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Question:

From Ponte Vedra Beach, Floridai, USA:

My 16 year old son developed Type 1 diabetes 2 and 1/2 years ago. Recently he has developed a "corn" (as yet, it is not painful or infected) and other calloused areas on his feet. His blood sugars have been under pretty good control and he has no known complications at this time. In reading the label warning on a popular liquid corn/callous remover, it specifically says that their product should not be used by diabetics. What would you recommend to treat this?

Answer:

Individuals with diabetes can get many kinds of foot problems. Even minor ones can quickly turn into serious ones. You mentioned that your son has developed a corn and calluses. Calluses are areas of thick skin caused by regular or prolonged pressure or friction. A corn is a callus on a toe. Corns and calluses can develop on an individual's foot when their body weight is distributed unevenly. Calluses and corns should be trimmed by your son's health care professional. Trying to cut corns and calluses on your own can lead to infection. Trying to remove them with over-the-counter chemicals can burn the skin. Untrimmed calluses can get very thick, break down, and turn into ulcers.

There are several things your son can do to prevent calluses from forming:

  1. Wear shoes that fit -- Shoes that fit are comfortable when you buy them. Almost all new shoes are a little stiff at the start and mold to your feet with wear; however, there is a difference when you buy the wrong size and try to break them in. Make sure there is room in the shoes you are buying for your toes to move.

  2. Wear shoes with low heels and thick soles -- Thick soles will cushion and protect your feet and low heels will distribute your weight more evenly.

  3. Wear padded socks -- They will not only cushion and protect your feet but will also reduce pressure. Make sure that your shoes are large enough to fit the thicker sock.

  4. Try shoe inserts -- You may want to ask your diabetes health care professional or foot doctor about shoe inserts. They may better distribute your weight onto your feet.

PL

Original posting 1 Jan 1999
Posted to Daily Care

  
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Last Updated: Tuesday April 06, 2010 15:09:02
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