr. Ian S. Goldbaum (pictured) has been practicing medicine for over 30 years, arriving to South Florida in 1985.

Q: What tips would you give to someone who is newly diagnosed?

A: The first thing a patient needs to do is realize that everything is going to change in terms of how they take care of their feet. What used to be labeled as a harmless cut or blister now can become something far worse if left untreated. The first thing a newly diagnosed diabetic needs to learn is to work a foot check — the bottom, the top and even in between toes — into their daily routine. A podiatrist should also be called upon to keep tabs on the health of their feet, especially if there are any signs of infection or abnormalities. Given how diabetes negatively affects circulation, even a small scape on the bottom of the foot has the potential to turn into a serious ulcer, as your body’s ability to get a proper amount of blood flow heading to your lower extremities becomes more and more limited. For this reason, increased attention to the state of your feet is one of the key changes all diabetics need to make in order to remain healthy.

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There are numerous struggles diabetics face every day.

The amount of insulin created by your body handles a significant amount of details. When that insulin is not working properly and the sugar levels are not kept in check, several things can happen to one’s body. These have serious consequences and can even be fatal if not addressed quickly.

What Diabetics Should Know About Their Feet

Diabetic Neuropathy & Infection:

Diabetic Neuropathy is a condition where a diabetic loses feeling in their hands and/or feet. If this occurs, it becomes difficult to feel a cut or sore in those areas. Those cuts and sores can then increase in size and scope and therefore become more of a concern. Wounds on the feet, in particular, tend to heal more slowly for Diabetics. These can allow infection into the body, as the feet are meant to protect against disease. In the case of Diabetics, this area is severely weakened and serious issues can arise.

Proper Care for the Diabetic:

Taking proper care of your feet is the first step to hopefully prevent health issues. This means keeping toenails properly trimmed, drying feet thoroughly after a bath or shower or after a walk in the rain and selecting the proper footwear. Socks with good ventilation and shoes that protect your foot and yet give it sufficient room (3/8 inch to ½ inch from longest toe to end of shoe) are key to protecting your feet from some accidental injuries.

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