Best Diabetic Shoe (Footwear) To Prevent Foot Ulcers

The ideal diabetic shoe for preventing foot ulcers varies from one diabetic individual to another, as it depends on their unique foot characteristics. There is no universal solution that fits everyone’s needs.

A diabetic shoe should be soft, shock-absorbant, comfortable, and provide better mobility.

Diabetic shoes can also be used with extra in-soles to prevent and heal ulcers at specific locations.

Know Foot Dynamics for Selecting the Best Diabetic Footwear:

Human gait is a combination of numerous movements. These movements combine to form a single step.

Each step results in different biomechanics and pressure effects that start from the foot and go up to the spine.

Walking bare feet is the most natural way, but it has numerous hazards. That is why numerous types of footwear were introduced over time.

When we walk bare feet there is a maximum area of contact between the ground and our feet.

Secondly, as the foot has contact with the ground our foot spreads reducing the point source pressure effect. There is also a reduced heel strike effect.

When we compare bare feet walking with shoes there are differences in the biomechanics. Shoes with heels in more inclination of the foot result in a high heel strike.

This also results in less time of impact of the hindfoot with the ground resulting in more pressure on the forefoot and meta tarsals.

Shoes with high toes also increase pressure on the head of metatarsals. The third type of shoe is those with narrow forefoot areas which results in reducing the widening of the foot on impact resulting in high pressure on pressure points.

Even if a normal person is choosing footwear these all factors shall be kept in mind before selection.

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Read:

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Are you at risk of developing foot ulcers?

Diabetes affects every organ of our body. A diabetic person should care for his feet as much as he/ she cares for his/her face.

Diabetes affects the joints, skin, nails, blood supply, and neuronal connections going to the feet. There are numerous changes in the foot architecture because of neuropathy and other effects of diabetes.

Because of these changes, patients with diabetes are at risk of developing diabetic foot complications.

These complications include callus formation, ulcers, and gangrene which is why researchers have agreed on specialized shoes for diabetic patients.

Accordingly, patients are categorized into different risk classes:

Low risk for developing foot ulcers:

Normal foot sensation
No foot deformity
No history of ulceration or amputation

Medium risk of developing ulcers

Neuropathy
No foot deformity
No history of ulceration or amputation

High risk of developing foot ulcers

Neuropathy
Foot deformity
No history of ulceration or amputation

Very high risk of developing foot ulcers

Neuropathy
Foot deformity
History of ulceration and amputation

Selecting a diabetic shoe should be based on the various risk categories mentioned above.

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What is a good Diabetic Shoe (Footwear)?

Normal shoes usually have high heels and hard soles. some of the shoes have narrow toe areas. tight fittings shoes also result in narrow space for the foot resulting in high friction.

Diabetic shoes must have soft soles and adequate room for the foot to be comfortable. because fitting shoes will result in a lot of forming a blister.

The same goes for loose-fitting shoes. while choosing shoes for any diabetic patient shall have at least these properties to avoid complications.

adequate room for foot
Soft insoles
Smooth inside is
Breathable shoes
Highly shock absorbent
No high heels

Why you should wear Diabetic Shoes?

This footwear is highly important for especially diabetic patients. The main reason is that this kind of not only reduces the risk of ulceration but also its recurrence.

When diabetic footwear is used risk of ulceration is reduced b 58% over 1 year. if their usage is stopped the risk of ulceration becomes high. studies showed that regular shoes have high pressure which results in ulceration and other complications.

Provide better movements
Increases foot circulation
Reduces skin breakdown and callus formation
Prevents pressure sores formation in high-pressure areas

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Choosing the Right Footwear:

When choosing footwear, especially for diabetic patients is very difficult. that is why we will use the stratification method for shoe selection. material use in shoemaking is important.

Microcellular rubber with insole foam is one of the best for diabetic footwear. as it has the most durability and shock-absorbing capacity. other materials used are polyurethane and ethylene-vinyl acetate.

Shoe selection of basis risk for ulceration or recurrence of ulceration.

Low-risk patients:

For patients who are at low risk of developing foot ulcers, it is recommended to use normal shoes with specialized features. These include soft soles and breathable components, with a heat-sensitive upper part.

Medium-risk patients:

In this category, clinicians recommend using a well-fitted shoe with a soft insole and heat-sensitive upper. care be taken not to use the same pair for a very long time