Left unattended, such an ulcer can quickly become infected and lead to serious consequences. For the person with diabetes a number of practices and precautions should be employed. Regular visits to a podiatric physician for foot inspections, no less than annually and preferably more often, are recommended. The doctor may conduct specific diagnostic tests to assess the presence or progression of diabetes complications. The podiatric physician will probably also reinforce self foot care, reminding patients of previously dispensed advice.
Shoes are at the top of the list.
Poorly fitted shoes are involved in as many as half of the problems that lead to amputations. Everyone, particularly those with diabetes, should be fitted by experienced shoe fitters for every new pair of shoes. Shoes should have leather or canvas uppers, fit both the length and width of the foot, leaving room for the toes to wiggle freely, and be cushioned and sturdy. Athletic footwear may fit the bill nicely. It's a good idea to change shoes during the day, to relieve pressure areas.