02/23/2026
Diabetes can affect circulation to the feet and toes. Make sure you take off your shoes and socks and take a look.
Good diabetic foot health starts with removing your shoes when you visit your physician. The medical practitioner will check your feet for skin discoloration, reduced temperature, hair loss, and non-healing wounds. They will ask you about neuropathy, numbness and tingling, leg cramping at night, and pain when walking. These are common symptoms of PAD (peripheral artery disease), a condition in which fatty deposits can build up in the arteries of the lower legs and feet.
A complete diagnosis will include a TBI (toe-brachial index) to assess blood flow in the toes and compare toe blood pressure with that of other parts of the body, and an arterial ultrasound to check for blockages.