Diabetes Foot Care Guidelines
Inspect your feet daily. Check for cuts, blisters, redness, swelling or nail problems. Use a magnifying hand mirror to look at the bottom of your feet. Call your doctor if you notice anything.
Bathe feet in lukewarm, never hot, water. Keep your feet clean by washing them daily. Use only lukewarm water—the temperature you would use on a newborn baby.
Be gentle when bathing your feet. Wash them using a soft washcloth or sponge. Dry by blotting or patting and carefully dry between the toes.
Moisturize your feet but not between your toes. Use a moisturizer daily to keep dry skin from itching or cracking. But don’t moisturize between the toes—that could encourage a fungal infection.
Cut nails carefully. Cut them straight across and file the edges. Don’t cut nails too short, as this could lead to ingrown toenails. If you have concerns about your nails, consult your doctor.
Never treat corns or calluses yourself. No “bathroom surgery” or medicated pads. Visit your doctor for appropriate treatment.
Wear clean, dry socks. Change them daily.
Consider socks made specifically for patients living with diabetes. These socks have extra cushioning, do not have elastic tops, are higher than the ankle and are made from fibers that wick moisture away from the skin.
Wear socks to bed. If your feet get cold at night, wear socks. Never use a heating pad or a hot water bottle.
Shake out your shoes and feel the inside before wearing. Remember, your feet may not be able to feel a pebble or other foreign object, so always inspect your shoes before putting them on.
Keep your feet warm and dry. Don’t let your feet get wet in snow or rain. Wear warm socks and shoes in winter.
Consider using an antiperspirant on the soles of your feet. This is helpful if you have excessive sweating of the feet.
Never walk barefoot. Not even at home! Always wear shoes or slippers. You could step on something and get a scratch or cut.
Take care of your diabetes. Keep your blood sugar levels under control.
Do not smoke. Smoking restricts blood flow in your feet.
Get periodic foot exams. Seeing your foot and ankle surgeon on a regular basis can help prevent the foot complications of diabetes.
• There has been a confirmed case of hepatitis A in a food handler who worked while infectious at Cumulus Inc. restaurant, 45 Flinders Lane, Melbourne.
• Any person who ate food – especially uncooked food – at Cumulus Inc. between 26 February and 19 March 2018 may be at risk of hepatitis A infection and should attend their GP for a free hepatitis A vaccine, and should look out for the symptoms of hepatitis A between 15 to 50 days after the exposure.
• Cases of hepatitis A continue to rise in Victoria with one death confirmed as part of the outbreak. There are now 68 confirmed outbreak cases, seven probable cases and one death. An additional 14 cases of hepatitis A are under early investigation.
• Of the 68 confirmed cases, most are male, many of whom report male-to-male sexual activity and have not travelled overseas, and some have identified as people who inject drugs (PWID).
• Offer free hepatitis A vaccine to all MSM and people who have injected drugs in the past 12 months, and to any person who ate food from Cumulus Inc. during that period. The two-dose hepatitis A vaccination is free for all MSM and PWID until 31 December 2018.
Read more about it here. CHO Alert – hepatitis A outbreak – 22 March 2018 (update to alert issued 6 March 2018)
There has been a recent increase in notifiable conditions and changes in vaccines available for
people who inject drugs.
Free Hepatitis A vaccine
There is an outbreak of locally aquired hepatitis A in Victoria.
The free hepatitis A vaccine is available until 31 December 2018 for all people who have injected drugs in the past 12 months and live in Victoria.
Free Hepatitis B vaccine
Immunisation is the best protection against hepatitis B. In Victoria, free hepatitis B vaccine is provided for all people who inject drugs.
To find out more please make an appointment with one of our friendly doctors or download the information pamphlet here