For patients with diabetes - particularly those with neuropathy, deformity, or any history of ulceration - shoes are not a fashion choice. They are part of medical care.
What to Look For
- Generous toe box - wide enough to accommodate your forefoot, deep enough to clear hammertoes
- Soft, seamless upper - to prevent friction and pressure points
- Firm heel counter - for rearfoot stability
- Removable insole - so a custom diabetic orthotic can be inserted
- Cushioned outsole - to reduce impact loading
- Velcro or laces - to allow adjustable fit as foot volume changes throughout the day
What to Avoid
- Sandals (especially flip-flops) and barefoot walking
- Pointed toe boxes
- Worn or stretched-out shoes
- Tight or new shoes worn for prolonged periods without break-in
- Shoes that have caused any pressure point - even if it healed
Medicare Therapeutic Shoe Benefit
Patients with diabetes who meet specific criteria are eligible for Medicare’s therapeutic shoe benefit - generally one pair of qualifying shoes plus three pairs of inserts per year. Our office can verify eligibility and prescribe.
A Daily Habit
Inspect inside your shoes before putting them on, every time. A pebble, a wrinkle in the lining, or a dropped object you can’t feel can become a wound by the end of the day.
