Feet are no Exception!
Diabetes is a serious disease that has a significant impact on many parts of the body and the feet are no exception. There is a serious risk of amputation due to the underlying neurological and circulatory issues created by diabetes.

Many diabetics are unaware or don’t understand the benefits of a proper diabetic shoe.

These shoes can assist in relieving pressure and mitigating some of the risks. Diabetic shoes are designed with extra depth and width to create more room for the foot and customized insoles for pressure reduction.

A good diabetic shoe is also manufactured to be flexible while maintaining integrity of the shoe to provide energy-efficient propulsion.

A practitioner may also make certain adjustments on the shoes and insoles to correct other conditions such as length discrepancies or specific areas of pressure.
Diabetic shoes come in many fashionable styles that include dress shoes, athletic shoes , athletic shoes, and even boots!

Most diabetic shoes are delivered with multiple sets of removable inserts to provide support and pressure relief. 

There are many styles and designs of diabetic shoes. Medicare approves certain shoes through its product review department so it is always a good idea to ask if the diabetic shoe you are receiving is Medicare approved.
Footwear for people with diabetes should achieve the following objectives:

Relieve areas of excessive pressure-
Any area where there is excessive pressure on the foot can lead to skin breakdown or ulcers. Footwear should help to relieve these high-pressure areas and therefore reduce the occurrence of related problems.

Reduce shock and shear-
A reduction in the overall amount of vertical pressure, or shock, on the bottom of the foot is desirable, as well as a reduction of horizontal movement of the foot within the shoe, or shear.

Accommodate, stabilize and support deformities-
Deformities resulting from conditions such as Charcot involvement, loss of fatty tissue, hammer toes and amputations must be accommodated. Many deformities need to be stabilized to relieve pain and avoid further destruction. In addition, some deformities may need to be controlled or supported to decrease progression of the deformity.

Limit motion of joints-
Limiting the motion of certain joints in the foot can often decrease inflammation, relieve pain, and result in a more stable and functional foot.

Proper footwear is an important part of an overall treatment program for people with diabetes, even for those in the earliest stages of the disease. If there is any evidence of neuropathy, or lack of sensation, wearing the right footwear is crucial. By working with a physician and a footwear professional, such as a certified pedorthist, many patients can prevent serious diabetic foot complications.
There are many places to get diabetic shoes, including retail, podiatrists, orthotists, pharmacies and durable medical equipment companies. The important question should be not where, but who should provide specialty diabetic shoes.
John E. Shero 
Board-certified Pedorthist
President, Sports and Wellness OP LLC
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