08 8362 5900
31 Hackney Road, Hackney, SA 5069
Posture Podiatry Adelaide logo
  • Home
  • Problem Feet Solutions
  • About Us
    • About Posture Podiatry
    • Our Team
      • Tessa Coleman – Adelaide Podiatrist
      • Cameron Hankinson – Adelaide Podiatrist
      • Joel Urban – Adelaide Podiatrist
      • Tess Clisby – Adelaide Podiatrist
      • Tom Kolesnik – Adelaide Podiatrist
      • Gavin Daly – Adelaide Podiatrist
      • Will Duncan – Adelaide Podiatrist
    • Vision & Values
  • Services
    • All Services
    • Chiropody
    • Chronic Pain
    • Dry Needling
    • Foot And Nail Care
    • Foot Mobilisation
    • Footwear Advice
    • Growing Pains In Children
    • Posture Analysis
    • Heel Pain
    • Nail Surgery
    • Orthotic Therapy
    • Shin Splints
    • Shock Wave Therapy
    • Sports Injuries
    • Fungal Nail Laser Treatment
  • Blog
  • Contact
    • Special Offer
Book OnlineRefer a Client

Diabetes and Diabetic Foot Ulcer Prevention

10 months ago
Gavin Daly
All Posts, Blog, Foot Care Tips, Posture Podiatry News, You Need to Know This

Diabetic Foot Ulcer Prevention With Diabetes

What is Diabetes?

Diabetes mellitus occurs when there is too much glucose in your blood. This will happen when your body cannot produce enough insulin or is unable to utilise the insulin properly. Diabetic complications can impact many sections of the body including the brain, heart, kidneys and THE FEET.

There are 3 main types of Diabetes mentioned by Diabetes Australia. These include:

  1. Diabetes Type 1 – an auto-immune condition in which the immune system is activated to destroy the cells in the pancreas which produce insulin. We do not know what causes this auto-immune reaction. More information on type 1 Diabetes is available here.
  2. Diabetes Type 2 – is a progressive condition in which the body becomes resistant to the normal effects of insulin and/or gradually loses the capacity to produce enough insulin in the pancreas. More information on type 2 Diabetes is available here.
  3. Gestational Diabetes – Gestational diabetes mellitus (sometimes referred to as GDM) is a form of diabetes that occurs during pregnancy. Most women will no longer have diabetes after their baby is born. However, some women will continue to have high blood glucose levels after delivery. More information on Gestational Diabetes can be found here.

Diabetes increases the risk of developing foot problems. However, you can reduce the risk of any foot and leg problems with daily foot checks and regular foot health assessments and management with our podiatrists at Posture Podiatry.

Podiatrist checking the bottom surface of the foot for calluses and pressure lesions

It is imperative to regularly assess the blood supply and nerve sensation in your feet if you have Diabetes. Early detection of reduced blood flow and diminished sensation is absolutely crucial in reducing the risk of foot complications and diabetic foot ulcers.

Your feet are at risk because diabetes can cause damage to the nerves in your feet, blood circulation and increase your risk of infection. Having diabetes can increase your risk of foot ulcers and amputations.


To schedule a diabetic foot examination, call 8362 5900 or
BOOK ONLINE by clicking here

Diabetes Statistics

In 2019, on any given day in Australia, Diabetic Foot Australia (https://www.diabetesfeetaustralia.org/) suggests:

  • 50,000 people are living with diabetic foot disease
  • 12,500 people are living with a diabetes-related amputation
  • Every two hours a person with diabetes has a lower limb removed as a direct result of diabetes-related foot disease
  • 80% of diabetes-related amputations are preventable with best practice treatment and on-going management

Diabetes Australia (https://www.diabetesaustralia.com.au/) mentions:

  • Every year there are 27,600 hospital admissions in Australia for diabetes-related foot ulcers – many of these admissions end with people having a limb, or part of a limb, amputated.
  • More than 4,400 amputations every year in Australia as a result of diabetes and, annually, more than 1700 people with diabetes die as a direct result of foot ulcers and lower limb wounds.
  • Diabetes related foot disease costs Australia around $1600 million ($1.6 billion) every single year.

Tessa Coleman, Adelaide Podiatrist, providing general footcare.


To schedule a diabetic foot examination, call 8362 5900 or
BOOK ONLINE by clicking here

What are the main diabetic foot complications that occur with Diabetes?

Possible diabetic foot complications include:

1. Poor or Compromised Circulation/Blood Supply to the Feet.

Poor diabetic control can cause damage to blood vessels. A reduction in blood supply makes people with diabetes more prone and susceptible to infection as there is a reduced ability to heal

Signs of poor blood supply include:

  • Cold feet
  • Sharp leg cramps after walking short distances or climbing stairs
  • Pain in the feet, even at rest
  • Feet looking a different colour, often reddish-blue
  • Reduced healing potential, cuts that heal slow

Podiatrists will routinely check the pulses of both feet as part of a diabetic assessment. If the two primary pulses are absent or difficult to detect, Doppler assessment studies may be used if required. Other physical assessments and examination will include colour, temperature, hair growth, skin texture and nail condition. This examination can provide early clues to and help to prevent more serious foot problems. Your podiatrist will also ask various other questions to ascertain whether unusual pain is present (e.g. pain at rest or claudication pain). These may all be signs of poor blood supply.

Photo displaying snacks considered appropriate for diabetes patients
2. Inadequate Sensation to the Feet.

Nerve damage is commonly referred to as diabetic foot neuropathy and is another complication within our diabetic population. Symptoms result in a loss of sensation and feeling which increases the risk of accidental damage that you may not feel or be aware of (potentially for some time)

Signs of nerve damage include:

  • Numbness
  • Coldness of the legs and feet
  • Burning sensation in the legs and feet, usually at rest
  • Tingling or pins and needles sensation in the feet

Your podiatrist has been specifically trained to examine neurological status through various tests including soft touch, monofilament, temperature discrimination, deep sensitivity, vibration and proprioception.

3. Invisibility of the Disease. 

In many cases, early signs of Diabetes can go unnoticed. This is because most people don’t feel physically sick in the early stages. The danger then follows; if symptoms are ignored, irregular blood glucose levels can go undiagnosed, which then predisposes individuals to increased severity of the disease. The feet are often neglected until the symptoms become more obvious, by then, often the damage has been done.

Young diabetic lady checking blood glucose levels

Uncontrolled blood glucose levels, poor blood supply and nerve damage are all big concerns for the foot and ankle. Any potential infection can attack the bone (osteomyelitis) and cause a chronic infection in the bones and joints. If an infection isn’t treated at the earliest signs, this could result in diabetic foot ulceration (an infected open sore) and eventually amputation (removal of a toe, foot or limb). It is therefore extremely important to be assessed regularly and check your feet every day!

Other assessments performed by a podiatrist include dermatological (skin and nail assessment), biomechanical examination and general foot care and footwear analysis. (i.e. understanding, self-care and other medical conditions)


To schedule a diabetic foot examination, call us on 8362 5900 or
BOOK ONLINE by clicking here

What can be done to prevent foot problems with Diabetes?

  • Maintain appropriate blood glucose levels
  • Daily foot care can prevent serious complications
  • Know your feet thoroughly; wash, dry and check daily
  • Cut your nails straight across
  • NEVER attempt at home surgery or self-removal of corns, calluses or ingrown toenails
  • Visit your Podiatrist for a regular check-up.
  • Avoid walking barefoot in an effort to prevent any skin penetration and foot ulceration
  • Have footwear fitted by a professional shoe store. We have a list of shoe stores we can recommend to help you.
  • Check for the right length, width and depth of your footwear
  • Never wear socks or stockings with tight elastic tops or rough seams
  • Exercise regularly and eat a healthy balanced diabetes diet
  • Wash your feet daily with mild soap and lukewarm water
  • Use a moisturiser after bathing the feet to help prevent cracked heels and skin fissures
  • Keep your feet away from direct heat such as heaters, hot water bottles and electric blankets
  • Avoid smoking and adhere to recommended alcohol intake limits

Callus Removal by Tess Posture Podiatry Adelaide


To schedule a diabetic foot examination, call 8362 5900 or
BOOK ONLINE by clicking here

What Happens During a Diabetic Foot Check?

Your podiatrist will examine your feet and assess your gait or walking pattern for any current problems. Following a thorough assessment your podiatrist can better determine your specific treatment needs and how to prevent future problems. In order to do this, our podiatrists will need to:

  • Examine the overall condition of your toenails, skin texture, skin appearance, foot structure and foot health.
  • The two primary pulses of each foot are checked for normal blood flow.
  • Neurological status is checked utilising various nerve checks to ensure there sensation is within normal ranges.
  • Footwear will be checked and discussed to ensure shoes are appropriate and  fitting correctly.
  • Walking pattern is checked to ensure load is evenly distributed with each step throughout the gait cycle. Any uneven load distribution can predispose people to callus formation, pressure lesions and possible ulceration.

How Often Should Feet Be Checked?

Given the seriousness of Diabetes, we advise 6 monthly reviews and monitoring if you are low risk, your Diabetes is well controlled and you have no skin or nail problems. More frequent reviews and management will be needed and recommended if you require more regular foot, skin or nail care or if you fall into the higher risk category.

Always communicate with your Podiatrist and get advice early if you notice any change or problem

If you would like further information or to schedule a diabetic foot examination, call us on 8362 5900 or you can BOOK ONLINE by clicking here.

Further information on diabetes management can be found at:

Health Direct: https://www.healthdirect.gov.au/diabetes

Diabetes Feet Australia: https://www.diabetesfeetaustralia.org/

Diabetes Australia: https://www.diabetesaustralia.com.au/


To schedule a diabetic foot examination, call 8362 5900 or
BOOK ONLINE by clicking here

 

Gavin Dalyhttps://posturepodiatry.com.au/
Podiatrist - Posture Podiatry
Previous Post
The Science Behind Aching Legs: Understanding the Causes and Solutions
Next Post
Flat Feet… When Should I Get A Foot Check?

Related Posts

Daniel Gibbs hands over keys

Daniel Gibbs hands over keys

June 5, 2019
Fungal Nail Image 6

Adelaide Podiatrists Discuss Fungal Nail Fungus Treatment Options

February 19, 2025
Dancer dancing in the park near tree

Common Dance Injuries

May 14, 2025

Recent Posts

  • Plantar Fasciitis Questions Answered By Foot Experts
  • Common Dance Injuries
  • Ankle Sprain: Causes & Treatment By Adelaide Podiatrists
  • Posterior Tibial Tendon Dysfunction Treatment Options
  • Posture Podiatry Latest News – Autumn 2025

Categories

  • All Posts
  • Blog
  • Foot Care Tips
  • Foot Exercises
  • Posture Podiatry News
  • Shoe Reviews
  • You Need to Know This

Posture Podiatry

We help a range of people from Adelaide, Kent Town, Norwood and surrounding suburbs with relief from foot pain and injury. We also help a number of people from the greater Adelaide area who travel to visit Posture Podiatry for relief from foot pain and injury.

Say hello to Posture Podiatry. We’re more than happy to answer any questions you may have and assist in making your next appointment.

Hours Open

Mon: 8:00am – 5:30pm
Tues: 9:00am – 5:30pm
Wed: 9:00am – 6:00pm
Thurs: 8:00am – 5:30pm
Fri: 8:00am – 4:00pm

Contacts

contact@posturepodiatry.com.au
08 8362 5900
31 Hackney Road, Hackney, SA 5069
Facebook
Instagram
LinkedIn
Google
YouTube

© Posture Podiatry. Built by Newcastle Creative Co.

  • Privacy Policy
  • Sitemap for Posture Podiatry Adelaide Podiatrists