Do You Have a Diabetic Foot Treatment Question?


My name is Daniel Weisz and I'm a London based Podiatrist.

I help prevent diabetic feet complications as well as treat in order to salvage the very serious ill feet (even those who have been recommended for amputations).

Correct control and treatment contribute to the quality of life of the diabetic patient.

Let's get the snowball rolling - Please feel free to ask me any question in regards to diabetic foot treatment and I'll do my best to answer each and every one of you

Fine, I’ll start. I am a relatively healthy 50 year old diabetes. I have good circulation in my feet, no detectable neuropathy and exercise regularly and aggressively. I build up heavy callous on my feet and if I don’t remove the callous it will often cause injury, blisters and skin tears. I am always advised as a diabetic to not attempt to reduce my callouses, but I do it anyway. I don’t use a razor, rather I use a skin file.

Is this wrong? Is there a better way to manage the situation? And yes I know, get proper shoes and visit my podiatrist.


I have callouses too. I’ve been type1 for 42 years. I don’t have neuropathy, and walking is my primary form of exercise. I’m going to add you as a friend.

I noticed when I was doing yoga or giving myself a foot massage that if I press my palm down on the bottom of my foot I see these bubbles, like little balls if I don’t know what. They are not sensitive and don’t blister, I’m very confused by it. It doesn’t hinder me in any way that I know of… What do you think?

I’m a Type I diabetic and I went to a Podiatrist once to see about a blue toenail. He wanted to remove my toenails (on BOTH toes even when the other was fine). I refused to let him mainly because I was concerned that it wouldn’t heal properly. I’ll admit I raised an eyebrow wondering why he would want to remove the other one too. Anyway, my question is…how dangerous is it to remove a toenail when you’re a diabetic?

I, too, have callouses in my feet… but I have always had them. Though they got somewhat worse with my Diabetes, I believe I have always had them because I have had Hypothyroidism, and Polycystic Ovarian Syndrome for most of my life, and as a consequence to this… I do not sweat very much, and thus my skin does not lubricate very well… My endocrine system is impaired. (I once read a study that related inability to sweat with getting Type 2 diabetes… very interesting stuff) There is no real way to fix it… I drink boatloads of water, take appropriate medications, wear socks quite often, and shoes on hard surfaces (as our mother never let us walk barefoot), and all the appropriate lotions, etc. I can only somewhat reduce it… and yes, I file my callouses as well, with a simple callous file. Right now, it’s as low as it’s going to go… but it’s not gone. If there is any kind of medication to even fix the fact that I won’t sweat an appropriate amount, then… I doubt this issue will go away. It’s so bad, I can’t even use regular deodorants in stores, or else I break out in rashes… from the strength of the antiperspirants. I have to go around checking the strengths on the ingredients list… of the antiperspirant, or else, I will break out if it’s past a certain level. Antiperspirant itself is not bad, but past this strength level… it’s terrible. I just don’t sweat, even during a lot of intense exercise, or on hot days… Even organic deodorant does me bad, if it’s too much, or I use it daily. I cannot use deodorant daily. Doctors just don’t pay any attention to this… I suppose I should count it as kind of a blessing that I don’t smell like skunk every day, but it still has it’s consequences.

I’m a T1. I had numbness when first diagnosed but it went away. I noticed that the 4th toes on both feet turn outwards so that I’m not really walking on the bottom of them. This sometimes cause calluses. Do you know what would cause that?

Hi all

Sorry for not replying yet. I’ve been very busy today. I will answer your questions very very soon!


Please understand, the good Dr. Weisz asked the same question over in the UK group and nobody asked a question for five days. Now he posts in out in the open and there is a flood. When it rains it poors.

Dr. Weisz, we all understand the timing of things and will patiently await your response.

I have a questio but it might not be related to my 37 year thing w/diabetes so …Anyway. I have very dry feet and wondered if the d had something to do w/it or it’s just my body doing that. Type 1 since 10.

As I’m usually asked, what would you do if it was your daughter? – I would not operate in any event until full maturity
I would definitely try all non-surgical options prior to the knife – such as biomechanical orthotics.

Have a second opinion

A diabetic patient should never treat him/her self!!
I would ask for a solution that will reduce or solve the callous formation to begin with
You should have a gait analysis performed and according to that I’m sure you will get to the right solution

A. I totaly agree with you. I wonder why remove either of them, unless they are causing you a serious problem.

B. It is not dangerous, but why have them removed at all?

In general, wash and dry feet daily, have callosities removed on regular occasions and take advise how to avoid it reoccurring.

You have actually answered the problem yourself
You are probably weight bearing or having your bent toe rubbing against the shoe and this is causing the callous
You may need a different shoe, orthotics or even a toe prop.

Usually dry skin is not necessarily related directly to diabetes, nevertheless, diabetic patients need to be more aware and must treat . I suggest you consult a podiatrist to diagnose your personal problem and give you the right treatment

want a pedicure sooo badly but have been doing my own for fear of unsanitary ( even at the most reputable spas) conditions…what r ur thoughts?

Thank You! I have an appoiment to do just that. I didn’t think it was D related but you can never be too sure about it.

I have a hammertoe on the 2nd toe of left foot. Have had it more than 20 years. Have been diagnosed diabetic for about 10 years but looking back I was probably undiagnosed for another 10 years.
Are hammertoes due to diabetes? It is only on one foot.
Also, my podiatrist removed the great toenail on the same foot as the hammertoe due to fungus that refused to go away with multiple topical and oral treatments. Now both the hammertoe and 2nd toe of other foot have the thick fungus nail. The great toe on my R. foot is fine. No luck with any treatments. Any suggestions?

Any ideas on how do I avoid that from reoccurring?