Shoes for people with diabetes have a higher, wider toe box, giving your toes extra wiggle room. Toes that rub against each other or against a shoe get hot spots and blisters. Those do not heal as fast as they did before diabetes.
Nerve damage caused by diabetes can make your toes feel numb. If this is the case, they cannot warn you when they are rubbing and blistering. The extra room in diabetes shoes protects your toes while you stand and walk.
Now that you have diabetes, you need shoes that support your arches, ankles, and heels. Going barefoot is out. Flip-flops are out.
Some people may overpronate (roll the feet too far inward) or underpronate (not roll the feet inward enough) when walking, which can also cause hot spots that may develop into blisters and sores. So the soles of shoes for people with diabetes have special stabilizers to keep feet level.
You will notice that the soles are thick and wide. Thicker soles cushion your feet from wear and tear, and that little bit of extra width helps your feet to avoid those hot spots.
Shoes made for people with diabetes also tend to be deeper than other shoes to make room for orthotics — the inserts that correct an uneven stride, cushion the heel, or support arches. Many patients with Type 2 diabetes use these inserts, so we need the extra depth.
We are pleased to offer DJO (formerly Dr. Comfort) and SafeStep Shoes. Fitting is done in our office by our trained medical assistants, and shoes typically arrive in two weeks. Dr. Silvester and Dr. Danial will provide any needed follow-up and can modify insoles to ensure a proper and safe fit. Next Step Foot & Ankle Clinic offers Diabetic Shoes on a self-pay basis. We do not participate in any insurance carrier's diabetic shoe program. This includes the Medicare Therapeutic Shoe Program.