Diabetic Foot Care Michigan 2026 | Podiatrist

Diabetic Foot Care in Michigan

If you have diabetes, your feet need specialized attention that goes beyond a routine checkup. Peripheral neuropathy — nerve damage from chronically elevated blood sugar — affects 50–70% of people with long-standing diabetes, silencing the pain signals that normally alert you to injuries. A small blister, callus, or cut that you can’t feel becomes an open wound that doesn’t heal. Without proper care, that wound can become infected, spread to bone (osteomyelitis), and ultimately require amputation. This is not a worst-case scenario — it happens every day in Michigan.

At Balance Foot & Ankle, we take diabetic foot care seriously. Dr. Tom Biernacki, DPM and our team provide comprehensive annual diabetic foot exams, proactive wound prevention, monofilament testing for neuropathy, custom diabetic orthotics and footwear, and urgent wound care when needed. Our goal: keep you walking for life.

Diabetic Foot Complications We Treat

Diabetes affects the feet through two primary mechanisms: peripheral neuropathy (nerve damage causing numbness, tingling, or burning) and peripheral arterial disease (reduced blood flow impairing healing). Together these create the perfect storm for foot complications. The conditions we treat most commonly in Michigan diabetic patients include diabetic peripheral neuropathy with foot pain or numbness, diabetic ulcers and non-healing wounds, Charcot arthropathy (bone and joint destruction from neuropathy), chronic fungal nail infections (onychomycosis), calluses and corns that ulcerate in insensate feet, and dry cracked skin leading to fissures and infection entry points.

The Annual Diabetic Foot Exam

Every person with diabetes should receive a comprehensive foot exam at least once per year from a podiatrist — more frequently if you have any existing foot problems or known neuropathy. The American Diabetes Association and the American Podiatric Medical Association both recommend this standard of care. At our Howell clinic, the diabetic foot exam includes monofilament sensory testing (to quantify neuropathy), vibratory sensation testing, assessment of pedal pulses (circulation), skin and nail inspection, gait and pressure analysis, and footwear evaluation. Most Michigan insurance plans cover this exam at 100% as a preventive service.

Diabetic Wound Care in Michigan

If you have a diabetic foot wound or ulcer, time is critical. Diabetic ulcers classified as Wagner Grade 2 or higher have a meaningful risk of progressing to infection or amputation without aggressive intervention. Our Howell wound care protocol for diabetic patients includes sharp debridement of necrotic tissue, offloading with total contact casting or diabetic boots, topical wound care with evidence-based dressings, vascular assessment with referral when needed, and antibiotic therapy for infected wounds. We coordinate with your endocrinologist and primary care physician for comprehensive diabetic management.

Diabetic Footwear and Orthotics

Proper footwear is the single most important prevention tool for diabetic foot complications. Michigan Medicare beneficiaries with diabetes are entitled to one pair of therapeutic shoes and three pairs of custom insoles per calendar year under the Medicare Therapeutic Shoe Program. We are a certified provider of this program at Balance Foot & Ankle. For daily compression support and circulation, we recommend DASS Medical Compression Socks (15–20mmHg) for patients with mild-to-moderate edema and early neuropathy. These graduated compression socks improve venous return without the risk of the overly aggressive compression that can compromise arterial flow in PAD patients.

Serving Michigan Diabetic Patients

We serve diabetic patients from across Livingston and Oakland Counties at our Howell and Bloomfield Township locations. We accept Medicare, Blue Cross Blue Shield, Priority Health, Aetna, and Cigna. Diabetic foot exams are covered as preventive services under most plans. Call (810) 206-1402 or book online at michiganfootdoctors.com/new-patient-information/.

In-Office Treatment at Balance Foot & Ankle

If home treatment isn’t providing relief for your diabetic foot conditions, our podiatry team at Balance Foot & Ankle can help with expert evaluations and advanced in-office care.

Frequently Asked Questions

How often should a diabetic see a podiatrist in Michigan

At minimum, annually — but if you have peripheral neuropathy, history of foot ulcers, or poor circulation, every 3 months is more appropriate. Your podiatrist and diabetes care team should work together to establish the right schedule for your risk level.

Does insurance cover diabetic foot care in Michigan

Yes. Most Michigan insurance plans including Medicare cover annual diabetic foot exams, nail care for high-risk patients, diabetic footwear, and wound care. Medicare Part B covers one pair of therapeutic shoes per year for qualifying diabetic patients. Call (810) 206-1402 for a benefits check.

Can diabetic foot complications be prevented

In most cases, yes. Daily foot inspection (use a mirror for the bottom of the feet), proper footwear, blood sugar control, annual podiatrist exams, and immediate attention to any wound or skin breakdown are the cornerstones of diabetic foot complication prevention. Studies show regular podiatry care reduces diabetic amputation rates by up to 85%.

Sources

1. American Diabetes Association. Standards of Medical Care in Diabetes 2026. Diabetes Care. 2026;49(Suppl 1).
2. Armstrong DG, et al. Diabetic foot ulcers and their recurrence. N Engl J Med. 2017;376:2367-2375.
3. Bus SA, et al. IWGDF guidelines on prevention of foot ulcers in diabetes. Diabetes Metab Res Rev. 2020;36(S1):e3269.

When Shoes Aren’t Enough — Dr. Tom’s Top 9 Orthotics

About 30% of patients I see for foot pain need MORE than a great shoe — they need a structured insole. Below: my complete 2026 orthotic ranking with pros, cons, and the specific patient I’d give each one to.