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When a Child Has Diabetes
A comprehensive guide for families that includes case histories, charts and diagrams, and tips on day-to-day living.
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Foot Problems
Foot problems resulting from diabetes are rare in children and adolescents. High blood glucose levels may eventually lead
to poor blood flow, and the effects of neuropathy, such as loss of feeling in the feet. This increases the risk of infection
and slow healing. A person with neuropathy can get a cut or blister on the foot and not even know it. This is especially
likely to happen if the injury is the first sign of neuropathy, and the feet are not being examined each day. If the cut
remains unnoticed, it can quickly become infected. In the worst case, it can lead to tissue death (gangrene). The only option
then is to cut off (amputate) the dead tissue. Your healthcare team should check your feet regularly.What can be done?
It’s wise for children and teens to develop good foot care habits to avoid problems as they get older, even though they don’t
usually have foot infections, poor healing, or gangrene. From an early age, they should be taught how to take good care of
their feet, just as they learn how to take good care of their hair, teeth, and other parts of their body. Good foot care
means:
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checking the feet every day for sores, cuts, red and warm areas on the skin, changes in colour, strange odours and other problems.
Look at the bottom of the feet for sores or blisters.
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washing the feet every day with warm water and patting dry.
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wearing well-fitting shoes that do not hurt
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cutting toenails straight across rather than rounding them
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avoiding ingrown toenails
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using lotion to keep the skin soft and prevent dry, cracked skin.
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avoiding crossing your legs, squatting, or kneeling for long periods of time.
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avoiding using heating pads, hot water bottles, or campfires to warm the feet.
| Last Reviewed | Reviewed by |
| June 21, 2004 | Marcia Frank, RN, MHSc, CDE Denis Daneman, MB, BCh, FRCPC
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