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 and wounds. Whether you’re about to put your socks on, or you’ve  taking them off before bed, have a good look. Any changes, and you should see a healthcare professional straight away. 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 ask your podiatrist,GP or nurse  to check them for you during your regular checkups.

Did you know?

Everyone living with diabetes should have a foot check by a health care professional at least once a year. If you’ve not had your foot check this year, ask your podiatrist, 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.

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: neither too tight nor 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.
  • Examine your shoes, socks and stockings for damage each time before putting them on. Cracks in the soles or uppers of your shoes, small stones caught in shoes, socks or stockings, and untrimmed nails can irritate and damage your skin.


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

When it comes to diabetic foot ulcers, 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.