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Stepping Towards Prevention: The Importance of Properly Fitting Shoes for Diabetic Foot Care

The Importance of Proper Fitting Shoes for People with DiabetesWhen it comes to managing diabetes, taking care of your feet is an essential component that should not be overlooked. Diabetes can lead to a condition known as diabetic neuropathy, which affects the nerves in your feet and reduces sensation.

This means that you may not be able to feel cuts, blisters, or sores, putting you at a higher risk of developing foot ulcers. Foot ulcers can quickly escalate into infected wounds, and in severe cases, even result in amputations.

However, there are steps you can take to prevent these complications, and one of the most important ones is wearing properly fitting shoes.

Preventing Foot Ulcers

Foot ulcers are one of the most common complications of diabetes. They are open sores or wounds that typically develop on the bottom of the foot, but can also occur on the sides or tops of the feet.

These ulcers are often painless due to nerve damage, which means that they can go unnoticed and become infected. The leading cause of foot ulcers among people with diabetes is wearing poorly fitting shoes.

Shoes that are too tight can rub against your feet, causing blisters and calluses that can turn into ulcers. On the other hand, shoes that are too loose can lead to friction and pressure, also increasing the risk of ulcers.

That’s why it’s crucial to choose shoes that fit properly.

Choosing Appropriate Shoes

So, what should you look for when selecting shoes? Here are some key considerations:


Proper Fit: Avoid shoes that are too tight or too loose. Look for shoes that provide plenty of toe room to prevent pressure on your toes.

Your shoes should be comfortable from the moment you put them on and should not require a “break-in” period. 2.

Shoe Type: Avoid certain shoe types that can increase the risk of foot ulcers. Flip-flops, high heels, stiff dress shoes, and open-toed shoes should be avoided.

Instead, opt for shoes with a smooth inner lining to prevent friction against your skin. 3.

Thick Sole: A thick sole can provide extra cushioning and reduce pressure on your feet. Look for shoes with a supportive sole that absorbs shock and reduces impact.

4. Socks: Choose socks made of moisture-wicking fabric to keep your feet dry and reduce friction.

Avoid socks with seams that can rub against your skin.

Custom-Made Shoes for Special Foot Conditions

Sometimes, individuals with diabetes may have foot deformities or special foot conditions that require custom-made shoes. If you have a malformed foot or a specific foot condition, such as a hammertoe or Charcot foot, it’s important to consult a podiatrist.

They can provide recommendations and help you find a shoemaker who specializes in creating custom-made shoes that cater to your unique needs.

Daily Foot Examination and Early Intervention

In addition to wearing appropriate shoes, daily foot examination is crucial for preventing foot ulcers. Take a moment each day to look at your feet for any signs of trouble.

Here are some things to look out for:

1. Calluses and Blisters: Check for areas of thickened skin or blisters that can indicate excessive friction or pressure on your feet.

2. Drainage on Sock: Check your socks for any signs of drainage that may indicate an open sore or infection.

3. Redness and Warm Patch of Skin: If you notice any redness or warm patches on your feet, it could be a sign of inflammation or infection.

If you notice any of these signs, it’s crucial to contact your doctor right away for further evaluation and treatment. Prompt action can prevent the progression of ulcers and reduce the risk of complications.

When it comes to wound care, it’s important to leave it in the hands of healthcare professionals. Proper wound cleaning, dead tissue removal, and bandage application are essential for promoting healing and preventing infection.

If an infection does occur, your doctor will prescribe appropriate treatment to control it. Off-foot rest is also important when managing foot ulcers.

By reducing weight-bearing on the affected foot, you can promote healing and prevent further damage.

Risk Factors for Foot Ulcers in People with Diabetes

While we have discussed the importance of proper fitting shoes and daily foot examination, it’s crucial to understand the risk factors that can increase your chances of developing foot ulcers. By being aware of these risk factors, you can take proactive steps to reduce your risk.

Some common risk factors include:

1. Foot Deformity: If you have a foot deformity, such as a bunion or claw toe, you are at a higher risk of developing foot ulcers.

It’s essential to pay extra attention to foot care and select appropriate shoes that accommodate any foot abnormalities. 2.

Poorly Fitting Shoes: As mentioned earlier, wearing shoes that are too tight or too loose can lead to foot ulcers. It’s important to choose shoes that fit properly and provide adequate support and cushioning.

3. Nerve Damage and Impaired Sensation: Diabetic neuropathy can impair sensation in your feet, making it difficult to feel cuts or scratches.

This means that you may not be aware of an injury until it becomes severe. Monitoring your feet daily and seeking prompt medical attention for any changes or abnormalities is essential.

4. High Blood Pressure and Foot Protection: High blood pressure can affect circulation.

Poor blood flow to the feet can slow down the healing process and increase the risk of infections. Managing your blood pressure through lifestyle changes and medications, as prescribed by your doctor, can help protect your feet.

5. History of Foot Ulcers: If you have previously had a foot ulcer, you are at a higher risk of developing another.

However, by practicing daily foot checks and early intervention, you can minimize the risk and potential complications. 6.

Going Barefoot: Walking barefoot, whether inside or outside, puts you at a higher risk of foot injury. Always wear shoes to protect your feet from sharp objects and abrasive surfaces.

7. Limited Ability to See Feet: If you are overweight or have diabetic eye disease, you may have a limited ability to see your feet clearly.

In such cases, it is crucial to have a daily foot examination by a family member or caretaker to ensure early detection of any issues.


Proper fitting shoes play a crucial role in preventing foot ulcers in individuals with diabetes. By choosing appropriate footwear, engaging in daily foot examination, and addressing risk factors, you can significantly reduce the chances of developing ulcers and the potential complications that may follow.

Remember, your feet deserve the best care, and by taking these simple steps, you are taking a proactive approach to managing your diabetes and maintaining healthy feet. In conclusion, wearing properly fitting shoes is of utmost importance for individuals with diabetes to prevent foot ulcers and potential complications.

Choosing appropriate shoes, such as those with plenty of toe room, smooth inner lining, and a supportive sole, can significantly reduce the risk of ulcers. Custom-made shoes may be necessary for individuals with special foot conditions.

Daily foot examination and early intervention are crucial for detecting any abnormalities and seeking prompt medical attention. By understanding the risk factors for foot ulcers, such as foot deformity, poorly fitting shoes, nerve damage, and limited ability to see feet, individuals with diabetes can take proactive steps to protect their feet and overall well-being.

Remember, proper foot care is a vital aspect of managing diabetes, and by prioritizing shoe fit and foot health, you can prevent complications and ensure a higher quality of life.

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