Why Diabetic shoes?

It is well known the importance of properly fitting shoes for persons diagnosed with diabetes. Everyday use of diabetic (also known as therapeutic) shoes along with customized inserts will support and protect feet from injury thus reducing ulceration which can lead to amputation of part or all of the foot.

Properly fitting shoes and inserts can help a diabetic manage areas of excess pressure, reduce shock and shear, stabilize and support deformities and limit joint movement.

Excess pressure. When areas of excessive pressure reside at the bottom of the foot, ulceration can occur. The use of customized inserts can help spread out the areas of pressure throughout the foot.

Reducing shock. This is especially important for the foot especially those with bony areas or abnormal bone structure. Limiting the amount of vertical pressure by wearing a shoe with appropriate cushioning can reduce shock.

Shear reduction. Horizontal movement of the foot within the shoes is an additional area of focus in ulceration prevention. Proper measurement of the width and length of the shoe during a professional shoe fitting is an important part of shear reduction.

Stabilize and support deformities. Many feet not only have diabetic related issues, there can be structural issues as well. Ensuring the feet are supported and stabilized often with the use of customized inserts and supportive shoes can avoid pain or further destruction.

Limit joint movement. Limiting joint movement can reduce swelling, reduce pain and allow for a more functional foot. The combination of the shoe and customized insert can assist in limiting joint movement.

Now that you know the factors of the diabetic shoe, here are a couple of additional tips to consider:

It is best to have at least two pair of shoes one can change daily or even in the middle of the day.

Diabetic shoes should be seamless and allow for both the foot and insert to fit properly. Even a tiny seam can cause pressure leading to an ulcer. When multiple pairs of shoes are worn, the chances of continued pressure are reduced.

The shape of the shoes matters as well. Shoes that are tapered or have a pointed toe box are undesirable choices for a diabetic. Wearing too narrow of shoes can cause callousing, ulcers and in some cases, alter the foot shape. We see many patients at the practice particularly those with neuropathy (loss of sensation) in the feet wearing too tight of shoes or a smaller size of shoe.

Properly fitting shoes should offer a shock absorbing sole and depending on the type of foot, a depth shoe such as an oxford or athletic shoe style. Depth shoes can accommodate foot deformities such as hammer toes, claw toes and other types of bony prominence.

Let’s not forget about socks. Socks should be seamless, nonbinding and constructed of breathable materials. Check your local specialty footwear store or pharmacy for diabetic specific socks.

Being armed with the right tools to protect diabetic feet is key. It could very well save your life!