Diabetic Footwear Guide: Fit, Protection and Neuropathy
Diabetic Footwear Guide: Fit, Protection and Neuropathy
When sensation is reduced, a small rubbing point can become a serious problem before it is noticed.
Diabetic footwear should focus on fit, pressure reduction, skin protection and frequent inspection rather than softness alone.
Why fit becomes more important
Neuropathy can make it harder to feel pressure, heat, rubbing or a foreign object inside the shoe. Reduced circulation can also slow healing.
Shoes should have enough width and depth for the toes without allowing the heel to slide. Check the inside for rough seams, folds or debris before wearing.
Choose a stable, cushioned platform
A supportive sole can reduce concentrated pressure and help the foot move more predictably. Cushioning should be even, while the insole should sit flat without creating a ridge against the skin.
Fastenings should hold the shoe securely without constricting the foot or lower leg.
Inspect feet and footwear every day
Look for redness, swelling, blisters, cuts or areas that stay marked after the shoes come off. Rotate and dry footwear, and use socks without irritating seams or tight bands.
Anyone with diabetes, neuropathy, an ulcer or a new skin change should have footwear reviewed by their treating clinician or podiatrist.
Explore ErgonX diabetic socks