03/25/2026
Why Diabetic Foot Care Matters
Sunny Health DPC – Las Vegas, Nevada
A 35-year-old man with diabetes came to the clinic with a very thick, darkened toenail that had been present for quite some time. The nail had become brittle and detached, but he was afraid to remove it himself because he worried about bleeding and possible complications that could lead to a hospital visit.
For many patients with diabetes, this fear is understandable. Diabetes can affect nerve function and circulation, increasing the risk of neuropathy and vascular disease in the feet. Small injuries that might seem minor can sometimes lead to serious complications if not treated properly.
During evaluation in the office, we determined that the nail was non-viable (essentially a dead nail) and safe to remove under proper sterile conditions. After removing it carefully in the clinic, we discovered something encouraging:
➡️ A healthy new nail was already growing underneath.
In this case, the patient was fortunate. However, leaving a damaged or dead nail in place can trap moisture and bacteria, increasing the risk of infection or future complications, especially for patients with diabetes.
Important Takeaways
If you notice any of the following, it’s best to have it evaluated by a medical professional:
• Thickened or discolored nails
• Dark or hyperpigmented nails
• Nails lifting or separating from the nail bed
• Pain, redness, or swelling around the nail
• Any foot wound that is slow to heal
Patients with diabetes should never attempt to cut or remove abnormal nails at home, because even small injuries can become serious if circulation or sensation is reduced.
Early evaluation can prevent infection, ulcers, and potential complications.
As a family physician practicing lifestyle medicine, my goal is not only to treat problems but also to help patients prevent complications through education, early care, and proper foot health.
