Information for the public
Diabetic foot problems: the care you should expect
Type 1 and type 2 diabetes can cause problems with blood flow and damage your nerves. This can cause pain, tingling or numbness in your feet. If you lose feeling in your feet, you may not notice if you hurt them or if you get sores or ulcers. Any ulcers you get will take longer to heal. You may find it difficult to walk, and in extreme cases, your foot may be so badly damaged that it has to be removed.
We want this guideline to make a difference for children, young people and adults with type 1 or type 2 diabetes by making sure:
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they get annual foot checks from age 12 onwards
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people who are at higher risk get seen quickly by the foot protection service, for more detailed advice and support
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they get the best possible treatments for foot ulcers and foot infections
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people with suspected Charcot arthropathy (a serious condition that weakens the foot bones, leading to dislocations, fractures and changes in the shape of the foot) are seen by specialists within 2 working days.
Making decisions together
Decisions about treatment and care are best when they are made together. Your healthcare professionals should give you clear information, talk with you about your options and listen carefully to your views and concerns.
To help you make decisions, think about:
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What matters most to you – what do you want to get out of any assessments or treatment?
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What are you most worried about – are there risks or downsides to the treatment that worry you more than others?
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How will the treatment affect your day-to-day life?
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What happens if you do not want to have treatment?
If you need more support to understand the information you are given, tell your healthcare professional.
Read more about making decisions about your care.