Understanding Diabetic Foot Issues and Treatment Options

By Buffalo Medical Group | April 6 2026 | Uncategorized

By Rebecca Coe, D.P.M. – Buffalo Medical Group – Podiatry 

Diabetes can affect many parts of the body, but the feet are particularly vulnerable. Over time, high blood sugar levels can damage nerves and blood vessels, leading to a group of problems commonly referred to as diabetic foot complications. Without proper care, these issues can progress from minor discomfort to serious infections and even amputation. 

Common Diabetic Foot Problems 

Two main factors contribute to diabetic foot issues: peripheral neuropathy and poor circulation. Neuropathy reduces sensation in the feet, making it harder to notice cuts, blisters, or pressure points. At the same time, reduced blood flow slows healing and increases the risk of infection. Together, these factors can allow small wounds to develop into foot ulcers—open sores that are one of the most serious and common complications of diabetes.  

Other frequent problems include dry or cracked skin, calluses, corns, fungal infections, and changes in foot shape. Because pain may be diminished, many people are unaware of these issues until they become severe. 

Prevention and Early Detection 

Prevention is the cornerstone of diabetic foot care. Daily foot inspections, proper hygiene, and wearing well-fitting shoes significantly lower the risk of complications. Health authorities recommend checking feet every day for redness, swelling, cuts, or blisters and having a comprehensive foot exam at least once a year—or more often for those at higher risk.  

Good blood sugar control also plays a vital role. Keeping glucose levels within target ranges helps prevent nerve and vessel damage and can slow the progression of existing problems.  

Treatment Options 

When foot problems occur, early treatment is essential. Wound care is the first step for ulcers and includes cleaning, protecting the area, and reducing pressure through specialized footwear or offloading devices. If infection is present, antibiotics may be required. In some cases, imaging or vascular studies are used to assess blood flow, and procedures to improve circulation may be recommended. 

People with advanced or recurring foot issues often benefit from a multidisciplinary care team, which may include primary care providers, endocrinologists, podiatrists, and wound-care specialists. This coordinated approach has been shown to reduce complications and lower amputation rates. 

The Takeaway 

Diabetic foot issues are common but largely preventable. Consistent self-care, routine medical checkups, and prompt attention to any changes can protect foot health and preserve mobility. For people living with diabetes, healthy feet are not just a comfort issue—they are a critical part of long-term well-being. 

Rebecca Coe, D.P.M. is accepting new patients. She sees patients at the Buffalo Medical Group healthcare hub at 6950 South Transit Road, Lockport and Buffalo Medical Group Podiatry at 6325 Main Street, Williamsville. Call to schedule an appointment at 716-630-1295.