A diabetic is required to be extremely vigilant about his feet. If the feet are neglected, gangrenous changes may develop, when there may not be any alternative other than the removal of the gangrenous part of the foot/limb. The following should be strictly followed:
(i) The feet should be properly cleansed with soap and water. These should be properly dried, especially in between the toes.
(ii) If the feet tend to sweat, apply any powder, especially in between the toes.
(iii) Injury to feet should be avoided. If injury occurs, it should be dressed using alcohol or mercurochrome. Do not bandage tightly and avoid adhesive tape. Local antiseptics which are likely to irritate/burn the skin should not be used. Oral antibiotics are required to combat infection..
(iv) Do not use hot water bottle or heating pads on the feet.
(v) Do not soak sore feet in hot water.
(vi) Avoid tight shoes. New shoes should be comfortable. They should be broad at the tip so as not to jam the toes.
(vii) Socks with a tight elastic band should not be used. In winter, warm stockings are preferred.
(viii) If your feet ache, remove shoes and sit with legs elevated to hip level. This should be done regularly.
(ix) […]

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