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See your family doctor regularly to be sure your diabetes is in good control. Have your doctor look at your feet at every visit.

Step #2. Wear the right shoes and socks.

Don’t wear shoes that fit too tightly or pinch your feet. Choose thick cotton socks and well-cushioned shoes with plenty of room in the toes. (Look for shoes with a high toe box.) They will help keep your feet healthy. Never go barefoot.

Step #3. Check your feet every day.

Look at your feet very carefully every day to be sure you have no cuts, scrapes or blisters. Look at every part of your foot, even between your toes.

Step #4. Treat cuts, scrapes and blisters. See your doctor if a wound does not heal.

If you get a small cut, scrape or blister on your foot, wash the area gently with soap and water. Don’t break the blister. Put an antibiotic cream on the wound several times a day. If the wound does not heal in a few days, see your doctor.

Step #5. Keep your feet clean.

Gently wash your feet with soap and water every day. Pat your feet dry. Put on a moisturizing cream or ointment (for example, petroleum jelly). Don’t put too much moisturizer between your toes, however.

Step #6. Cut your toenails correctly.

Cut your toenails straight across the top, not curved at the sides, to prevent ingrown toenails. Ask your doctor for help if your nails are too thick or if they crack when you try to cut them.

Step #7. Treat athlete’s foot.

Athlete’s foot is more common in people who have diabetes, and it can cause problems. If you have athlete’s foot, wear a different pair of shoes every other day. This lets your shoes dry out. Always wear absorbent cotton socks. See your doctor if over-the-counter treatments don’t clear up your athlete’s foot.

Step #8. Get proper treatment for thickened skin, calluses and corns.

Many people with diabetes get thickened skin, calluses or corns over the bony spots on their feet. Don’t trim or cut these spots at home with razor blades or other sharp tools. Ask your doctor how to treat these spots.

Step #9. Avoid heating pads and hot water foot soaks.

Because diabetes can hurt the nerves in your feet, you might not be able to tell if something is hurting your feet. It’s best not to use heating pads or hot water soaks, since you could burn your feet without knowing it.

Step #10. Take action to improve your circulation.

High blood pressure, high cholesterol levels and smoking can harm the circulation in your feet and keep sores from healing. Ask your doctor for help if you have any of these problems.

To read more about the conditions and prevention practices for diabetics go to American Academy of Family Physicians.

What is Athlete’s Foot?

Athlete’s foot is a common skin infection caused by the dermatophyte fungi which are the ringworm fungi (tinea). The infection can occur anywhere on the body but commonly infects the feet due to the warm, moist and dark environment. Breeding grounds for the fungus include swimming pools, showers, and locker rooms. The infection was common among athletes who use these facilities frequently and so the term “athlete’s foot” became popular. The truth is you do not have to be an athlete to get athlete’s foot, in fact it is estimated that near 70% of the population will be infected with tinea pedis at some time in their lives.

Symptoms of Athlete’s Foot

There are three types of Athlete’s Foot.

Toe web infection

This is the most common type of athlete’s foot and usually occurs between the two smallest toes but can occur between any set of toes or all of them.

This type begins with skin that feels soft and moist and can have some itching and burning involved. It may get worse if not treated and can spread across the foot to other toes and start to move up the foot.

Moccasin-type Infection

A long lasting(chronic) infection. This may begin with minor irritation, dryness, itching and burning but will progress to a thickened, scaling, cracked and peeling skin on the sole of the foot or heel. In some severe cases the toenails become infected and can thicken, crumble and fall off. This type can also appear in the palm of a hand.

Vesicular Infection

This is the least common type of infection and begins with a sudden outbreak of large fluid filled areas under the skin. The blisters often develop on the skin of the instep but can also develop between the toes, on the heel or on the sole of top of the foot. Occasional reoccurrence can happen after the initial infection. The infection may occur in the same area or in another area such as the arms, chest or fingers. Scaly skin may be present between outbreaks.

Possible complications of Athlete’s Foot

The complications of athlete’s foot include the potential, if untreated, to spread to other parts of the body or other people mainly your family members. The fungus may spread to your legs, toenails, hands, fingernails, and essentially any body area.

Infection of bacteria can occur due to the injury of the skin by the fungus. The natural protective barrier is broken and bacteria and yeasts can enter and the broken skin and cause bad smell, or an inflammation known as cellulitis.

How to treat Athlete’s Foot

Treatments can be divided into two parts.

The first step in treatment is to make the infected area less suitable for the athletes foot fungus to grow. This means keeping the area clean and dry with good hygiene. Use cotton socks whenever possible and remove shoes and let the feet breathe.

The second part of treatment is the use of topical antifungal creams and external medications. Treatment should be continued for at least four weeks and performed daily.

Prevention of infections of athlete’s foot

Avoid walking barefoot in public showers, locker rooms, pool decks, etc. Sandals or some form of footwear should be worn at all times.

Do not share footware and avoid rental footwear, such as bowling shoes or roller skates.

If rental equipment is used or any of the conditions mentioned above unavoidable, clean and powder feet as soon as possible after the occurrence.

When to seek medical treatment for athlete’s foot

If the infection is not clearing up and increased swelling and redness or bleeding are present, see your health care practictioner. Bacterial infection may also be occurring which makes it necessary for an antibiotic pill to counteract the infection. If fungal nail is present or you are a diabetic or have a compromised immune system, you should also see your physician for treatment.

Doctors that treat athlete’s foot.

Dermatologists are skin disorder specialists and can treat athlete’s foot. Family medical physicians, pediatricians, podiatrists (foot doctors) and other practitioners may also treat this common infection.

There was a time when I resolved to be stuck with the problem my entire life and as it was spreading up my feet and across more toes I remember thinking that at some point it was going to overtake my leg as well. Then I learned it could spread to other areas of the body as well and really started to be concerned about what to do. I felt hopeless because I had tried to treat the infection with some OTC medications that seemed to show improvements but never completely cured the problem. I had even gone to the doctor and been prescribed an ointment that didn’t seem to perform any better than the ones I was already using.  I felt like it was something I was going to have work hard at managing the rest of my life but had resolved to the idea I would never get rid of it.  It was painful and embarrassing and spreading – it sucked.

There are many different home remedies that are offered on this site as well as medications and products. I believe that some work for some people and some work for others.  I also believe that it depends on the severity of the problem. In other words – some anti-fungal treatments might correct the problem if the area is small but it is has spread and covers a large area with blisters and cracking that same treatment might not be very effective.

Here is what I know – I had it really bad for a long time and tried many different treatments – many of them are on this site.  How I cured it was a combination of some things both in treatment and daily routine of care and treatment.  It did not just vanish overnight, it took some time but it did go away.

I have written an ebook describing exactly how I cured my Athlete’s Foot.  There are also 9 other real life stories of how people have found a cure for their athlete’s foot and ringworm.

In the meantime I will tell you this. You need to be on top of your infection – do not let a day go by that you do not treat it with whatever you are using. I would suggest using a combination of anti-fungal medication ointments or natural oils and powder with whatever soaking or other treatments you might use.

If you are using a treatment of any kind – please share it and some information about your problem and length of time you have had it.

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Sometimes the fungal infection can have a few symptoms such as itching, especially when perspiring occurs. As the weather warms the condition gets worse. The disease is easy for a dermatologist to recognize but it can be mistaken for other skin conditions. There is no known medical reason why it occurs in some people and not others. The dermatologist can perform a "KOH prep" which is a common test done quickly in the office to make sure of the diagnosis.

The infection is treated with either topical or oral antifungal medications. In very mild cases, non-prescription antifungal creams will work. Prescription antifungal lotions and sprays may work better. The most economical effective treatment is to apply an antifungal shampoo (Nizoral, Loprox) to the body as if it were soap, but leave it on for some minutes before rinsing.

For severe, extensive or recurrent cases, a few tablets of Nizoral pills will clear things up. A newer pill, Sporonox, may replace Nizoral for this problem. These will eliminate the fungus and relive any itch and scale. The

What is Ringworm?

Ringworm is a common infection not caused by a worm as the name would imply but by a parasitic fungi organisms called dermatophytes. They feed on the dead layer of keratine protein found on the outer layer of the skin, nails and hair. These fungi flourish in the skin areas that remain moist, warm and hidden from the light.

This 3-Day Ringworm Treatment has been reviewed and supported by leading physicians familiar with the ringworm fungus. If you are suffering from ringworm, stop hoping the next treatment you try will solve the problem. This program will provide you with all of the necessary information and procedures to make sure the problem is brought under control and ensure it won’t come back. Get relief now.

What Does It Look Like?

There are a variety of ringworm infections that can occur on different areas of the body. The common term for ringworm is “tinea” and depending on where the infection is on the body it will be designated with a latin term for the body part. The tinea infections can each look a bit different but the most common type of ringworm on the body, tinea corporis, will have a red to brown circular bumpy patch of skin. The area will be lighter in the center giving it the ring appearance. Most ringworm infections are itchy and can be painful if not treated.

Make Sure It Is Ringworm

Ringworm can be mistaken for one of the following conditions granuloma annulare, discoid lupus, and sarcoidosis. Bullous tinea pedis (athlete foot with blisters) can mimic bullous drug reactions, bullous pemphigoid, and other bullous diseases of the skin. If suspected ringworm does not respond to routine antifungal treatment, further diagnostics must be performed, like a skin biopsy, a fungal culture, or a skin scraping for fungus identification.

How Do You Catch It?

Ringworm is spread by contact with an infected person, animal or infected surface, such as clothes, towels, and bedding. It’s more common among people living in crowded conditions or participating in contact sports, such as wrestling gymnastics, or martial arts. Ringworm can also be contracted through the soil.

Ringworm-in-children: Children going to day care have a higher risk of the infection as it is highly contagious and as children play one may pass it to another. Also children tend to be more susceptible to certain types of ringworm because their immune systems are not fully developed.

There are several kinds of ringworm that have developed over time and have been given their own names to differentiate them from some of the more well known types. A few of the examples are:

Majocchi’s granuloma, a deeper fungal infection of skin, hair, and hair follicles. It is most common in women who shave their legs.

Tinea corporis gladiatorum, a special name given to tinea corporis spread by skin-to-skin contact between wrestlers.

Tinea imbricata, a form of tinea corporis seen in Central and South America, Asia, and the South Pacific.

How is ringworm treated?

Ringworm can be treated topically (with external applications) or systemically (for example, with oral medications):

Topical treatment: When fungus affects the skin of the body or the groin, many antifungal creams can clear the condition in two weeks or so. Examples of such preparations include those that contain clotrimazole (Cruex cream, Desenex cream, Lotrimin cream, lotion, and solution), miconazole (Monistat-Derm cream), ketoconazole (Nizoral cream); and terbinafine (Lamisil cream and solution). These treatments are effective for many cases of foot fungus as well.

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Systemic treatment: For a long time, the only effective antifungal tablet was griseofulvin (Fulvicin, Grifulvin, and Gris-PEG). In recent years, newer agents have been introduced that are both safer and more effective. These include terbinafine (Lamisil), itraconazole (Sporanox), and fluconazole (Diflucan). Reputations die hard, however, and many people continue to fear that even these newer agents are “bad for the liver,” when in fact they are quite safe when used properly.

This common but persistent condition is considered a nuisance to most people but can become a more serious problem to anyone if not treated correctly. To the diabetic however, it is always a serious matter and extremely important to have early diagnosis and effective treatment.

One of the reasons diabetics are susceptible to infection and disease is their immune system is less able to counter the attack. The diabetic has a better chance of getting athlete’s foot (tinea pedis) and other fungal type infections then someone without diabetes due to the bodies inability to fight off the problem.

The Invasion

Once the infection has invaded the skin and started to attack the area of entry another problem occurs for the diabetic. In many diabetes cases there has been nerve damage from the years of wear and tear on the body. This makes it harder for the diabetes sufferer to recognize the symptoms of a foot disorder when it first starts. With a problem like athletes foot, if the symptoms are recognized early and treated consistently with an effective antifungal medication, in most cases it can be cured. If it is not treated early and allowed to spread it then becomes a much more difficult problem to overcome.

More Problems

Last but not least there is again one more reason why these minor infections are major problems for the diabetic. The process of healing the infected area is hindered as the reduced blood flow to the extremities does not keep a fresh supply of blood circulating to replenish the blood in the affected area. People without diabetes have fresh blood circulating to the leg, feet and other extremities, cleansing and replenishing blood from the affected areas. Because the diabetic does not have this normal blood flow it increases the odds of a more serious infection and conditions such as gangrene developing. This is one of the reasons why consistent inspections of the feet and extremities is vital to a diabetics health.

Athlete’s foot fungus thrives in dark, moist and warm conditions. No wonder it is typically found causing great discomfort to the feet. Usually found along the soles of the feet, the area between the toes and sometimes the toenails become infected, athlete’s foot (tinea pedis) is not choosy about where it grows.

It also has the ability to spread to other areas of the body. The fact that the infection becomes incredibly itchy and the hands are usually used to do the itching, the fungus commonly spreads to the hands. When this occurs the medical term for the problem is tinea manuum. It is possible for the fungus to spread to other areas of the body as well especially if other areas are touched with the hands after itching.

With that said it is very important to have good hygiene practices to have a chance of clearing up the problem. Wash your hands on a regular basis, preferably with anti-fungal soap. Make sure your feet are washed and dried and treated every day without fail.

The majority of athlete’s foot cases get out of hand because they are not dealt with when the first signs appear.  Since the area where the problem usually starts is the feet, which tend to be a breeding ground for the fungus, the infection gets a chance to quickly get out of control.  As the problem persists, inconsistent attempts are made to cure the problem and the inconsistency of the applications of antifungal treatment allows the problem to spread and get more out of control.

Consistency is the key, even after it seems like the ringworm infection is gone. Keep applying the medication you are using for a couple of weeks after the problem seems to have cleared up.

What are the Effective Treatment Options

The effectiveness of the treatment can be different case by case.  Some early infections can be arrested with home remedy treatments if caught early enough and treatment is administered consistently and for a length of time that eradicates the bacteria infection completely.

If the nail fungus infection has spread deeper into the nail it will be more difficult to control.  There are some products that have been effective in the treatment of advanced nail fungus.  One of the most effective and safest products is Zetaclear Nail Solution.  It is an herbal remedy with no side effects and has an impressive success rate with effectiveness in treatment of nail fungus.  Almost everyone that tries Zetaclear has results to some degree.  One of the best ways to combat the problem is to utilize a combination of treatments along with the daily routine of fundamental fungus control – i.e. Keep the area dry, well ventilated and try not to keep it dark for very long.

Homeopathic Treatments

There are a few popular home remedy treatments that have been effective at treating the early symptoms of this difficult to control fungal problem.  The more popular ones include

Tea Tree Oil, Listerine and Apple Cider Vinegar.   See my article on Apple Cider Vinegar for more information on this age old medicine.

It is estimated that in the United States there are approximately thirty five million known suffers of nail fungus or Onychomycosis, the medical name for fungal nail infections. There are many more sufferers who are not accounted for because of the nature of the problem they do not seek medical advice or medication.