✅ Medically reviewed by Dr. Thomas Biernacki, DPM — Board-Certified Podiatrist · Last updated April 6, 2026

Michigan’s Most Comprehensive Diabetic Foot Care

Welcome to Balance Foot & Ankle’s Diabetes Foot Care Hub — the most comprehensive resource for diabetic foot health in Michigan. Our Bloomfield Hills office is uniquely co-located with the Grunberger Diabetes Institute at 43494 Woodward Ave, one of the Midwest’s most prestigious diabetes centers led by Dr. George Grunberger, MD, FACE, FACP — Past President of the American Association of Clinical Endocrinologists. This partnership means your diabetes management and your foot care work seamlessly together. Call (810) 206-1402.

Why Diabetic Foot Care Matters

Diabetes is the leading cause of non-traumatic lower limb amputations in the United States. Michigan’s diabetes prevalence is above the national average. Every 30 seconds, somewhere in the world, a lower limb is amputated due to a diabetic complication — and most of these amputations are preventable with proper foot care. Annual podiatry exams, proper footwear, neuropathy monitoring, and prompt treatment of foot problems save limbs every day.

Our Partnership with the Grunberger Diabetes Institute

Dr. George Grunberger has published 150+ research articles and led 100+ clinical research studies in diabetes. His institute is co-located with our Bloomfield Hills podiatry office — meaning when you need both diabetes management and foot care, you can see both specialists in the same building, with direct communication between your care teams. This integrated model produces dramatically better outcomes for complex diabetic patients.

Diabetic Foot Care Services at Balance Foot & Ankle

Annual and semi-annual diabetic foot exams (Medicare covered), MLS laser therapy for diabetic neuropathy pain, 3D-scanned custom orthotics for pressure redistribution, Medicare Therapeutic Shoe Program enrollment and fitting, diabetic wound care including laser-accelerated healing, professional nail care for diabetic patients, home visits throughout Livingston and Oakland Counties, and coordination with endocrinology and vascular surgery partners.

Explore Our Complete Diabetes Foot Care Library

Use the links below to navigate our comprehensive diabetes foot care content — from neuropathy treatment to supplement guidance, diabetic shoe selection, nail care, and wound prevention.

Neuropathy: Diabetic Neuropathy Treatment | Warning Signs | MLS Laser for Neuropathy | Supplements for Neuropathy

Shoes & Footwear: Medicare Diabetic Shoes | Best Men’s Diabetic Shoes | Best Women’s Diabetic Shoes | Diabetic Socks

Daily Care: Daily Care Checklist | Nail Care Guide | Self-Exam Guide

Wound & Infection Care: Infection Warning Signs | Ulcer Treatment | Charcot Foot

Book Your Diabetic Foot Exam

Medicare covers annual diabetic foot exams. Call (810) 206-1402 to schedule at our Howell (4330 E Grand River Ave) or Bloomfield Hills (43494 Woodward Ave, Suite 208 — same building as Grunberger Diabetes Institute) office. Same-day appointments available. Home visits throughout Michigan.

Comprehensive Diabetic Foot Care in Michigan: Balance Foot & Ankle’s Diabetic Program

At Balance Foot & Ankle, Michigan diabetic patients receive a structured foot care program that addresses the full range of diabetes-related foot risks: neuropathy surveillance, vascular assessment, skin and nail care, ulcer prevention and treatment, therapeutic footwear prescription, and patient education on daily foot care habits. Our diabetic foot care program follows the clinical guidelines established by the American Diabetes Association and the American College of Foot and Ankle Surgeons — incorporating annual comprehensive foot examinations for all diabetic patients, more frequent visits for patients with active neuropathy, vascular compromise, or prior ulceration history, and urgent same-day evaluation for diabetic foot wounds that cannot safely wait for a routine appointment.

Related Treatment Guides

• Diabetic Foot Care
• Plantar Fasciitis & Heel Pain Treatment
• Custom 3D Orthotics
• Sports Foot & Ankle Injury Treatment

The statistics supporting intensive podiatric co-management for diabetic patients are compelling: regular podiatric care reduces the risk of diabetic foot amputation by up to 85% compared to diabetic patients without podiatric surveillance. For the 37 million Americans living with diabetes — including the substantial diabetic population in Livingston and Oakland counties — this preventive impact is the strongest argument for establishing podiatric care before a problem develops. Michigan diabetic patients who have not yet established podiatric care should call Balance Foot & Ankle at (810) 206-1402 to schedule their first comprehensive diabetic foot examination at our Howell or Bloomfield Hills office. We accept Medicare and most Michigan private insurance plans for diabetic foot care services.

Medical References & Sources

• American Podiatric Medical Association — Patient Education
• American Orthopaedic Foot & Ankle Society — Foot Conditions

Clinical References

1. Armstrong DG, Boulton AJM, Bus SA. Diabetic foot ulcers and their recurrence. N Engl J Med. 2017;376(24):2367-2375.
2. Bus SA, Lavery LA, Monteiro-Soares M, et al. Guidelines on the prevention of foot ulcers in persons with diabetes (IWGDF 2019). Diabetes Metab Res Rev. 2020;36(S1):e3269.
3. Singh N, Armstrong DG, Lipsky BA. Preventing foot ulcers in patients with diabetes. JAMA. 2005;293(2):217-228.

Your Board-Certified Podiatrists

Dr. Tom Biernacki, DPM

Board-Certified · FACFAS

Dr. Carl Jay, DPM

Board-Certified Podiatrist

Dr. Daria Gutkin, DPM

Podiatrist

Dr. Tom Biernacki, DPM

Dr. Tom Biernacki, DPM is a double board-certified podiatrist and foot & ankle surgeon at Balance Foot & Ankle Specialists in Southeast Michigan. With over a decade of clinical experience, he specializes in heel pain, bunions, diabetic foot care, sports injuries, and minimally invasive surgery. Dr. Biernacki is a member of the APMA and ACFAS, and his patient education content on MichiganFootDoctors.com and YouTube has reached over one million views.