DIABETIC FOOT CARE
A small blister on a diabetic foot can become an infection in days. Most amputations in diabetes begin with a wound that was not taken seriously. Many of them can be prevented.
Wound dressings, foot infection care and admission when it is needed, overseen by Dr. K. Deepu Kumar, General Surgeon and Podiatrist, in Vijay Nagar Colony, Hyderabad.
Years of high sugar damage two things in the feet. The nerves stop sending pain, so a stone in the shoe or a burn from a hot floor is not felt. The blood flow falls, so a wound heals slowly and infection spreads easily. A cut that would heal in a week in anyone else can stay open for months.
That is why a diabetic foot needs looking after every day, by you, and checking regularly, by a doctor. You can find out how much risk your own feet carry with our free diabetic foot risk check.
Come in today, or go to a hospital if it is night, if you have:
Any new wound on a foot that cannot feel pain should be seen within one day.
General Surgeon and Podiatrist. Oversees foot care at Caspian: examines the wound, plans the dressing, cleans the wound and decides when a foot needs more than dressings.
Done here by our nurses, who are on duty 24 hours. Many wounds need dressing every day or every second day, so a clinic close to home matters.
Treated here, with admission and antibiotics through a drip when tablets are not enough. Every bed has a cardiac monitor and the sugar is controlled at the same time.
Our diabetologist brings the sugar under control, because a wound heals poorly while the sugar is high. Blood tests in our 24-hour laboratory and X-ray in the same building.
We do not have an operation theatre. When a foot needs surgery, or the blood flow to the leg needs to be opened up, we refer you and stay in touch with your surgeon. For blocked leg arteries we refer to Dr. Fayazuddin Md, vascular and endovascular surgeon at Mythri Hospital.
Dressings alone do not heal a diabetic foot ulcer. Four things have to happen together:
The four-week rule. If a wound has not become at least half its size after four weeks of proper care, the plan needs to change. We will review the blood flow, check for bone infection and decide on referral.
Please do not put turmeric, ash, toothpaste, oil or any home remedy on a foot wound. Keep it covered and come in.
Most foot wounds in diabetes are caused by footwear, or by walking without it. The right footwear is not a luxury. It is treatment.
| Choose | Avoid |
|---|---|
| Closed toe and closed back, held on with laces, Velcro or a buckle strap | Hawai chappals and slippers held only by a strap between the toes |
| Room for the toes: about 1 to 2 cm longer than your foot, as wide as the widest part, and deep enough that the toes do not press on the top | Pointed or narrow shoes, and shoes that "will loosen with wear" |
| A firm, cushioned sole that a nail or thorn cannot pass through | Thin soles, and high heels that push weight onto the front of the foot |
| Soft inside, with no hard seams over the toes | Rough stitching or a lining that rubs |
If you have had a foot ulcer before, or your foot has changed shape, ordinary shoes are not enough. You need footwear or insoles made for your foot, which reduce the pressure where the wound was. We will advise you on what to get. We do not sell footwear ourselves.
Bring the footwear you wear most days, your sugar readings, your medicines and any earlier reports or X-rays. Call reception to fix a time with Dr. Deepu Kumar.
Medically reviewed by Dr. Khizer Hussain Junaidy, Diabetologist & Bariatric Physician, Telangana State Medical Council 04937. Last reviewed 11 October 2026. General information for patients of Caspian Healthcare: your own doctor's advice comes first.