Monday – Friday · 09:00 – 17:00

Prof. Dr. Mustafa Gökhan Bilgili

Diabetic Foot · Limb-Preserving Surgery

Patient Guide

Patient cards for daily foot checks, urgent symptoms, footwear, wound care and appointment preparation.

These cards were prepared in plain Turkish for people with diabetes and their families. They do not provide a diagnosis or replace individual medical advice. You can download the cards as PDFs or use them as a checklist before an appointment.

Daily care

60 seconds

Downloadable

A 60-second foot check every day

  1. Check the top of your foot, sole and heel in a well-lit place; use a mirror if needed.
  2. Look for cracks, moisture, blisters or wounds between your toes.
  3. Look for new redness, swelling, a difference in warmth, calluses, bleeding or changes in color.
  4. Use your hand to check inside your shoes for stones, seams, folded insoles or foreign objects.
  5. Note the date of any new change and share it with your healthcare team.
  6. Do not wait if there is an open wound or a rapidly changing sign.

Urgent sign

Same-day assessment

When should you seek help the same day?

  • A new open wound, blister, bleeding or discharge
  • Rapidly increasing redness, swelling or a difference in warmth
  • An unpleasant odor, pus, fever or chills
  • Blackening, a bluish color, or a cold/pale foot
  • A warm, swollen foot with a change in shape

Important: With diabetes-related loss of sensation, a serious wound or infection may be painless. The absence of pain is not a safe reason to wait.

Daily care

2 minutes

Washing, drying and skin care

Do

  • Use lukewarm water; check its temperature with your hand or a thermometer.
  • Gently dry your feet, especially between the toes.
  • Apply a thin layer of moisturizer to dry skin.

Do not

  • Do not soak your feet for a long time.
  • Do not apply moisturizer between the toes.
  • Do not use a hot-water bottle, heating pad or direct heat.

Prevention

2 minutes

Shoe and sock checklist

  • Before putting on shoes, check inside for foreign objects, seams or folds.
  • Choose shoes that are wide enough, do not rub and leave room for your toes.
  • Start wearing new shoes for short periods; check your feet after every use.
  • Wear clean, dry socks that are not tight and change them daily.
  • Do not walk barefoot, even indoors.

Wound

First steps

When you notice a wound

Do

  • Protect the wound with a clean, dry dressing.
  • Reduce weight-bearing on it and contact your healthcare team the same day.
  • Note when you first noticed the wound.

Do not

  • Do not use sharp instruments on a callus or wound.
  • Do not apply antibiotics, acid-based corn treatments or herbal products unless recommended by your physician.
  • Do not leave the wound uncovered to “let it breathe.”

Risk

Neuropathy

Why does loss of sensation matter?

Diabetes-related nerve damage can reduce your ability to feel pain, temperature and pressure. A small stone, friction or a hot surface can therefore cause a wound without being noticed. Daily visual checks, appropriate footwear and regular professional examinations are important.

Risk

Circulation

Signs of poor circulation

Calf pain when walking, foot pain at rest, coldness, pallor/bluish discoloration, hair loss or a wound that does not heal may require a circulation assessment. A foot that suddenly becomes cold, pale, painful or numb requires emergency assessment.

Urgent sign

Charcot warning

A warm, red and swollen foot

Particularly in someone with loss of sensation, one foot that is noticeably warmer, more swollen or redder than the other may suggest a condition requiring urgent assessment, such as Charcot neuro-osteoarthropathy, even without a wound. Reduce weight-bearing and seek professional assessment the same day.

Appointment

Checklist

Preparing for the consultation

  • Prepare your medication and allergy list.
  • Note your blood glucose monitoring information and latest HbA1c result, if you know it.
  • Mention any previous wound, operation, vascular procedure or amputation.
  • Bring previous X-rays, MRI scans, culture results and vascular studies, if available.
  • Bring your usual shoes and offloading device.

Scientific basis

Draft content update: August 2026. Final medical review by Prof. Dr. Mustafa Gökhan Bilgili is required before publication on the live site.

Get in touch for an individual assessment

This content provides general information and does not replace a medical examination.