It is of the highest importance for people with diabetes to take care of their feet! In addition to keeping blood sugar at a normal level, daily washing and inspection of the feet, proper shoes and socks should be worn at all times. Always wearing shoes and socks will prevent accidental and unknown stepping on objects that may cause trauma and breakdown of the skin and bones. Diabetic shoes are also called extra depth or therapeutic shoes. These specially designed shoes or inserts are meant to decrease the chance of blisters and skin breakdown at high risk areas of the foot.
Diabetic shoe inserts are also considered part of the diabetic shoe. These inserts or orthotics are specially designed for each person. The advantage to using an insert is that it can move from shoe to shoe and people can still buy their choice of shoe (within limits). A podiatrist can fit a patient for this insert or order a complete shoe. The shoe prescribed by the doctor will be either custom made or an extra depth model. The custom-made shoes are created using a unique cast of the patient’s foot. The shoes come in a variety of sizes, materials, and styles to match the needs of each foot and personal preference. Extra depth models on the other hand, can receive only moderate modifications. These shoes provide the needed support and cushioning while having a deeper sole. This increase in depth allows for customized insoles to replace the standard insole, allowing for a perfect union between shoe and orthotic.
Again, it is important for people with diabetes to wear seamless socks, stocking, or nylons with shoes. Proper socks will help wick moisture away from the foot, keeping the skin dry and preventing cracks due to wetness. Socks also create a barrier between the foot and shoe, preventing blisters and wounds from the shoe rubbing against the skin. Specially designed diabetic socks will achieve both goals of providing great protection and comfort.