Diabetic shoes

From WikiMD's Food, Medicine & Wellness Encyclopedia

Diabetic shoes, also known as therapeutic shoes, are specially designed footwear intended to reduce the risk of skin breakdown in diabetics, especially in those with diabetic neuropathy. Due to the blood sugar levels being high in individuals with diabetes, this can lead to various foot problems such as ulcers, necrosis, and even gangrene, which may necessitate amputation. Diabetic shoes are an essential part of diabetes management and preventive healthcare for people with diabetes.

Design and Features[edit | edit source]

Diabetic shoes are designed with several unique features to accommodate the sensitive feet of a person with diabetes. These features include:

  • Extra Depth: To accommodate orthotic inserts or custom insoles, which help in distributing pressure more evenly across the foot.
  • Non-Binding Uppers: The upper part of the shoe is made from a soft, non-binding material that does not put pressure on any part of the foot, thus preventing skin breakdown.
  • Seamless Interior: A smooth interior is critical to prevent irritation and blisters, which can lead to serious infections in a diabetic individual.
  • Wide Toe Box: Provides space for the toes to move freely, reducing the risk of pressure points and ulcers.
  • Breathable Material: To reduce the risk of infection, materials that allow air circulation are used to keep the feet dry.

Benefits[edit | edit source]

The primary benefit of diabetic shoes is to prevent complications that can arise from diabetes-related foot conditions. These complications can be severe, leading to the need for hospitalization or surgery, and in extreme cases, amputation. By wearing diabetic shoes, individuals can significantly reduce the risk of foot injuries, improve mobility, and enhance the quality of life.

Eligibility and Insurance[edit | edit source]

In many countries, diabetic shoes are considered a necessary medical device for people with diabetes. Patients often require a prescription from a healthcare provider to purchase them. In the United States, for example, Medicare and many private insurance plans may cover the cost of diabetic shoes and custom insoles for eligible individuals, recognizing their importance in diabetic foot care.

Selection and Fitting[edit | edit source]

Selecting the right diabetic shoes is crucial. It is recommended that individuals consult with a healthcare professional, such as a podiatrist, who specializes in foot care for people with diabetes. A professional fitting will ensure that the shoes meet the individual's specific needs, taking into account the shape of the feet, the presence of any foot deformities, and the individual's lifestyle.

Maintenance[edit | edit source]

Proper maintenance of diabetic shoes is also important to ensure their effectiveness. This includes regular inspection for wear and tear, keeping them clean, and replacing them as recommended by a healthcare professional.

Conclusion[edit | edit source]

Diabetic shoes play a vital role in the preventive healthcare regimen for individuals with diabetes. By incorporating advanced design features, these shoes help prevent foot complications, thereby improving the quality of life for people with diabetes. It is important for individuals with diabetes to consult with healthcare professionals to select and properly fit diabetic shoes, and to understand their role within the broader context of diabetes management and foot care.


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Contributors: Prab R. Tumpati, MD