Most diabetics have artery disease, which reduces blood flow to the feet and also nerve disease, which reduces sensation. Together, these problems make it easy to get ulcers and infections that may lead to amputation. For these reasons, one should take good care of the feet and consult the doctor immediately for foot problems. Always follow the doctor s advice exactly when caring for ulcers or other foot problems. One of the biggest threats to the feet is smoking.
Smoking affects small blood vessels.
It can cause decreased blood flow to the feet and make wounds heal slowly. A lot of people with diabetes who need amputations are smokers. Diabetics should examine their feet at the end of every day. Look for cracks, bleeding in the skin, red streaks or other sign of infection. Examine the inside of shoes before putting them on.