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The most important clinical decision with Diabetic Foot Care Subscription Kit Monthly isn’t which treatment to start with — it’s identifying the correct subtype. That changes everything. Call (810) 206-1402.
Dr. Tom’s Top Foot Health Supplements
Medically reviewed by Dr. Tom Biernacki, DPM
Board-certified podiatric surgeon | Balance Foot & Ankle
Last reviewed: May 2026
Affiliate disclosure: Amazon Associate. Always discuss supplements with your physician before starting.
Vitamin B12 Methylcobalamin
Neuropathy support · Nerve repair
PROS
- Active B12 form
- Sublingual absorption
- Neuropathy adjunct
CONS
- Effects take 2-3 months
- Doesn’t replace medical care
Alpha Lipoic Acid 600mg
Diabetic neuropathy · Nerve antioxidant
PROS
- Peer-reviewed for neuropathy
- Both fat- and water-soluble
- Clinical doses available
CONS
- Possible blood sugar effect
- GI upset possible
Acetyl-L-Carnitine (ALCAR)
Diabetic neuropathy · Energy
PROS
- Crosses blood-brain barrier
- Studied for nerve repair
- Pairs with ALA
CONS
- Effects gradual (3+ months)
- Higher cost
Vitamin D3 5000 IU
Bone health · Stress fracture prevention
PROS
- Improves bone density
- Most patients deficient
- Affordable preventive
CONS
- Get blood test first
- Toxicity at very high doses
Dr. Tom’s Diabetic Foot Care Kit
Always under podiatric supervision for diabetic patients.
Dr. Tom’s Wound Care Kit
Related Conditions
Quick Answer
The Diabetic Foot Care Subscription Kit — Everything Y relates to diabetic foot care — typically caused by reduced circulation + neuropathy. Most patients improve in ongoing daily inspection with conservative care. Same-week appointments in Howell + Bloomfield Township: (810) 206-1402.
Quick Answer
Diabetic peripheral neuropathy is nerve damage from prolonged hyperglycaemia, causing burning, tingling, numbness, or loss of protective sensation in the feet. It will not reverse without addressing glucose control. Daily foot checks, proper footwear, and annual monofilament testing prevent ulceration.
Watch: Dr. Tom Biernacki, DPM
✅ Medically reviewed by Dr. Tom Biernacki, DPM — Board-Certified Podiatrist · Last updated April 6, 2026
The Diabetic Foot Care Subscription Kit — Everything You Need, Monthly
📧 Get Dr. Tom’s Free Lab Test Guide
Discover the 5 lab tests every person over 35 should ask their doctor about — explained in plain English by a board-certified physician.
Diabetic foot care isn’t a one-time purchase. It’s an ongoing monthly routine — and the products you use consistently are the ones that keep small problems from becoming serious ones. Here’s the complete monthly kit I recommend to my diabetic patients, organized by what to subscribe to on Amazon.
The Monthly Subscription Kit
| Product | Why | Frequency | Monthly Cost |
|---|---|---|---|
| Nutricost Alpha Lipoic Acid (ALA) | Nerve support — reduces neuropathy symptoms | Monthly | ~$12 |
| Nutricost B-Complex | B vitamins essential for nerve health | Monthly | ~$10 |
| Nutricost Vitamin D3 | Immune function + bone health | Monthly | ~$8 |
| Diabetic Moisturizer (Eucerin or AmLactin) | Daily heels + soles application — prevents cracking | Monthly | ~$10 |
| Diabetic Socks (PowerStep or Siren) | No seams, proper circulation, no constriction | Quarterly (replace) | ~$5/month |
| Antifungal Shoe Spray | Weekly shoe treatment — prevents fungal infections | Bi-monthly | ~$5/month |
| Basic Wound Care Supplies | Non-stick bandages, antiseptic, sterile gauze | As needed | ~$5/month |
| TOTAL | ~$55/month |
Subscribe & Save Tip
Amazon’s Subscribe & Save program offers 5–15% off products delivered on a schedule you set. For consumable products like supplements, moisturizer, and antifungal spray — Subscribe & Save on a 1–2 month cycle ensures you never run out and never pay full price.
The Annual Professional Care Layer
Products manage your feet between visits. Professional care manages the things products can’t:
- Annual diabetic foot exam: Covered by Medicare. Identifies neuropathy, vascular issues, and pre-ulcerative lesions before they become problems.
- Therapeutic shoes + 3 inserts: Covered by Medicare annually. Prevents pressure points.
- Nail care every 60 days: Medicare-covered for at-risk patients. Safe professional nail trimming.
- Wound care as needed: If anything opens — call us immediately.
Our Howell office coordinates with Vassallo Medical Group (same road — Grand River Ave) for patients with diabetes, vascular disease, and systemic conditions. Coordinated care for Livingston County patients.
📞 (810) 206-1402 | Howell, MI
“Products manage your feet at home. We manage them professionally. Together, that’s how you keep your feet for life.”
✅ MLS Dual-Wavelength Laser — FDA-cleared
✅ EPAT Shockwave Therapy — 80%+ success rate
✅ Magnetotransduction (EMTT) — Deep electromagnetic healing
✅ 3D-Scanned Custom Orthotics
✅ Toenail Fungus Laser
✅ In-Office X-Ray & Ultrasound
✅ Diabetic Shoe Program — Medicare-covered
📞 (810) 206-1402 | Howell & Bloomfield Township
Ready to Make Foot Care Part of Your Routine?
Schedule your evaluation — we’ll build a plan that fits your lifestyle.
📞 (810) 206-1402
Howell: 4330 E Grand River Ave | Bloomfield Township: 43494 Woodward Ave #208
Clinical Foot Care Beyond Products: Michigan’s Balance Foot & Ankle
Michigan patients using foot care products — wound care supplies, topical treatments, foot supplements, compression garments, orthotics, or stretching devices — as part of their foot health routine benefit from occasional clinical evaluation to ensure the products they are using are appropriate for their specific condition and that no developing pathology requires professional intervention. At Balance Foot & Ankle, our clinical evaluation confirms the diagnosis, assesses whether current product-based management is adequate, and identifies cases where professional treatment would produce better outcomes than continued self-management.
For Michigan patients managing chronic conditions — diabetic foot care, neuropathy management, post-surgical recovery, or persistent tendinopathy — regular podiatric check-ins at appropriate intervals ensure that small changes are caught before they become significant complications. The right interval varies by condition and risk level: high-risk diabetic patients benefit from quarterly visits; stable patients using products for minor chronic conditions may need only annual check-ins. At Balance Foot & Ankle, we help patients identify the appropriate visit frequency for their specific situation. Livingston and Oakland County patients can call (810) 206-1402 to schedule at our Howell or Bloomfield Township office.
Patients throughout Livingston and Oakland counties trust Balance Foot & Ankle for both clinical podiatric care and evidence-based guidance on foot health products and self-care strategies. Our two Michigan locations — Howell at 4330 E Grand River and Bloomfield Township at 43494 Woodward Ave #208 — are easily accessible from throughout the region, with ample parking and same-week scheduling for new patients. Whether you need a hands-on exam plus imaging when needed, a product recommendation, or a specific podiatric procedure, our team is ready to help. Call (810) 206-1402 to schedule.
Michigan patients can access expert diabetic foot care in Michigan at Balance Foot & Ankle. Our board-certified podiatrists serve Howell (4330 E Grand River) and Bloomfield Township (43494 Woodward Ave #208). Schedule an appointment online or call (810) 206-1402 for same-week availability.
Related Patient Guides
- Diabetic Foot Care Daily Routine
- Neuropathy Exercises for Feet
- Neuropathy in Feet: Relief Guide
- PAD & Foot Symptoms: Circulation Warning Signs
- 12 Signs You Need to See a Podiatrist
Insurance Accepted
BCBS · Medicare · Aetna · Cigna · United Healthcare · HAP · Priority Health · Humana · View All →
Howell Office
4330 E Grand River Ave
Howell, MI 48843
Get Directions →
Bloomfield Township Office
43494 Woodward Ave, #208
Bloomfield Township, MI 48302
Get Directions →
Your Board-Certified Podiatrists
Ready to Get Back on Your Feet?
Same-week appointments available at both locations.
In-Office Treatment at Balance Foot & Ankle
If home care isn’t resolving your diabetic foot concern, a visit with a board-certified podiatrist is the fastest path to accurate diagnosis and a personalized plan. At Balance Foot & Ankle Specialists, Dr. Tom Biernacki, Dr. Carl Jay, and Dr. Daria Gutkin offer same-day and next-day appointments at both our Howell and Bloomfield Township offices. We perform on-site diagnostic ultrasound, digital X-ray, conservative care, advanced regenerative treatments, and minimally invasive surgery when indicated.
Call (810) 206-1402 or request an appointment online. Most insurance plans accepted, including Medicare, Blue Cross Blue Shield, Aetna, Cigna, and United Healthcare.
Differential Diagnosis: What Else Could It Be?
Several conditions share symptoms with Diabetic Neuropathy and are commonly misdiagnosed in the first office visit. Considering these alternatives is part of every Balance Foot & Ankle exam:
- Tarsal tunnel syndrome. Burning radiating into the arch with positive Tinel’s at the medial ankle.
- Peripheral artery disease. Pain with walking that resolves with rest, weak pulses, hair loss on toes.
- Lumbar radiculopathy. Symptoms following a dermatome, often with back pain — MRI of spine, not foot.
If your symptoms don’t fit the textbook pattern, ask your podiatrist which differentials they ruled out — that conversation often shortcuts months of trial-and-error treatment.
In Our Clinic
Diabetic neuropathy patients in our clinic often don’t realize they have it until we put a 10-gram Semmes-Weinstein monofilament to the plantar foot and they can’t feel it. Many arrive for an unrelated concern — an ingrown toenail, a callus — and we catch the neuropathy on screening. The conversation then shifts: we need to discuss daily foot inspections, appropriate footwear, the urgency of any blister or open area, and the timing of vascular referral if pulses are diminished. Comprehensive diabetic foot exams are covered by Medicare annually. If you have diabetes, we want to see you once a year even if nothing hurts.
Most Common Mistake We See
The most common mistake we see is: Stopping B-vitamin supplementation as soon as symptoms improve. Fix: maintain supplementation for 6-18 months alongside strict glucose control.
Warning Signs That Need Same-Day Care
Seek immediate evaluation at Balance Foot & Ankle if you experience any of the following:
- Sudden loss of sensation on one side
- Wound on the foot not felt by the patient
- One-sided symptoms (rule out compression)
- Back pain plus leg symptoms (possible radiculopathy)
Call (810) 206-1402 — same-day and next-day appointments at our Howell and Bloomfield Township offices.
Pros & Cons of Conservative Care for diabetic foot care
Advantages
- ✓ Daily inspection prevents amputation
- ✓ Most insurance covers DME
- ✓ Custom orthotics help
Considerations
- ✗ Daily commitment required
- ✗ Slow wound healing
- ✗ Charcot risk if neuropathy
In This Article
- Quick Answer
- Clinical Foot Care Beyond Products: Michigan’s Balance Foot & Ankle
- In-Office Treatment at Balance Foot & Ankle
- Differential Diagnosis: What Else Could It Be?
Several conditions share symptoms with Diabetic Neuropathy and are commonly misdiagnosed in the first office visit. Considering these alternatives is part of every Balance Foot & Ankle exam:Tarsal tunnel syndrome. Burning radiating into the arch with positive Tinel’s at the medial ankle.
Peripheral artery disease. Pain with walking that resolves with rest, weak pulses, hair loss on toes.
Lumbar radiculopathy. Symptoms following a dermatome, often with back pain — MRI of spine, not foot.If your symptoms don’t fit the textbook pattern, ask your podiatrist which differentials they ruled out — that conversation often shortcuts months of trial-and-error treatment.
In Our Clinic
Diabetic neuropathy patients in our clinic often don’t realize they have it until we put a 10-gram Semmes-Weinstein monofilament to the plantar foot and they can’t feel it. Many arrive for an unrelated concern — an ingrown toenail, a callus — and we catch the neuropathy on screening. The conversation then shifts: we need to discuss daily foot inspections, appropriate footwear, the urgency of any blister or open area, and the timing of vascular referral if pulses are diminished. Comprehensive diabetic foot exams are covered by Medicare annually. If you have diabetes, we want to see you once a year even if nothing hurts.Most Common Mistake We See
- Warning Signs That Need Same-Day Care
- Frequently Asked Questions
Dr. Tom’s Recommended Products for diabetic foot care
Affiliate disclosure: As an Amazon Associate, Balance Foot & Ankle earns from qualifying purchases. We only recommend products we use with patients.
Drew Moonwalker Diabetic Shoe Dr. Tom’s Pick
Best for: Medicare-covered diabetic footwear
Diabetic Compression Socks Dr. Tom’s Pick
Best for: Daily protection + circulation
Ready to Get Back on Your Feet?
Same-day appointments in Howell + Bloomfield Township. Most insurance accepted. Dr. Tom Biernacki, DPM & team.
Book Today — Same-Day Appointments Available
Call Now: (810) 206-1402
About Your Care Team at Balance Foot & Ankle
Dr. Tom Biernacki, DPM · Board-Certified Foot & Ankle Surgeon. Specializes in conservative-first care, minimally invasive bunion surgery, and complex reconstruction.
Dr. Carl Jay, DPM · Accepting new patients. Specializes in sports medicine, athletic injuries, and routine podiatric care.
Dr. Daria Gutkin, DPM, AACFAS · Accepting new patients. Specializes in surgical reconstruction and pediatric podiatry.
Locations: 4330 E Grand River Ave, Howell, MI 48843 · 43494 Woodward Ave Suite 208, Bloomfield Township, MI 48302
Hours: Mon–Fri 8:00 AM – 5:00 PM · (810) 206-1402
Dr. Tom Biernacki, DPM is a board-certified foot & ankle surgeon (ABFAS & ABPM) 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 made him one of the most-followed foot & ankle educators on YouTube.
More questions patients ask
What should a monthly diabetic foot care kit include?
A monthly diabetic foot care routine at Balance Foot & Ankle includes: restocking seamless diabetic socks (replace worn pairs), replenishing foot cream (urea-based), fresh gauze and wound care supplies, new antifungal powder for shoes, and scheduled monthly foot self-inspection documentation. Monthly professional monitoring should be scheduled for high-risk diabetics. Balance Foot & Ankle recommends systematic monthly check-ins rather than waiting for problems to develop.
How often should diabetics inspect their own feet?
Daily foot inspection is the standard recommendation — every evening before bed, using a mirror for bottom-of-foot inspection, checking between all toes, nail borders, heels, and pressure points. Monthly, perform a more thorough inspection with adequate lighting, noting any changes from baseline (callus buildup, color changes, new pressure areas). Balance Foot & Ankle teaches thorough inspection technique at diabetic foot education appointments.
What are the most important monthly foot care tasks for diabetics?
Monthly priorities for diabetic patients: (1) replace socks if any show signs of wear, (2) inspect shoes for interior damage (torn lining, loose stitching creating abrasion points), (3) trim nails straight across (professional trimming at Balance Foot & Ankle for high-risk patients), (4) address any new callus formation with gentle pumice, (5) UV sanitize shoes, and (6) assess foot cream supply and restock if needed. Systematic monthly maintenance prevents the small problems that become major ones.
How do subscriptions or regular supply refills help diabetic foot care?
Consistent supply ensures diabetic foot care never lapses. Running out of diabetic socks means wearing regular socks, running out of foot cream means dry skin and crack risk. Balance Foot & Ankle recommends patients maintain a 2-month supply of all diabetic foot care essentials — ordering replenishment at 1-month remaining supply. Many pharmacies and online retailers offer subscription services. Our team can recommend specific products to stock at (810) 206-1402.
When should diabetics have professional rather than home nail care?
High-risk diabetics should have professional nail care at Balance Foot & Ankle rather than home trimming when: (1) vision impairment prevents accurate self-inspection, (2) neuropathy prevents feeling nail border contact, (3) nails are thickened (onychomycosis), (4) previous nail-area skin breakdown has occurred, or (5) patient or caregiver is uncomfortable with diabetic nail care requirements. Balance Foot & Ankle provides routine diabetic nail care at both our Howell and Bloomfield Township, Michigan locations.
How often should diabetics check their feet?
Daily self-exams plus professional exams annually (or every 3-6 months for neuropathy/PAD patients). Dr. Biernacki provides comprehensive diabetic foot care programs.
Why do diabetics have foot problems?
Diabetes causes nerve damage, reduced blood flow, and impaired immunity. Injuries go unnoticed and heal slowly. ~15% of diabetics develop ulcers. Prevention through regular podiatric care is essential.
What are signs of diabetic neuropathy?
Tingling, burning, numbness starting in toes, sensitivity to touch, muscle weakness, balance problems. Schedule evaluation at 810-206-1402 for nerve testing and management.
Still have a question about coverage or cost? Book online and we will check your benefits before your visit: Book in Howell · Book in Bloomfield Township. Prefer to talk it through first? Call (810) 206-1402.