It’s January, and winter is making itself known whether you have diabetes or not. Between freezing temperatures, icy sidewalks, and school closures across the Midwest, many of us are spending more time bundled up indoors and thinking about how to stay safe in the cold. For people living with diabetes, winter brings some extra considerations, especially when it comes to foot health. Cold, wet conditions, dry indoor air, and reduced circulation can all increase the risk of infections, injuries, and slow healing wounds. That’s why winter is one of the most important times of year to give your feet a little extra attention.
Diabetes can affect the feet in several ways. Reduced blood flow can slow healing. Neuropathy can decrease sensation, making it harder to notice cuts, blisters, or burns. The immune system may also be less effective at fighting infection. Add winter weather into the mix, and small problems can escalate quickly if they aren’t caught early.
Here’s what your feet need most right now.
1. Keep Your Feet Clean and Dry
Moisture is one of the biggest risks in winter. Snow, rain, and even sweat can lead to skin breakdown and bacterial or fungal infections. Wash your feet daily with warm (not hot) water and mild soap. Afterward, dry them thoroughly, especially between the toes.
If your socks become damp, change them as soon as possible. Moisture-wicking socks can help keep your feet dry throughout the day. Avoid socks that trap heat and sweat.
2. Moisturize – But Carefully
Cold outdoor air and dry indoor heating can cause skin to crack, especially on the heels. Apply a moisturizer to your feet daily to prevent dryness and fissures. Creams with ingredients like urea or alpha hydroxy acids can be especially helpful for thick, dry skin.
NOTE: Avoid applying lotion between your toes. That area needs to stay dry, and moisture there can increase the risk of fungal infections.
3. Avoid Direct Heat
Neuropathy can make it difficult to feel when something is too hot. Heating pads, electric blankets, hot water bottles, and even very hot bath water can cause serious burns without you realizing it.
Instead of using direct heat:
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Wear warm socks indoors
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Use blankets to stay warm overall
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Test bath water with your hand or a thermometer before putting your feet in
Warmth is important, but safety always comes first.
4. Wear the Right Shoes and Socks
Winter footwear should protect against cold, moisture, and slips. Look for:
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Waterproof or water-resistant materials
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Insulated but breathable linings
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Non-slip soles
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A roomy toe box
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Supportive cushioning and arch support
Shoes that are too tight can cause pressure points and reduce circulation. Moisture-wicking socks and properly fitted shoes work together to protect your skin and improve comfort.
5. Stay Active, With Caution
Movement helps improve circulation, which is especially important in cold weather. Gentle activities like walking indoors, stretching, or light exercises can support blood flow to your feet.
However, if you notice any sores, redness, or open skin, avoid walking exercise and contact your provider. Activity should never come at the expense of safety.
6. Inspect Your Feet Daily
Winter footwear hides the feet for long hours, making inspections even more important. Each day, check:
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The tops and bottoms of your feet
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Between your toes
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Your heels
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Around your toenails
Look for redness, swelling, blisters, cuts, cracks, or color changes. If you can’t see the bottoms of your feet easily, use a mirror or ask for help.
Early detection is one of the most powerful tools for preventing complications.
7. Choose Diabetic-Friendly Socks
Regular compression socks are not always appropriate for people with diabetes, but sometimes they can be! Talk to our team for a deep dive! We might also suggest diabetic socks, which are designed to:
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Reduce pressure
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Improve comfort
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Wick moisture
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Allow better circulation
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Reduce friction
They can be especially helpful during winter months.
8. Schedule Regular Foot Exams
Routine exams with your foot and ankle specialist allow small concerns to be addressed before they become serious. Winter is a great time to stay proactive, especially if you’ve had past issues with ulcers, infections, or neuropathy.
Winter weather can be challenging, but with a few thoughtful habits, it doesn’t have to be dangerous. Keeping your feet clean, dry, moisturized, protected from heat, and properly supported can go a long way in preventing complications.
When the temperatures drop and the days get shorter, your feet deserve a little extra care. Small daily choices now can help protect your comfort, mobility, and long-term foot health all winter long.
