Diabetes • Skin & Limb Health
Foot & Hand Care Tips for People with Diabetes
By Anna Hibschman Ferguson ·
Key Highlights
- A quick daily check of feet and hands helps catch problems early [3][4][10][12].
- Wash and thoroughly dry—especially between toes and fingers—to reduce infection risk [1][2][6][11][12].
- Use moisturizers formulated for diabetic skin; urea/ceramides/glycerin support barrier function and hydration [4][7][9][12][13].
- Wear supportive, well-fitting shoes and seamless, moisture-wicking socks to reduce friction and pressure (avoid going barefoot) [2][3][12].
- Keep blood glucose well controlled to reduce neuropathy and circulation-related risks [8].
- Seek care promptly for redness, swelling, warmth, drainage, or non-healing sores [3][12].
Introduction
High blood glucose can damage nerves and impair circulation, increasing the risk of skin breakdown and infection [8]. Consistent foot and hand care—paired with blood glucose management—helps prevent complications such as fungal infections and foot ulcers [3][12]. The steps below are distilled from leading guidelines and patient resources [1][2][6][12].
Essential Foot & Hand Care Tips for People with Diabetes
Neuropathy can blunt pain sensation, so small injuries may go unnoticed and worsen quickly [8]. Daily routines strengthen the skin barrier and reduce dryness and fissuring [4][7][9].
1) Inspect daily for cuts, blisters, or sores
Loss of protective sensation from neuropathy increases risk; check tops, soles, heels, and between toes. Use a mirror or ask for help for hard-to-see areas [8][1][2][3][6][12].
2) Wash and dry thoroughly (especially between toes/fingers)
Use lukewarm (not hot) water and gentle cleanser; hot water and harsh soaps worsen dryness. Pat dry, paying special attention between toes/fingers to limit fungal and bacterial growth [2][7][11][1][6][12].
3) Moisturize to prevent dry, cracked skin
Diabetes is linked with xerosis; skin cracks increase infection risk. Moisturizers containing urea, ceramides, or glycerin improve hydration and barrier function. Apply to tops and bottoms of feet and hands—but not between toes—to avoid excess moisture there [9][4][7][11][12][13].
- Urea: softens thick/rough skin and helps retain moisture [7][13]
- Ceramides: replenish barrier lipids and reduce transepidermal water loss [4][11]
- Glycerin: humectant that draws water into the outer skin layer [4]
4) Wear properly fitted socks and shoes (and gloves in cold)
Ill-fitting footwear creates pressure points that can blister and ulcerate. Choose supportive shoes with toe room and avoid going barefoot (even indoors). Wear seamless, moisture-wicking socks to reduce friction and keep skin drier. In cold weather, use protective gloves to prevent hand cracking [2][3][12][1][15][7].
5) Trim nails carefully; don’t cut corns/calluses
Cut toenails straight across and file sharp edges to avoid ingrown nails. For calluses, use a pumice stone gently after bathing; do not cut or shave them yourself. See a podiatrist for persistent lesions [2][11][12].
Choosing the Right Diabetic Foot & Hand Care Products
Products formulated for diabetic skin target dryness, sensitivity, and slower healing. Daily use supports barrier integrity and reduces fissuring—potential entry points for infection [4][7][9][12].
Look for these ingredients
- Urea (10–25%) for thick, rough areas (e.g., heels) [7][13]
- Ceramides to bolster the skin’s barrier [4][11]
- Aloe vera for soothing hydration on irritated skin [7]
- Fragrance-free, hypoallergenic formulations for sensitive skin [11][14]
Safety First: Red-Flag Symptoms & When to Seek Care
Neuropathy can mask injuries or irritation. Don’t self-manage concerning changes—seek prompt care [8][3][12].
| Symptom | What it could indicate | Action |
|---|---|---|
| Non-healing sore or wound | Poor circulation or infection | Stop OTC care; seek clinical evaluation [3][12] |
| New/worsening numbness | Progression of neuropathy | Schedule foot exam [8][12] |
| Redness, warmth, swelling | Possible infection | Urgent evaluation [3][12] |
| Pus or drainage | Infection | Immediate care [3][12] |
Medical Disclaimer: The information here is for general education and is not a substitute for medical advice, diagnosis, or treatment. Always consult a qualified clinician about your specific circumstances. If you suspect an infection or medical emergency, call your local emergency number.
Frequently Asked Questions
How often should I use diabetic foot and hand care products?
Daily. The best time is after washing—apply to tops/bottoms of feet and hands, not between toes [1][6][11].
Which creams are recommended for dry skin on diabetic feet and hands?
Look for urea (10–25%), ceramides, and glycerin in fragrance-free, hypoallergenic formulations [7][11][13][14].
References
- American Diabetes Association (ADA). Diabetes & Your Feet: Foot Care Tips. Wash daily (warm, not hot), dry between toes; moisturize but not between toes. Link
- Centers for Disease Control and Prevention (CDC). Tips for Healthy Feet. Daily checks; warm water; dry well; don’t go barefoot; well-fitting shoes; trim nails straight; don’t self-treat corns/calluses. Link
- NICE Guideline NG19. Diabetic foot problems: prevention and management. Risk assessment; rapid referral for active foot problems. Link
- International Working Group on the Diabetic Foot (IWGDF). 2023 Prevention Guideline. Daily inspection; wash/dry esp. between toes; emollients; cut nails straight; avoid barefoot; rapid contact for (pre-)ulcerative lesions. PDF
- ADA. Foot Complications—Skin Care Tips. Moisturize tops/bottoms; not between toes; don’t soak feet. Link
- CDC. Your Feet and Diabetes. Daily checks; warm (not hot) water; dry completely; lotion tops/bottoms, not between toes. Link
- American Academy of Dermatology (AAD). Skin care tips for people with diabetes. Moisturize daily; urea (10–25%) for cracked heels; gentle cleansers; warm (not hot) water. Link
- NIDDK (NIH). Diabetes & Foot Problems / Diabetic Neuropathy overview. High glucose → neuropathy & poor circulation; prevention steps incl. moisturizing (not between toes). Link
- ADA. Diabetes and Skin Complications. High glucose increases infection risk; keep skin clean/dry; avoid very hot water; moisturize (not between toes). Link
- IWGDF. All-Guidelines Summary (2023). Prevention & management principles for education and self-care. Link
- CDC. Healthy Habits: Foot Hygiene. Wash daily; dry completely; clip nails; check feet regularly. Link
- PubMed summary of IWGDF Prevention Guideline. Education, screening frequency, avoid barefoot, treat pre-ulcerative lesions; rapid contact for concerns. Link
- David P, et al. A Comprehensive Overview of Skin Complications in Diabetes. Clin Cosmet Investig Dermatol. 2023. Emphasizes moisturization & barrier support. Link
- US Pharmacist. Diabetes-Related Skin Complications. Moisturization; gentle cleansers; avoid hot water and fragrance/alcohol products. Link
- American Orthopaedic Foot & Ankle Society (FootHealthFacts). Diabetes Foot Care Guidelines. Moisturize daily (not between toes); gentle bathing; footwear/socks tips. Link