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Prevent diabetes problems: Keep your feet and skin healthy
What are diabetes problems?

Too much glucose in the blood for a long time can cause diabetes problems. This high blood glucose, also called blood sugar, can damage many parts of the body, such as the heart, blood vessels, eyes, and kidneys. Heart and blood vessel disease can lead to heart attacks and strokes. You can do a lot to prevent or slow down diabetes problems.

This information is about feet and skin problems caused by diabetes. You will learn the things you can do each day and during each year to stay healthy and prevent diabetes problems.
How can diabetes hurt my feet?

High blood glucose from diabetes causes two problems that can hurt your feet:

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      Nerve damage. One problem is damage to nerves in your legs and feet. With damaged nerves, you might not feel pain, heat, or cold in your legs and feet. A sore or cut on your foot may get worse because you do not know it is there. This lack of feeling is caused by nerve damage, also called diabetic neuropathy. Nerve damage can lead to a sore or an infection.
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      Poor blood flow. The second problem happens when not enough blood flows to your legs and feet. Poor blood flow makes it hard for a sore or infection to heal. This problem is called peripheral vascular disease, also called PVD. Smoking when you have diabetes makes blood flow problems
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Wash your feet in warm water every day. Make sure the water is not too hot by testing the temperature with your elbow. Do not soak your feet. Dry your feet well, especially between your toes.
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Look at your feet every day to check for cuts, sores, blisters, redness, calluses, or other problems. Checking every day is even more important if you have nerve damage or poor blood flow. If you cannot bend over or pull your feet up to check them, use a mirror. If you cannot see well, ask someone else to check your feet.
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If your skin is dry, rub lotion on your feet after you wash and dry them. Do not put lotion between your toes.
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File corns and calluses gently with an emery board or pumice stone. Do this after your bath or shower.
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Cut your toenails once a week or when needed. Cut toenails when they are soft from washing. Cut them to the shape of the toe and not too short. File the edges with an emery board.
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Always wear slippers or shoes to protect your feet from injuries.
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Always wear socks or stockings to avoid blisters. Do not wear socks or knee-high stockings that are too tight below your knee.
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Wear shoes that fit well. Shop for shoes at the end of the day when your feet are bigger. Break in shoes slowly. Wear them 1 to 2 hours each day for the first few weeks.
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Before putting your shoes on, feel the insides to make sure they have no sharp edges or objects that might injure your feet.

DEPARTMENT OF THE INTERIOR

National Park Service

SUMMARY: In accordance with the National Environmental Policy Act, 42
U.S.C. 4321, (NEPA), and applicable regulations and policies, the
National Park Service (NPS) and the United States Secret Service
(USSS), as joint lead agencies, are preparing an Environmental
Assessment (EA). The EA will aid the USSS in deciding whether to
permanently close E Street, South Executive Avenue, and the Ellipse
roadways within President's Park South to unauthorized vehicular
traffic, and State Place and West South Executive Avenue and adjacent
sidewalks (contiguous to First Division Monument) and Hamilton Place
and East South Executive Avenue and adjacent sidewalks (contiguous to
Sherman Park) to unauthorized vehicular and unauthorized pedestrian
traffic. The EA will further inform the USSS as it considers replacing
existing security elements in the area, such as jersey barriers,
provisional guard booths, canopy tents, bike rack, concrete planters
and standing canine vehicles. These security elements, while effective,
are visually unattractive and may detract from the iconic and historic
nature of the area. The USSS would seek to install security elements
that are both durable and more aesthetic at the vehicle checkpoints and
along the street closures. The NPS will utilize the EA to assist in its
consideration of landscape and infrastructure changes to President's
Park South that respond to USSS security requirements and conform to
the area's historic features, its iconic status and popularity as a
visitor destination. The National Capital Planning Commission (NCPC) is
a cooperating agency in this EA and is assisting in the development of
potential alternatives by holding a limited competition for design
concepts that integrate USSS security requirements and NPS cultural

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