Certified Diabetes Care and Education Specialist (CDCES) Practice Exam

Which foot care recommendation is not appropriate for a person with diabetes without physical limitations or injuries?

1. If foot odor is noticed, soak feet in warm Epsom salt bath for 15-20 minutes per day

2. If you notice dry skin, moisturize the area daily with lotion except between the toes

3. Wash feet frequently, pat skin dry and dry between toes thoroughly

4. If toenails are long enough to bump inside shoes, trim straight across and file any sharp corners

The correct answer is: If foot odor is noticed, soak feet in warm Epsom salt bath for 15-20 minutes per day

Soaking feet in warm Epsom salt bath for 15-20 minutes per day is generally not advisable for individuals with diabetes, even in the absence of physical limitations or injuries. While Epsom salt baths can provide comfort and relief, they may pose risks for people with diabetes because warm water can hasten the onset of skin irritation or increase the risk of burns due to reduced foot sensation, a common concern in diabetes. The recommendation to soak can also lead to excessive moisture which may promote fungal infections between the toes. Therefore, it is crucial for people with diabetes to maintain dry and well-cared-for feet to prevent complications such as infections or ulcers. The other options focus on maintaining proper foot hygiene and care, which are essential for preventing complications. Moisturizing dry skin while avoiding the area between the toes helps to prevent fungal infections. Regular washing and thorough drying of the feet are important to avoid moisture buildup and skin breaks. Trimming toenails straight across helps prevent ingrown toenails, ensuring feet remain healthy and reducing the risk of injury.