The diabetic is even more susceptible to dry skin because of diabetic neuropathy. Neuropathy will cause a significant decrease in the amount of water (sweat), fats, and oils that are produced on our skin. The net effect is the skin will become itchy, brittle, and susceptible to cracking. It's the breaks in the skin that has us concerned. Cracks in the skin allow openings where bacteria can enter and cause infection.
The most effective way to treat dry skin is to replace the lost water, fats, and oils to the skin. This can be done by using a good quality skin cream or lotion several times a day. The frequency will depend upon the degree of dryness in your skin. In severe cases you can soak your feet in a basin of cool water (85 - 95 degrees F) for 15 minutes first. Pat the skin with a towel but leave it damp. To the dampened skin you can apply skin cream. This will help put more moisture in the skin. Make sure to dry between the toes thoroughly and powder them with cornstarch. Remember to never put skin lotion between your toes. No matter how dry your skin may be, there is always too much moisture between the toes.
If in several days the condition of your skin does not improve, it is time to seek the attention of your podiatrist or physician. Not all scaling, peeling, or cracking skin is caused by dry skin.
Neil J. Kanner, DPM
Department of Surgery - Podiatry, Pennsylvania Hospital
You can meet Dr. Kanner during his lecture as part of our Diabetes Class Series.