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Concern

Diabetic Foot Care in Canary Wharf, London

Diabetes can damage the nerves and circulation in your feet, so small problems can quickly become serious — which is why everyone with diabetes should have regular professional foot checks and seek same-day help for any new foot problem.

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Diabetic Foot Care

The concern

Diabetes can cause peripheral neuropathy (loss of protective sensation) and peripheral arterial disease (reduced circulation), which together mean a minor cut, blister, corn or ingrown nail can progress to an ulcer or serious infection without being noticed — in the worst cases threatening the limb. NICE guideline NG19 recommends that everyone with diabetes has their feet examined at least once a year to assess circulation, sensation and skin, and is told their individual risk level (low, moderate or high), with more frequent review and a named foot-protection service for those at higher risk. At Canary Wharf Podiatry, our HCPC-registered podiatrists carry out that assessment, provide safe routine foot care, and manage corns, calluses and nail problems that you should never treat yourself if you have diabetes. This page does not replace urgent medical care: if you notice any new foot problem, act the same day using the guidance below rather than waiting for a routine appointment.

What drives it

  • Peripheral neuropathy — nerve damage that reduces or removes the protective pain that would normally warn you of injury
  • Peripheral arterial disease — narrowed arteries reducing blood flow, so wounds heal slowly and infection takes hold more easily
  • High or poorly-controlled blood glucose over time, which drives both nerve and blood-vessel damage
  • Foot deformity, corns or calluses creating high-pressure areas where ulcers can form
  • Previous foot ulcer or amputation, the strongest single predictor of future problems
  • Reduced eyesight or limited mobility making it hard to check or reach your own feet

Common
questions

When should I seek urgent or same-day help for a diabetic foot problem?

Seek same-day help — contact your GP or diabetes foot service, or call NHS 111 — for any new ulcer, a wound that will not heal, spreading redness, swelling, pus or a foul smell, or a foot that turns hot, red and swollen. Go to A&E if you feel feverish or a foot or toe turns blue, black or cold. NICE NG19 treats these as emergencies.

Why shouldn't I treat corns, calluses or verrucae myself if I have diabetes?

Because reduced sensation and circulation make self-treatment dangerous. Over-the-counter acid corn plasters can burn the skin and cause ulcers, and cutting or filing hard skin or nails yourself can break the skin and let infection in without you feeling it. NICE advises people with diabetes to have foot care done by a professional — let our podiatrists manage it safely.

How often should someone with diabetes have their feet checked?

NICE NG19 recommends a foot check at least once a year for everyone with diabetes, assessing circulation, sensation and skin, and giving you a risk category. If you are at moderate or high risk — for example with neuropathy, poor circulation, foot deformity or a previous ulcer — you should be reviewed more frequently, and we will agree a schedule with you.

What does a diabetic foot assessment involve?

We take your history and examine both feet: a vascular screen of your foot pulses (using a Doppler if pulses are hard to feel), a neurological screen of protective sensation with a monofilament, and a check of skin, nails, pressure areas and footwear. We then explain your foot-risk level, provide any safe treatment needed, and set out how to look after your feet day to day.

Can you do my routine foot care if I have diabetes?

Yes — this is exactly what we are here for. Our HCPC-registered podiatrists provide safe, sterile nail and skin care and manage corns and calluses without breaking the skin, which is the recommended alternative to doing it yourself. We also check your feet at each visit and flag anything that needs your GP or a specialist diabetes foot service.

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Canary Wharf Podiatry • 1 Westferry Circus, Canary Wharf, London E14 4HD

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Appointments typically available within 1–2 weeks