Doctors say...
“Many of the patients I see have foot problems as a result of ill-fitting footwear and have specialized footwear needs. I have found the staff at Mast Shoes to be knowledgeable, friendly, helpful, professional, and indispensable in providing expert service to these customers. In fact, that’s where I go for my shoes! Their exemplary service and shoe selection greatly benefits our community.”
What is a Certified Pedorthist?
A Certified Pedorthist is a specialist who uses footwear — including shoes, shoe modifications, foot orthoses, and other pedorthic devices — to solve foot and lower limb problems and achieve the best mobility possible. Mast Shoes is the only shoe store in Ann Arbor with a Certified Pedorthist on staff.
The diabetic foot
- General Information
With numbers rising each year, diabetes affects approximately 18 million people in the United States. Diabetes is a disease in which the body does not produce or properly use insulin. Insulin is necessary for converting sugars, starches, and other food into energy. There are two kinds of diabetes: type 1 and type 2.
Type 1 diabetes is usually diagnosed in children. It is a condition in which the body does not produce insulin.
Type 2 diabetes is the most common form of diabetes and affects approximately 90% of all known cases. In type 2 diabetes, the body does not produce enough insulin or the body ignores the insulin being produced and the cells cannot convert sugar into energy. When the body cannot convert sugars, glucose builds up in the blood instead of being used by the cells.
A common complication of diabetes is peripheral neuropathy. This is when there is a loss of sensation in the feet. When you have limited or no feeling in your feet you become very susceptible to cuts, scrapes, blisters, or pressure ulcers occurring on your feet. The lack of protective sensation can result in minor injuries turning into major wounds that are susceptible to infection. If circulation is poor (as is often the case in diabetic feet), the wound may never heal without a major amount of treatment. Neuropathy can also cause deformities such as bunions, hammer toes, and Charcot feet. Properly fitted and designed shoes may give you a better chance to avoid skin breakdown and accommodate deformities.
Return to top- Proper Care
Proper foot care is especially critical for diabetics because they are prone to foot problems such as: loss of feeling in their feet, changes in the shape of their feet, and foot ulcers or sores that do not heal.
According to the National Institute of Health, the following are everyday steps that will help prevent serious complications from diabetes:
- Take Care of Your Diabetes Make healthy lifestyle choices to keep your blood sugar close to normal. Work with your health care team to create a diabetes plan that fits your style characteristics.
- Check Your Feet Every DayYou may have foot problems that you may not be aware of. Check your feet for cuts, sores, red spots, swelling, or infected toenails. Checking your feet should become part of your daily routine. If you have trouble bending over to see your feet, use a plastic mirror or a family member to help you. Be sure to call your doctor immediately if a cut, sore, blister, or bruise on your foot does not heal after one day.
- Wash Your Feet Every DayWash your feet in warm, NOT HOT, water. Do not soak your feet because your skin will get dry. Before bathing or showering, test the water to make sure it is not too hot. Use a thermometer or your elbow to test the temperature. Dry your feet well and make sure to dry between your toes. Use talcum powder to keep the skin dry between the toes.
- Keep the Skin Soft and SmoothRub a thin coat of skin lotion or crème on the tops and bottoms of the feet. Do not put lotion between your toes, because this might cause infection.
- Trim your Toenails RegularlyTrim your toenails with clippers after you wash and dry your feet. Trim the toenails straight across and smooth them with an emery board or nail file. DO NOT cut into the corners of the nail or rip off hangnails. If your nails are thick or yellowed, DO NOT cut your own nails; have a foot doctor trim them.
- Wear Shoes and Socks At All TimesWear shoes and socks at all times. Do not walk barefoot, not even indoors. It is extremely easy to step on something and hurt your feet. Always wear seamless socks, stockings, and nylons with your shoes to help avoid the possibility of blisters and sores developing. Be sure to choose seamless socks that are made of materials that wick moisture away from your feet and absorb shock and shear. Socks made of these materials help keep your feet dry. Always check the insides of your shoes before putting them on. Make sure the lining is smooth and there are no foreign objects in the shoe, such as pebbles. Wear shoes that fit well and protect your feet.
- Protect Your Feet from Hot and ColdAlways wear shoes at the beach or on hot pavement. Put sunscreen on the tops of your feet for protection from the sun. Keep your feet away from radiators or open fires. DO NOT use hot water bottle or heating pads on your feet. If your feet are cold, wear seamless socks at night. Lined boots are good to keep your feet warm in the winter. Choose socks carefully. DO NOT wear socks with seams or bumpy areas. Choose padded socks to protect your feet and make walking more comfortable. In cold weather, check your feet often to keep your feet warm avoid frostbite.
- Keep the Blood Flowing to Your FeetPut your feet up when you are sitting. Wiggle your toes for 5 minutes, 2 or 3 times a day. Move your ankles up and down and in and out to improve blood flow in your feet and legs.
DO NOT cross your legs for long periods of time.
DO NOT wear tight socks, elastic, or rubber bands, or garters around your legs.
DO NOT wear restrictive footwear or foot products. Foot products that can cut off circulation to the feet, such as products with elastic, should not be worn by diabetics.
DO NOT smoke. Smoking reduces blood flow to your feet.
If you have high blood pressure or high cholesterol, work with your health care team to lower it. - Be More ActiveAsk your doctor to plan an exercise program that is right for you. Walking, dancing, swimming, and bicycling are good forms of exercise that are easy on the feet. Avoid all activities that are hard on the feet, such as running and jumping. Always include a short warm-up or cool-down period. Wear protective walking or athletic shoes that fit well and offer good support.
- Communicate with Your DoctorAsk your doctor to check the sense of feeling and pulses in your feet at least once a year. Ask your doctor to tell you immediately if you have serious foot problems. Ask your doctor for proper foot care tips. Mast Shoes recommends contacting a Podiatrist (a doctor that specializes in the foot).
