As the weather heats up, many Marylanders look forward to lazy days on the beach, poolside barbecues, and outdoor adventures. But for the 10% of adults in Anne Arundel County living with diabetes, the arrival of summer requires extra vigilance to protect vulnerable feet.
Diabetes can cause nerve damage and reduced circulation in the feet, increasing the risk of injuries and infections. These risks are further heightened in the summer months, when high temperatures and humidity create the perfect environment for foot problems to develop.
At Annapolis Foot & Ankle Center, we understand the unique challenges people with diabetes face when it comes to foot care. Our board-certified Annapolis podiatrists are committed to helping our patients maintain healthy, active lifestyles while minimizing the risk of serious complications. With a little preparation and know-how, you can enjoy all your favorite summer activities while keeping your feet safe and comfortable.
Safe Alternatives to Going Barefoot
One of the biggest temptations of summer is the desire to kick off your shoes and feel the warm sand or cool grass beneath your feet. However, for people with diabetes, going barefoot can be a recipe for disaster. Even a small cut or scrape can quickly develop into a serious infection when you have neuropathy.
Instead of going barefoot, try these podiatrist-approved alternatives:
- Water shoes. Designed to get wet, water shoes provide protection from hot sand, sharp shells, and slippery pool decks. Look for a pair with a sturdy sole and quick-drying material.
- Sandals with support. While flimsy flip-flops offer little protection, a well-constructed sandal with arch support and a back strap can be a safe choice for short periods. Avoid sandals with a thong between the toes, which can cause irritation.
- Breathable sneakers. For walks on the boardwalk or hikes in the woods, choose a lightweight, breathable sneaker with plenty of room in the toe box. Moisture-wicking socks can help keep feet dry and prevent blisters.
Remember, when you’re wearing open-toed shoes, it's essential to apply sunscreen to your feet to prevent sunburn. And be sure to inspect your feet carefully at the end of each day for any signs of injury or irritation.
Preventing Heat-Related Foot Swelling
Swelling in the feet and ankles is a common problem for people with diabetes, especially during the summer months. High temperatures cause blood vessels to dilate, allowing fluid to pool in the lower extremities. This swelling, known as edema, can cause discomfort and make shoes feel tight.
To prevent heat-related swelling in your feet:
- Stay hydrated. Drink plenty of water throughout the day to help flush excess fluid from your body. Aim for at least 8 glasses per day, more if you're active or spending time in the heat.
- Limit salt intake. Too much sodium can contribute to fluid retention. Avoid processed snacks and fast food, and don't add extra salt to your meals.
- Elevate your feet. When sitting or lying down, prop your feet up on a pillow or footrest to encourage fluid to drain back toward your heart. Try to keep your feet above the level of your heart for at least 30 minutes a day.
- Exercise regularly. Gentle exercises like walking, swimming, and cycling can help improve circulation and reduce swelling. Just be sure to check with your Annapolis podiatrist before starting any new exercise routine.
If you experience persistent or severe swelling, it could be a sign of a more serious problem. Schedule an appointment with your podiatrist right away.
Managing Moisture in Hot Weather
Excessive moisture is another common problem for people with diabetes during the summer months. Sweaty feet create an ideal environment for fungal infections like athlete's foot to thrive. At the same time, cracks and peeling skin from excessive dryness can create entry points for bacteria.
To keep your feet healthy and moisture-balanced:
- Choose the right socks. Opt for socks made from moisture-wicking materials like bamboo, merino wool, or synthetic blends. Avoid 100% cotton socks, which tend to hold onto moisture.
- Use antiperspirant. Just like you use antiperspirant on your underarms, you can apply it to your feet to reduce sweating. Look for a product designed specifically for feet, or ask your podiatrist for a recommendation.
- Powder your feet. After showering or swimming, be sure to dry your feet thoroughly, especially between the toes. Then, apply a light dusting of talcum powder or cornstarch to help absorb excess moisture.
- Air out your shoes. Avoid wearing the same pair of shoes two days in a row. Instead, rotate between several pairs, allowing each one to dry out completely between wears. You can also use a fan or shoe dryer to speed up the process.
If you do develop a fungal infection, over-the-counter antifungal powders or creams may help. However, it's always best to check with your podiatrist before trying any new treatment.
Recognizing Signs of Heat-Induced Foot Problems
Even with the best prevention strategies, foot problems can still arise during the summer months. That's why it's essential to inspect your feet daily and look for any changes or abnormalities.
Some common heat-induced foot problems to watch for include:
- Blisters. Caused by friction and moisture, blisters can be painful and may become infected if not treated properly. If you notice a blister, cover it with a clean bandage and avoid popping it. If the blister is large or painful, contact your podiatrist for guidance.
- Cracked heels. Dry, cracked skin on the heels can be unsightly and uncomfortable. More importantly, it can create openings for bacteria to enter the body. Use a moisturizing cream daily to keep skin supple, and consider using a pumice stone to remove dead skin gently. Avoid going barefoot, as this can make cracked heels worse.
- Fungal infections. Athlete's foot, characterized by itchy, peeling skin between the toes, is a common summer problem. If you suspect a fungal infection, contact your podiatrist for an accurate diagnosis and appropriate treatment. Trying to self-treat with over-the-counter products may delay healing and make the infection worse.
- Ingrown toenails. Wearing tight shoes or cutting toenails too short can cause the edge of the nail to grow into the skin, leading to pain, redness, and swelling. If you have an ingrown toenail, don't try to cut it out yourself. Instead, contact your podiatrist for professional treatment.
If you experience any persistent pain, redness, swelling, or drainage from a wound on your foot, seek medical attention right away. These could be signs of a serious infection that requires prompt treatment.
Stay a Step Ahead of Summer Foot Problems
At Annapolis Foot & Ankle Center, we know that prevention is the best medicine when it comes to diabetic foot care. By following these simple tips and staying vigilant about your foot health, you can reduce your risk of serious complications and enjoy all the fun of summer with confidence.
Remember, our team of experienced Annapolis podiatrists is here to support you every step of the way. From routine check-ups to advanced wound care, we offer comprehensive services to keep your feet healthy and strong. We'll work with you to develop a personalized care plan that fits your unique needs and lifestyle.
So go ahead and pack your beach bag, plan that nature hike, or sign up for that charity walk. With a little preparation and the right support, there's no reason diabetes should hold you back from enjoying all the joys of summer. Just remember to take good care of your feet along the way; they'll carry you through all your warm-weather adventures and beyond.