Updated: Feb 16
They don't teach it in a diabetes nutrition class. Your primary care physician might not have even discussed it with you when you were diagnosed with diabetes. It's certainly not part of any advice your friends and family have given you about diabetes...because they probably don't know either unless they have experienced problems with diabetes themselves.
Even if you feel like you think you're completely educated about diabetes, and even if you follow a super strict meal plan, you probably haven't come across this one hugely important nugget of information.
But it's definitely something that most people who have had amputations are aware of. Knowing this information helps prevent diabetic foot ulcers, which can lead to amputations.
WHAT IS IT?
Custom inserts and wearing diabetic shoes help prevent diabetic foot ulcers. And most diabetics don't learn about the importance of diabetic shoes and custom inserts until a AFTER a problem with their foot develops.
Getting rid of a diabetic foot ulcer can be challenging. It takes time. Most people with a diabetic foot ulcer end up being referred to a wound care center for treatment.
Diabetic shoes help save you the time and money that is required to treat a diabetic foot ulcer. The shoes provide support and protection while minimizing pressure points on the feet. They are also built extra deep to accommodate custom inserts.
WHO IS ELIGIBLE FOR DIABETIC SHOES?
You must have diabetes and one or more of the following diabetic foot problems documented in their medical file:
peripheral neuropathy with evidence of callus formation
history of previous foot ulceration
history of per-ulcerative callus
history of partial or complete foot amputation
If eligible, Medicare and most private insurances will provide one pair of extra-depth diabetic shoes and three pairs of custom inserts each calendar year.
WHY ARE DIABETIC SHOES IMPORTANT?
Many people with diabetes (especially if not optimall
y controlled) can develop "peripheral neuropathy" and poor circulation which can lead to various foot complications. Unmanaged diabetes is a leading cause of lower limb amputations. Just wearing diabetic shoes is not enough for prevention and protecting your feet.
Custom inserts are also a critical competent for helping to secure your feet inside diabetic shoes. Custom inserts that are molded to fit the soles of your feet are a critical component for helping to secure your feet in the diabetic shoes. Because they are created from an impression of the bottom of your feet, they are designed to evenly distribute weight across your foot. In addition, they cradle your heel to minimize movement of your foot inside the shoe.
HOW ARE DIABETIC SHOES DIFFERENT THAN REGULAR SHOES?
Diabetic shoes are built wider and deeper than regular shoes to accommodate a special multi-density insert that is designed to red
uce pressure and callouses to the bottom of the feet. Diabetic shoes have a larger "toe box" to prevent squeezing of the toes.
WHERE CAN I FIND DIABETIC SHOES?
Right here at Areli, we carry several different brands of diabetic shoes, which include dress shoes, tennis shoes, and even steel toe boots. Once we receive an order from your doctor for the shoes and check insurance, we will schedule you for an appointment.
During the appointment, our Board Certified Orthotist will take measurements of both of your feet and then create a scan or impression of the bottoms of both of your feet for your custom insert.