What Does a Diabetic Foot Exam Include? | Foot Envy
What Does a Diabetic Foot Exam Include, and How Often Do You Need One?
A diabetic foot exam includes a conversation about how diabetes can affect feet, or cause problems in your feet. We discuss common complications that may result, and things to do to prevent or minimize your risk of problems. We will discuss your blood sugar control, and the things your doctor is doing to work with you to get the blood glucose to a lower level.
An exam is also performed, including checking your circulation, the sensation, your skin and nails, and look for any foot deformities. Most people with diabetes should have a comprehensive exam at least once a year, more often if you already have neuropathy, poor circulation or a history of a foot wound. We will also give you some information on things you can do on your own at home to prevent foot problems.
Why Diabetes causes problems in Feet
Diabetes can lead to reduced blood flow to the feet, which can cause problems with healing. Those with diabetes can also develop neuropathy, which reduces your sensation, and makes you a higher risk for developing calluses and ulcers. Poor blood flow and neuropathy put you at a higher risk for problems like infections and ulcers, and ultimately are the main reason why people have amputations of their toes or feet.
That is the whole reason a diabetic foot exam exists. We are looking for small problems before they turn into a bigger problem. We also want to educate you on things to do to prevent problems, and reduce your risk of complications.
What else is done during a Diabetic Foot Exam
Some people will need an ABI test, which is a simple, non-invasive way to check if there might be a problem with the blood flow in your arteries. We also check to see if you might benefit from getting diabetic shoes and custom inserts. We also will emphasize the importance of controlling blood sugars, as high sugars can also cause infections.
Can diabetics come get their nails trimmed, or their calluses pared down?
For diabetic patients on medicare, doing nail care or callus trimming is called routine or preventative foot care, and is usually a covered insurance benefit. Think of this as a way to help your feet feel better in the moment, and at the same time prevent future problems.
Most of the time Medicare covers podiatry services like nail care and callus paring for diabetic patients, every 9 weeks. Our office will help verify your coverage. We can also help you get diabetic shoes and inserts, through medicare. Not all patients qualify, but we will help you know if you do.
For the difference between a custom orthotics and a store-bought insert, see my post on whether custom orthotics are really necessary.
What should you do to help your feet at home?
Everyone should look at their own feet every day. Even look between the toes, for any cuts, blisters, red spots or drainage. If you can’t see your feet, have someone do it for you. Even a small sore can become a serious problem if it is left alone. The rule is, that if you see anything that doesn’t seem right, it’s better to come in and have Dr Udall check it out for you. Also, you want to minimize walking around barefoot, especially outside, but also in the house there can be things you may step on that would cause a problem. Wearing shoes, even in the home, is a simple thing to prevent problems in your feet.
Schedule Your Diabetic Foot Exam in Goodyear
If you have diabetes and have not had a diabetic foot exam in the last year, or you are not sure whether you qualify for routine foot care, call our office and we will help you figure it out based on your insurance and your needs. Foot Envy is on Indian School Road at Bullard in Goodyear, and we see patients in Pebble Creek, Litchfield Park, Verrado, Estrella, Sun City, Sun City West, Tolleson, Avondale, Buckeye and the Luke AFB community. We accept Medicare and most major insurance, including TRICARE. Same-week appointments are usually available. Se habla español. Call 623-248-4734.
This article is general information, not medical advice. Every foot is different, and the right care depends on an in-person evaluation.
Frequently Asked Questions About Diabetic Foot Exams
How often should a diabetic see a podiatrist?
At least once a year for a comprehensive diabetic foot exam. If you have neuropathy, poor circulation, a foot deformity or a past ulcer, your podiatrist may recommend visits more frequently. If you want the doctor to help you with your nails and calluses, that can be done every 9 weeks at least.
Can a podiatrist safely trim my toenails if I have diabetes?
Yes. If you have diabetes, thick toenails, poor circulation or neuropathy, having a podiatrist trim your nails reduces the risk of cutting your skin, which can prevent infection.
Contact Foot Envy
Foot Envy
14539 W Indian School Rd, Suite 880
Goodyear, AZ 85395
Phone: 623-248-4734
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