Quick answer: Diabetic Foot Ulcer Prevention 10 Steps affects roughly 1 in 4 adults in our practice. Effective treatment starts with a targeted diagnosis, conservative-first treatment, and escalation only when needed. We treat this regularly at our Howell and Bloomfield Township practices. Call (810) 206-1402.
Medically reviewed by Dr. Tom Biernacki, DPM · Board-Certified Podiatric Surgeon · Last reviewed: April 2026 · Editorial Policy
In This Article
- 10 Steps to Prevent Diabetic Foot Ulcers and Protect Your Limbs
- The 10 Steps
- Schedule Your Ulcer Prevention Exam
- Professional Podiatric Care in Michigan: Balance Foot & Ankle’s Comprehensive Services
- More Podiatrist-Recommended Diabetic Essentials
- In-Office Treatment at Balance Foot & Ankle
- Pros & Cons of Conservative Care for diabetic foot care
- Dr. Tom’s Recommended Products for diabetic foot care
- What is Diabetic foot?
- Symptoms and warning signs
Related Conditions
✅ Medically reviewed by Dr. Tom Biernacki, DPM — Board-Certified Podiatrist · Last updated April 6, 2026
Diabetic Foot Ulcer Prevention — 10 Steps That Save Limbs
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10 Steps to Prevent Diabetic Foot Ulcers and Protect Your Limbs
Diabetic foot ulcers precede 85% of all diabetes-related lower limb amputations. The vast majority of these amputations are preventable. At Balance Foot & Ankle in Howell and Bloomfield Township, ulcer prevention is the cornerstone of our diabetic foot care program. Here are the 10 steps that make the difference. Call (810) 206-1402. Our Bloomfield Township office shares a building with the Grunberger Diabetes Institute for coordinated diabetic care.
The 10 Steps
1. Annual podiatry foot exam — Medicare covered, identifies risk factors before they become wounds. 2. Daily foot inspection — Mirror, magnification, adequate lighting. Check every surface of every foot every day. 3. Therapeutic footwear — Medicare Therapeutic Shoes with custom orthotics redistribute pressure from high-risk areas. 4. Never go barefoot — Inside or outside. Ever. 5. Optimize blood sugar — Every 1% reduction in HbA1c meaningfully reduces complication risk. Work closely with your endocrinologist. 6. Professional nail care — Don’t risk a nail trimming injury at home. 7. Moisturize daily — Dry cracked skin on diabetic feet is a wound waiting to happen. Urea-based creams on heels and soles; NOT between toes. 8. Control peripheral circulation — Don’t smoke. Manage blood pressure and cholesterol. Walk daily if cleared by your physician. 9. Treat calluses professionally — Don’t file them yourself. Callus is pressure response; the tissue under thick callus can be breaking down invisibly. 10. Act immediately on any wound — Call us the same day any skin break is found. Don’t wait.
📞 (810) 206-1402 | Howell & Bloomfield Township, MI
Schedule Your Ulcer Prevention Exam
Call (810) 206-1402. Medicare covered. Home visits available.
Professional Podiatric Care in Michigan: Balance Foot & Ankle’s Comprehensive Services
At Balance Foot & Ankle, Michigan patients receive comprehensive podiatric care across the full spectrum of foot and ankle conditions. Our fellowship-trained podiatrists provide conservative and surgical treatment for all foot and ankle pathology — from plantar fasciitis, bunions, and nail disorders to complex reconstructive surgery, diabetic foot care, and sports injuries. Our clinical approach prioritizes accurate diagnosis, evidence-based treatment selection, and honest communication with patients about realistic outcomes.
We serve patients in Livingston and Oakland counties from two convenient Michigan locations: our Howell office at 4330 E Grand River (serving Brighton, Hartland, Pinckney, Howell, and all of Livingston County) and our Bloomfield Township office at 43494 Woodward Ave #208 (serving Troy, Birmingham, West Bloomfield, Farmington Hills, and all of Oakland County). Both offices offer in-office X-ray, new patient appointments, and a full range of diagnostic and treatment services. We accept Blue Cross Blue Shield, Aetna, UnitedHealthcare, Cigna, Medicare, and most Michigan insurance plans. Call Balance Foot & Ankle at (810) 206-1402 to schedule your appointment.
Michigan patients from throughout the region — Livingston County communities including Howell, Brighton, Hartland, Pinckney, and Fowlerville, and Oakland County communities including Bloomfield Township, Troy, Birmingham, West Bloomfield, Farmington Hills, Pontiac, and Rochester — can access expert podiatric care at Balance Foot & Ankle. Our clinical team is committed to providing the highest standard of foot and ankle care available in Southeast Michigan, from routine preventive care to complex surgical intervention. Call (810) 206-1402 to schedule — we look forward to serving you at our Howell or Bloomfield Township location.
Scheduling with Balance Foot & Ankle is straightforward — call (810) 206-1402 during business hours and our front desk team will find an appointment time that works for your schedule, verify your insurance coverage before the visit, and answer any preliminary questions you have about what to expect. Our Howell office at 4330 E Grand River has convenient parking and is easily accessible from I-96, M-59, and Grand River Avenue. Our Bloomfield Township office at 43494 Woodward Ave #208 is located on Woodward Avenue with parking adjacent to the building. Both locations are accessible by patients throughout Southeast Michigan, and our team looks forward to providing you with the professional, evidence-based podiatric care that you and your feet deserve.
Related Treatment Guides
- Diabetic Foot Care
- Corn & Callus Treatment
- Plantar Fasciitis & Heel Pain Treatment
- Custom 3D Orthotics
Michigan patients are welcome to call Balance Foot & Ankle at (810) 206-1402 to learn more about the specific services available at our practice, confirm insurance coverage, or schedule a new patient appointment. Our Howell office serves Livingston County patients with convenient access from the Howell, Brighton, Hartland, and Pinckney communities. Our Bloomfield Township office serves Oakland County patients with convenient access from the Birmingham, Troy, West Bloomfield, and Farmington Hills communities. Both offices welcome new patients and provide the same high standard of podiatric care that Livingston and Oakland county residents have come to expect from Balance Foot & Ankle.
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 →
Ready to Get Back on Your Feet?
Book online 24/7 at either office.
In-Office Treatment at Balance Foot & Ankle
When conservative care isn’t enough, Dr. Tom Biernacki and the team at Balance Foot & Ankle offer advanced treatment options — including Diabetic Foot Care Michigan at our Howell and Bloomfield Township clinics.
Book online 24/7. Call (810) 206-1402 or book online.
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
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?
Appointments in Howell + Bloomfield Township. Most insurance accepted. Dr. Tom Biernacki, DPM & team.
Call Now: (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 causes diabetic foot ulcers?
Diabetic foot ulcers develop from the combination of peripheral neuropathy (loss of protective sensation) and peripheral arterial disease (poor circulation). Minor trauma — a small cut, blister from ill-fitting shoes, or pressure point — that would heal quickly in a healthy person becomes a chronic wound in a diabetic. Approximately 15-25% of diabetics will develop a foot ulcer in their lifetime.
How do you prevent diabetic foot ulcers?
Prevention requires 10 steps: (1) Inspect feet daily; (2) Wash and thoroughly dry feet; (3) Moisturize (not between toes); (4) Never walk barefoot; (5) Wear properly fitted diabetic shoes; (6) Check inside shoes before wearing; (7) See a podiatrist regularly (quarterly for high-risk patients); (8) Control blood sugar tightly; (9) Don't smoke; (10) Report any skin changes immediately.
How quickly can a diabetic foot wound become serious?
A diabetic foot wound can progress from minor to limb-threatening within days. Infection can spread rapidly due to poor circulation and immune function. A wound that isn't healing after 2 weeks, shows increasing redness, warmth, or swelling, has pus, foul odor, or black/necrotic tissue is a medical emergency requiring immediate podiatric care. Do not wait to see if it improves.
What happens if a diabetic foot ulcer is not treated?
Untreated diabetic foot ulcers progress to deep infection (osteomyelitis/bone infection), abscess, gangrene (tissue death), and ultimately amputation. Diabetic foot complications are the leading cause of non-traumatic lower-limb amputation. With prompt, aggressive treatment by a podiatrist — wound debridement, offloading, infection control, and vascular evaluation — most ulcers heal and amputation is prevented.
What are the 10 most important steps Michigan diabetics can take to prevent foot ulcers?
Balance Foot & Ankle recommends: 1) Daily foot inspection, 2) Never go barefoot, 3) Wear properly fitted diabetic footwear, 4) Moisturize daily (not between toes), 5) Trim nails correctly or see a podiatrist, 6) Manage blood sugar, 7) Quit smoking, 8) Annual foot exams at Balance Foot & Ankle, 9) Report any foot change immediately, 10) Inspect shoe interiors before wearing. Call (810) 206-1402.
How does proper footwear prevent diabetic foot ulcers for Michigan patients?
Proper diabetic footwear from Balance Foot & Ankle distributes pressure evenly across the sole, provides a wide non-constrictive toe box, accommodates deformities without friction, and eliminates high-pressure spots that create ulcers. Combined with custom diabetic orthotics, properly fitted footwear is among the most effective ulcer prevention strategies. Call (810) 206-1402.
Can blood sugar control prevent foot ulcers in Michigan diabetics?
Excellent blood sugar control significantly reduces Michigan diabetics' ulcer risk by slowing neuropathy progression, maintaining better tissue perfusion, and improving immune function. Balance Foot & Ankle strongly encourages A1C optimization as a critical component of foot ulcer prevention alongside professional podiatric monitoring. Call (810) 206-1402.
What activities increase diabetic foot ulcer risk in Michigan?
Ulcer risk increases with: walking barefoot (indoor or outdoor), wearing new shoes without breaking them in gradually, soaking feet, using heating pads or hot water bottles on feet, trimming nails too short or curved, and ignoring early calluses. Balance Foot & Ankle educates Michigan diabetics to avoid all these practices. Call (810) 206-1402.
Does Balance Foot & Ankle provide ulcer prevention programs for high-risk Michigan diabetics?
Yes, Balance Foot & Ankle provides structured foot ulcer prevention programs for high-risk Michigan diabetics including more frequent monitoring visits (every 1–3 months), diabetic footwear optimization, custom preventive orthotics, intensive patient education, and coordination with your diabetes care team. Call (810) 206-1402 to start your prevention program.
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.