Deal With a Serious Wound ( Diabetes )
Puncture wounds are a serious matter, especially when you have diabetes. If you step on a nail or get another, similar kind of wound, take immediate action, especially if you have neuropathy and poor circulation. See your health care provider right away. Nails and other sharp objects do not have to be rusty to cause tetanus or to cause an infection in your foot.
Punctures through shoes are particularly dangerous because rubber from the sole of the shoe can be carried into the wound. This can cause an especially serious type of infection.
Your physician will provide you with care instructions, but here are some basic guidelines: Wash the area with warm water and mild soap and dry well. Cover the wound with a dry bandage. It is not necessary to apply antiseptics or antibiotic ointments. Change the bandage daily. If the bandage sticks when you attempt to remove it, apply a little warm water first. Inspect the wound every day and if you see any redness, swelling, pus, or drainage, or you have unexplained high blood glucose, report it to a health care provider immediately. All adults should have tetanus booster shots repeated at least every 10 years. If you are not sure when you had your last tetanus booster, it is safe to have another one when you are injured.