The Importance of an Annual Foot Examination for Patients with Diabetes

June 4 2025

Diabetes is a chronic condition that affects millions of people worldwide with far-reaching impacts on nearly every organ system in the body. One of the most significant, yet often underestimated, complications of diabetes involves the feet. High blood glucose levels can lead to poor circulation, nerve damage (diabetic neuropathy), and a reduced ability to heal wounds, all of which increase the risk of foot problems that can escalate into serious medical emergencies. For this reason, an annual examination by a podiatrist is not merely recommended – it is essential.

Understanding Diabetic Foot Complications

Diabetic neuropathy, one of the most common complications of diabetes, affects up to 50% of people with the condition. This form of nerve damage leads to decreased sensation in the feet, making it difficult for patients to feel pain, heat, or injuries. As a result, even minor cuts, blisters, or pressure sores can go unnoticed and untreated, eventually becoming infected or developing into ulcers.

Additionally, diabetes impairs blood circulation, especially to the extremities. Poor circulation slows down the healing process and reduces the body’s ability to fight off infection. When combined with neuropathy, this can turn small foot issues into serious infections, sometimes requiring hospitalization, and in severe cases, amputation.

Role of the Podiatrist

A podiatrist is a medical specialist trained in diagnosing and treating conditions of the feet and lower limbs. For diabetic patients, podiatrists play a critical role in preventing complications and maintaining overall foot health. An annual foot exam by a podiatrist can be life-changing – and lifesaving. During a routine diabetic foot examination, a podiatrist assesses multiple factors:

• Neurological status: Using tools like a monofilament test or tuning fork, the podiatrist checks for loss of sensation.
• Vascular status: The podiatrist evaluates circulation by checking for pulses in the feet and may use a Doppler device or ankle-brachial index (ABI) to detect peripheral arterial disease (PAD).
• Skin and nail conditions: Fungal infections, calluses, corns, and ingrown toenails are examined, as they can become entry points for infection.
• Foot structure and biomechanics: Structural deformities like bunions, hammertoes, or Charcot foot are identified, as these can lead to pressure points and ulcers.
• Footwear evaluation: Proper footwear is vital in preventing ulcers and the podiatrist can recommended or prescribe diabetic shoes and insoles.

Preventing Severe Complications

One of the most significant benefits of an annual podiatric exam is the early detection of problems that might otherwise go unnoticed. This proactive approach allows for timely intervention and reduces the risk of ulceration and amputation.

According to the Centers for Disease Control and Prevention (CDC), non-traumatic lower-limb amputations are significantly more common among people with diabetes. Yet, research shows that regular podiatric care can reduce the risk of amputations by as much as 85%. Routine monitoring, patient education, and preventative care can make a profound difference.

Podiatrists can also provide patients with critical education on daily foot care routines, including:

• Inspecting feet daily for cuts, blisters, redness, or swelling.
• Washing feet daily and drying thoroughly, especially between the toes.
• Moisturizing to prevent cracking, but avoiding lotion between the toes.
• Never walking barefoot, even at home.
• Keeping toenails trimmed and seeking professional help for nail or skin issues.

Specialized Care for High-Risk Patients

Not all diabetic patients have the same risk of developing foot complications. Some, such as those with a history of foot ulcers, existing neuropathy, or structural deformities, fall into higher-risk categories and may require more frequent podiatric visits. For these individuals, quarterly or semi-annual exams may be necessary to monitor for changes and prevent complications.

Patients with diabetes who have limited mobility, vision impairment, or cognitive decline are also at increased risk due to challenges in maintaining daily foot care routines. A podiatrist can work in coordination with caregivers and primary care physicians to ensure a comprehensive, multidisciplinary approach to foot health.

An annual podiatric exam should be a standard part of a diabetic patient’s healthcare routine, much like routine visits to an endocrinologist or ophthalmologist. Unfortunately, foot care often remains overlooked until problems arise. Healthcare providers should emphasize its importance and integrate it into diabetes management plans.

Insurance coverage, including Medicare in the United States, often includes podiatric care for patients with diabetes, especially those with qualifying risk factors. This accessibility further underscores the feasibility and importance of making annual podiatric exams a priority.

Diabetes is a complex disease that demands vigilant, ongoing care. The feet, often ignored until trouble surfaces, are particularly vulnerable. An annual examination by a podiatrist offers a critical opportunity to detect issues early, educate patients, and implement preventive strategies that can avert serious complications. With something as simple as a yearly foot exam, patients can preserve mobility, avoid pain and disability, and maintain a better quality of life.

For those living with diabetes, scheduling an annual podiatric examination isn’t just good advice – it’s a cornerstone of effective diabetes care.

If you are diabetic, schedule your annual examination by contacting Dr. Deblasi’s office at (239) 430-3668 (FOOT) or schedule online at www.NaplesPodiatrist.com

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Serving Southwest Florida Since 2005, Family Foot & Leg Center has 9 convenient locations throughout Collier, Lee, Charlotte, and Sarasota Counties. Offering pediatric to geriatric family care: Ingrown Toenails, Heel Pain, Bunions, Foot / Ankle Arthritis Pain, Plantar Fasciitis, Foot / Ankle Surgery, Custom Orthotics, and Diabetic Wound Care. In office X-rays, ultrasounds, and minor surgical suite exam rooms. Practice powered by EMR and advanced technologies.

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