End of Summer Bash: Closing Out Summer Woundless

August, the last official month of summer, is the perfect time for final pool parties and beach days. However, it can also bring heat waves and the consequences of a summer spent barefoot and in the water. For the 38.4 million Americans living with diabetes, this final month of summer can be particularly challenging for the body, which has already endured too much sun and not enough hydration.

The heat makes the beach, poolside, or patio ideal spots to celebrate warm summer nights. However, it's essential to aim for mornings without new wounds—or headaches. “Jennifer James, MD, medical director of the Center for Wound Healing and Hyperbarics at Southwestern Medical Center explains, "For those with diabetes, especially those experiencing neuropathy, regular foot checks are essential after a long summer night out.”

As you enjoy the End of Summer Bashes, remember to practice some CCR when you get home. No, we don’t mean whipping out the turntable, but checking for Cracks, Cuts, and Red-areas:

• Cuts, blisters, and bruises.
• Cracks, hardened skin (calluses), or severe dryness on the heel.
• Red areas that are hot to the touch and any swelling.

If any of these signs are present, the risk of developing a diabetic foot ulcer is higher and should be monitored closely. If healing does not begin within the first two days, especially if the skin has broken, contact a doctor immediately for further investigation.

While checking your feet, remember the acronym SUMMER:

• Sides - Look on both sides of the foot and run your fingers across to feel for any obstructions.
• Under - Use a hand-held mirror to make it easier to check under the foot.
• Moisture - Feel and look for areas where the skin lacks moisture.
• Maceration - Look for any skin damage from prolonged exposure to water or wearing wet shoes for too long.
• Each Toe - Inspect each toe and between the toes for any friction spots or blisters.
• Rub - Rub the foot to feel for changes in shape and any lumps or bumps under the skin. This also helps with circulation.

At the Center for Wound Healing and Hyperbarics, we want to remind everyone at risk of developing non-healing wounds to be mindful of hot walking surfaces, even after sunset. When in doubt, don’t kick off your dancing shoes, even if the moon is high in the sky. If you do need to remove your shoes, check the walking surface with the back of your hand; if it's warm to the touch, it’s too warm for the bottom of your feet.

To help you know when a walking surface is too hot, follow this easy temperature guide for a Woundless Summer:

At the Center for Wound Healing and Hyperbarics, we want all our patients and those living with diabetes to enjoy this final month of summer safely. If you or someone you know develops a wound, please contact us at 580.531.6441 to get in touch with our care team.