Barsaat and Flood Season

Diabetic Foot Care in Monsoon: Wet Shoes, Fungus and Cuts

Wet socks and shoes in the monsoon can hide a small cut on a numb foot until it becomes a wound that needs care. Diabetic foot care in monsoon comes down to four habits: dry feet, a daily look between the toes, shoes that can air out, and a call to your doctor or foot team straight away for any new cut or blister.

Before you start

  • Who this is for: anyone with diabetes, most of all people whose feet feel numb, tingly or dull.
  • What the rains add: damp skin between the toes, itchy fungal patches, and cuts or blisters from walking through water.
  • Daily habit: look at both feet, the soles, the heels and every gap between the toes.
  • Call straight away: a new cut, a new blister, or red skin around a blister.

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Why do wet feet matter more when you have diabetes?

High blood sugar over a long time can damage the nerves in the feet, and when that happens, a stone, a rubbing sock or a small cut may go unfelt. Diabetes UK explains that reduced feeling means you may not feel things properly and can damage your feet without noticing.

Wet weather adds a second problem. NHS advice says wet or sweaty feet make athlete’s foot more likely, and the skin on the feet can crack. A crack gives germs a way in, so numb feet, wet skin and a cut you have not seen yet: that mix is the real monsoon risk.

Daily checks help you notice problems early. The 2-minute daily foot check is worth keeping all year, at the same time every day. The winter version of these habits is in Sugar in Winter: Why Readings Rise and How to Protect Numb Feet.

How do I dry my feet properly after a wet walk?

Start at the door. Dry is the goal.

  1. Take off wet socks and shoes at the door. Do not leave them on while you cook or eat.
  2. Rinse, do not soak. Use clean water and a mild soap if you use one, and keep the rinse short, because soaking can damage the skin.
  3. Test the water with your hand, not your foot. Numb feet may not tell you that the water is too hot.
  4. Pat dry, especially between the toes. Rubbing can irritate the skin.
  5. Look as you dry. Check the soles, heels and each gap for splits, soft white skin, itching, blisters or new redness.
  6. Put on dry socks and let the shoes air overnight. Take out the insoles if they come out.

That is the whole routine. It takes minutes.

Which shoes should I wear when the streets are flooded?

Closed shoes win. Pick one that fits and can dry out, because open sandals give a cut no protection in dirty water. NHS Scotland’s diabetes foot advice warns that walking barefoot risks injuring your feet, for example by stubbing your toes, so on a flooded street a closed shoe is the safer choice.

Check inside each shoe before you put it on, since a small stone or a grain of grit can sit against the skin without you noticing, and shoes that pinch on a dry day are a poor choice for a wet week. Look twice.

The rotation trick most people skip

Keep two closed pairs and wear them on alternate days, so each gets a whole night to dry. Carry one spare pair of dry socks and change at the first dry place you reach, because a dry sock at lunchtime is cheap insurance for a foot you cannot feel.

What do I do about a cut picked up in floodwater?

The CDC advises avoiding floodwater if you have an open wound. Floodwater can carry germs that cause wound infections, along with other contaminants, so a cut that touched dirty water needs more than a quick rinse.

  1. Get out of the water and look at the cut. Numb skin may not show you where the damage is, so check the whole foot in good light.
  2. Press on any bleeding. Hold a clean cloth firmly on the cut until the bleeding slows, then clean the wound.
  3. Wash it with soap and clean water. The CDC advises washing open wounds well this way.
  4. Cover it with a clean, waterproof dressing, which helps reduce the chance of infection.
  5. Ask about a tetanus booster. A puncture, or a wound contaminated with soil, faeces or saliva, is a reason for a health professional to decide whether you need one.
  6. Look at it every day. Redness, swelling, heat or pain around the wound means contacting your GP or foot team straight away.

Wash, cover, call. Do not burst any blister, because a burst blister becomes an open wound, and open wounds can become infected.

Is fungus between the toes a real risk with diabetes?

Itchy white patches between the toes are one of the main signs of athlete’s foot, and wet or sweaty feet make it more likely. NHS advice is not to scratch, because scratching can spread it. Broken or cracked skin gives germs a way in, which is the real concern with diabetes.

Dry, check, repeat. Antifungal creams are a decision for a pharmacist or doctor, who can look at the skin first, check whether a crack needs a review before any cream goes on, and tell you which cream suits it. NHS advice is to see a GP if you have diabetes, because foot problems can be more serious. The full treatment picture is in the athlete’s foot care guide, and the general routine is in the monsoon hygiene guide.

Foot soaks are the other home reflex. Skip them. The no-soak rule covers salt, phitkari and herbal soaks too, because soaking itself can damage the skin.

Old wisdom

Many households say a wet foot should not go to bed wet, and that lines up with the advice here: dry the feet, change the socks, then rest.

When does a foot need a doctor the same day?

Use this as a quick guide. Each row is a point where a doctor or foot team should see the foot straight away, not at the next routine visit.

What you noticeWhat to do
A new cut, blister or soreContact your GP or foot team straight away
Red skin around a blisterContact your doctor without waiting for the next visit
Redness, swelling, heat or pain around a woundContact your GP or foot team immediately
Fever, confusion or difficulty breathing with a foot woundCall 999 or go to A&E now (possible sepsis)

Any new break in the skin needs a call to your doctor or foot team straight away. Do not wait. If fever, confusion or difficulty breathing comes with a foot wound, call 999 or go to A&E now. If you cannot reach your doctor or foot team and the foot is getting worse, go to the nearest emergency department.

Take care if

Your feet feel numb, tingly or cold, you have had a foot sore or ulcer before, or you cannot easily see the soles. Check the feet every day, ask a family member to help with the gaps between the toes, and ask your doctor or foot team how often a professional should look at them.

Keep hot water bottles and heat pads away from numb feet, and never warm them in front of a fire, as NHS Scotland’s advice says. Numb feet may not tell you when heat is too much.

Never burst a blister, never soak the feet, and use no antifungal cream unless a pharmacist or doctor has advised it.

See a doctor straight away for a new cut or blister, red skin around a blister, or redness, swelling, heat or pain around a wound. Fever, confusion or difficulty breathing with a foot wound needs a call to 999 or a visit to A&E now, because these can be signs of sepsis.

In the rains, a foot that stays wet all day is the one to check most often.

The Diabetes & Blood Pressure hub has the wider routine on daily foot care and sugar.

Monsoon foot questions people ask

How do I look after my feet in the rainy season if I have diabetes?

Keep both feet dry, check them every day between the toes too, and wear closed shoes that can air out. Rinse rather than soak, and make a call to your doctor or foot team straight away about any new cut or blister.

Barsaat mein sugar ke mareez paon ki dekhbhal kaise karein?

Check both feet every day, especially between the toes, and dry them carefully after rain. Show any cut or blister to a doctor straight away.

Are wet shoes dangerous for diabetic feet?

Wet shoes are not the danger on their own, but they keep the skin damp, and a numb foot may not feel the rub or split until it has become a wound.

Why does fungus between the toes matter when you have diabetes?

It matters because itchy, cracked skin gives germs a way in, so keep the gaps dry, look at them daily, and let a pharmacist or doctor choose any antifungal cream first.

What should I do about a cut on my foot if I have diabetes?

Wash it with soap and clean water. Cover it with a clean waterproof dressing. Contact your GP or foot team straight away. Do not burst any blister, and no home soaks or pastes go on the wound.

What are the signs of a diabetic foot infection?

Redness, swelling, heat or pain around a wound are the signs to act on straight away, by contacting your GP or foot team. Fever, confusion or difficulty breathing with a foot wound needs a call to 999 or a visit to A&E now.

Can floodwater cause an infection in a cut?

Yes. The CDC says open wounds exposed to floodwater can become infected, so keep open wounds out of floodwater where you can. If a cut did touch floodwater, wash it well and have it checked.

Can I soak my feet in warm water to dry them?

No. NHS Scotland’s diabetes foot advice says not to soak your feet, because soaking can damage the skin, so rinse them briefly and dry them carefully, especially between the toes.

Should I put an antifungal cream on my foot without asking a doctor?

Only after a pharmacist or doctor has said it suits your skin, since a short check first can show whether a crack needs a doctor rather than a cream.

Sources

Nothing on The Care Online is medical advice. Traditional practices are described as tradition, not as fact. Patch-test anything new, and take a persistent or serious concern to a qualified professional. See how posts are written on our methodology page.