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Conditions

What diabetes does to the foot and the conditions that follow – Charcot neuroarthropathy, skin and nail changes, and the warning signs that need seeing quickly.

Swollen Feet and Diabetes

September 7, 2026 by Dr. Tom Biernacki, DPM, FACFAS
Diabetic Foot Guide article card: Swollen feet and diabetes, in the Conditions series, by Dr. Tom Biernacki, DPM, FACFAS

Both feet swelling usually points somewhere systemic. One foot, warm and red on a neuropathic foot, is Charcot until proven otherwise. Where the line sits.

Categories Conditions

Brown Spots on Feet and Diabetes

September 7, 2026 by Dr. Tom Biernacki, DPM, FACFAS
Diabetic Foot Guide article card: Brown spots on feet, in the Conditions series, by Dr. Tom Biernacki, DPM, FACFAS

Diabetic dermopathy is harmless and needs no treatment, but it travels with the other complications. How to tell shin spots from venous staining and from the rest.

Categories Conditions

Dry and Cracked Feet in Diabetes

September 7, 2026 by Dr. Tom Biernacki, DPM, FACFAS
Diabetic Foot Guide article card: Dry and cracked feet, in the Conditions series, by Dr. Tom Biernacki, DPM, FACFAS

Dry skin in diabetes is a neuropathy sign, not neglect. Why heels crack, what urea actually does, and why a pumice stone is the wrong tool on a numb foot.

Categories Conditions

Rash on Feet From Diabetes

September 7, 2026 by Dr. Tom Biernacki, DPM, FACFAS
Diabetic Foot Guide article card: Rashes on diabetic feet, in the Conditions series, by Dr. Tom Biernacki, DPM, FACFAS

Fungal infection, dry skin from lost sweating, diabetic dermopathy or poor circulation. Which pattern is which, and the one that needs seeing the same day.

Categories Conditions

Diabetes Blisters on Feet: Causes

September 7, 2026 by Dr. Tom Biernacki, DPM, FACFAS
Diabetic Foot Guide article card: Blisters on a diabetic foot, in the Conditions series, by Dr. Tom Biernacki, DPM, FACFAS

Blisters that appear on a diabetic foot overnight have a name, bullosis diabeticorum. Why you should never pop one, and how to tell it from the other causes.

Categories Conditions

Charcot Foot: Signs, Stages, Treatment

September 7, 2026September 7, 2026 by Dr. Tom Biernacki, DPM, FACFAS
Diabetic Foot Guide article card: Charcot foot, in the Conditions series, by Dr. Tom Biernacki, DPM, FACFAS

Charcot foot is misdiagnosed in about 63% of cases and mistaken for gout or cellulitis. A foot and ankle surgeon on the signs, the stages and the treatment.

Categories Conditions

Diabetic Feet: Signs and What They Mean

September 7, 2026September 7, 2026 by Dr. Tom Biernacki, DPM, FACFAS
Diabetic Foot Guide article card: What diabetes does to feet, in the Conditions series, by Dr. Tom Biernacki, DPM, FACFAS

What diabetes does to the nerves, arteries, skin and bone of the foot, what each warning sign means, and how urgent it is. Written by a foot and ankle surgeon.

Categories Conditions

Who writes this

Dr. Tom Biernacki, DPM, FACFAS is a double board-certified podiatric foot and ankle surgeon in Michigan. Diabetic wounds, Charcot neuroarthropathy and at-risk feet are daily work, not a side interest.

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Start here

  • What diabetes does to feet
  • Charcot foot
  • Diabetic foot ulcers
  • The diabetic foot exam
  • Diabetic shoes and Medicare

Be seen today if

Fever, redness spreading up the leg, pus or a bad smell, black tissue, or a foot that has turned cold, pale or dusky. An open wound on a diabetic foot is a this-week problem even when it does not hurt.

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