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How’s your diabetes foot care?

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This thread is now closed. Please contact Anna DUK, Ieva DUK or everydayupsanddowns if you would like it re-opened.
My foot care was done by a excellent lady on the annual checks ups, very early on she was concerned about ingrowing toe nails and a hospital appointment to have them sorted out. The hospital refused to do them as they said the circulation in my feet was to bad to do.

Back to the podiatrist and she rechecked the circulation and said it was ok and re-booked the appointment, turned up at the hospital to be met by the podiatrist and her assistant, discussed the options and decided I want the nails completely removed permanently. A few mins later job done and was out of the hospital pain free from the trouble some nails.

Where things went wrong, was as it's an annual check up I had a rough patch with a total lack of concern about my diabetes from the doctors. I was diagnosed with mild nerve damage, which crept up really unnoticed. My diabetes ran wild constantly hit the high teens and 20's, this lead to a rapid increase in the nerve damage.

Unfortunately as part of the nerve damage I ended up with a golf ball size blister, which I never felt and had to go to a drop in centre to get treatment. I did get told off a bit for not reporting this to the podiatry team as they want to double check what was happening.

I forgotten the time scale as a lot was going on like changing docs family problems, but it ended up being classed as a high risk patient and placed on 2 monthly check ups. As I was one 2 monthly checkups and some where along the lines I ended up seeing another podiatrist who was my regular contact at the check ups. My appointments got moved to an alternative day, which meant I saw different podiatrists every time. I asked to have my appointments back on the previous rotor and now see the same lady every time.

I know now that if I have any unexpected problems, the team are a phone call away and can be seen very quickly. Only pity is that the nerve damage is permanent at the high risk level and if I had got the help I needed from the GP's / DN's at the one practice I might not be in the high risk group. Being in the high risk group also means that I no longer have the annual feet check up as any problems can be spotted at the 2 monthly check ups or some times they are stretched to 3 months.
 
I get my feet checked every 6 months when I go along for my diabetes check ups. Its normal pulse check and tickle test. When I ended up with really bad blister following the Thames Path Challenge last year my Dr was great and made sure the blister was feeling properly and everything.
 
I've had pretty good footcare in the 9 years since my diagnosis, although it has varied quite a bit. Originally, I went to the Podiatry Service and got the full check of pulses, foot tickling etc. At my first appointment they even ordered some thermal inserts for me as I was suffering cold feet and chilblains (first time since childhood for them! 😱) They also discussed possible surgery for a slightly ingrowing toenail, but I declined this However, this changed from being a dedicated department to being an itinerant podiatrist who toured the local health centres, then I was passed back to my GP surgery as I was considered 'low risk'. Since then I have had a check at my 6 month diabetes reviews which isn't quite as thorough as in the past, but adequate as I don't have any problems.

So, overall, good treatment for me. I check my feet daily anyway because I have been a runner for over 30 years so always make sure they are in good condition 🙂
 
My husband was diagnosed with T2 in September 2016. He was sent very quickly to see a podiatrist who did the checks and noticed his ingrown toenail which he had been "dealing with" himself for years, he was told off for that and an appointment was made to remove it a couple of weeks later. So very happy with his treatment.

I was diagnosed with T2 in March 2017. I very quickly saw one of our practice nurses who is specialising in diabetes, she checked my feet (all good) and explained how to check & look after them. I had previously had a doplar test as I was getting very bad night cramps in my legs & feet (this lead to my T2 diagnosis) so we knew my circulation is good. I regularly treat my feet with heel cream and moisturise my legs with body lotion/butter. I am having a 3 month blood test next week and check up a week later, I don't know if my feet will be checked again as this is my first check up.
 
Get mine checked once a year at the surgery and that works fine. I usually have a quick look at them myself when cutting my nails 🙄 - probably should monitor them a it more. Although it was picked up at my diabetes foot check around 3 years ago I had some seed corns on the pressure points on my soles and was then under the podiatrist's care whilst they were dealt with (cut out) and I got some insoles for my shoes made. I also took part in a long term T1 prospective study at the hospital over around 20 years or so and they were checked as part of that as well.

So overall very good care and can't complain about the service.
 
I nearly jump out of the chair when they tickle me feet ! That's after 51 years of T1 🙂
 
So would I if they did tickle them! Sadly though, they merely want to gently touch them.

I wonder - would it actually be more helpful to everyone's health to have a professional tickling session, so everyone could have a damn good belly laugh every so often?
 
The guest speaker our Diabetes UK community support group had last month was a podiatry Educator, Diabetes Community MDT in Northamptonshire. This educational session was about:
—WHAT PROBLEMS DO PEOPLE WITH DIABETES GET WITH THE FEET? (RISK FACTORS)
—WHY DO PEOPLE GET FOOT PROBLEMS?
—WHAT CAN PEOPLE WITH DIABETES DO TO PREVENT FOOT PROBLEMS?
After this educational session, I am now more aware of the importance of foot care, and I know now how to do a regular food checks for myself without waiting for the annual foot screening.
 
I used to spend 3 days a week in the North Sea being very active. I think the salt water did them good. :D
 
Thanks so much to everyone for sharing their experience, good and bad. It’s been very very useful. We presented your comments this week at a workshop with dozens of health care professionals to show how important good and bad foot care can be, and what can make the difference.

So your comments will directly lead to more medics understanding what good diabetes foot care means for people living with diabetes – thanks!
 
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This thread is now closed. Please contact Anna DUK, Ieva DUK or everydayupsanddowns if you would like it re-opened.
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