What Are Diabetic Shoes?
| Licensed since 2012 Print People with diabetes sometimes develop problems with their feet, according to the Centers for Disease Control (CDC). Medicare may cover therapeutic shoes for diabetics (sometimes called diabetic shoes) with severe diabetic foot disease. Why are diabetic shoes important? Diabetics may suffer from diabetic neuropathy. This type of nerve damage may make feet vulnerable to injuries in a few different ways, according to the National Institutes of Health: Injuries may take longer to heal because of restricted blood flow. Affected limbs may lose sensation, so it’s more difficult to detect an injury and get it treated promptly. If you lose feeling in your feet, an unnoticed injury can lead to an infection. The Centers for Disease Control (CDC) suggests quarterly foot exams for diabetics. In addition, the agency recommends a good regimen of home care. This includes keeping feet clean, inspecting feet for injuries, keeping toenails carefully trimmed, and wearing the right socks and shoes. In addition to neuropathy, complications associated with diabetes may even change the shape of the patient’s foot and weaken the muscles. The National Institute of Health, or NIH, recommends checking with a doctor about special diabetic shoes and/or shoe inserts. In some cases, diabetics may need custom-made shoes to provide extra protection. Medicare coverage for diabetic shoes Medicare Part B may cover therapeutic shoes, or diabetic shoes. In order for diabetic shoes to qualify for coverage, a podiatrist or another kind of qualified doctor has to prescribe them. Additionally, a podiatrist, prosthetist, orthotist, pedorthist, or other qualified type of professional has to provide the therapeutic shoes. Part B has some limits to its coverage of diabetic shoes: Par Continue reading >>
Diabetic Shoes: Their Importance For Healthy Feet
Living with diabetes means you will need to make several changes in order to stay healthy. Many people believe you only need to make sure your blood sugar levels are normal and that you eat healthily, but taking care of your body goes beyond those steps. This blog is going to explore diabetic shoes, their importance, why foot health is important for diabetics, and other footwear for diabetics that will promote healthy feet. What Are Diabetic Shoes? Diabetic shoes are specialized footwear, which help prevent skin breakdown in people with diabetes and co-existing foot problems. They also provide support for these problems and help maintain the health of your feet. Many diabetics with any problems regarding their feet will find it difficult to find shoes that fit comfortably and will need to search for shoes that will not cause damage. In many cases, doctors will request a diabetic to get proper footwear. If you are a diabetic, this is a great opportunity to get shoes custom made to fit your feet and your particular problem, ensuring that you have comfortable shoes that do not cause damage or pain to your feet. Why Are They Important For You? Diabetes can cause problems with your feet; this is called diabetic neuropathy. If anything damages your foot, you are at risk for losing it in order to keep the rest of your body safe. Many people with diabetic neuropathy are not aware of the security they need regarding their feet or the problems that can arise. Some important things diabetic shoesdo are keeping ulcers from forming, foot strain, and calluses. Wearing diabetic shoes can prevent someone from needing to receive an amputation, as well. In order for the diabetic shoes to work correctly, you will need to have a doctor prescribe them and have a foot impression taken by an Continue reading >>
Do I Need Diabetic Shoes?
Poorly controlled blood sugar can damage many parts of the body, including the nerves and vessels that go to the feet. Because of this, people with diabetes have an increased risk of developing foot problems. Wearing specially designed shoes can help reduce risk and promote healthy circulation in your feet. Read on to find out more about shoes designed for people with diabetes and whether you might need them. High blood sugar contributes to poor blood circulation. It can also damage nerves in your feet, a condition called neuropathy. Neuropathy can cause you to lose feeling in your feet, which may make it difficult for you to realize if you cut yourself or injure your foot. If you leave a cut untreated, it can lead to an infection. Poor circulation can make it difficult to heal cuts and infections. Diabetic foot pain and ulcers: Causes and treatments » You might develop open sores on your toes or the bottom of your feet. You may also develop calluses, or thick areas of hardened skin. The following are all more likely to occur in people with diabetes: bunions corns fungal infections gangrene Nerve damage can also change the shape of your feet. People with diabetes are more likely to develop hammertoe, which is a deformity that causes the toe joints to bend inward. Even foot problems that might seem insignificant, like blisters or athlete’s foot, can be a cause of concern if you have diabetes. Because of poor circulation to the area, any foot problem will take longer to heal and may instead compound and grow into a dangerous infection that can progress and lead to amputations if not correctly treated. That’s why any foot issues should be called to the attention of your doctor if you have diabetes. Foot injuries and changes to the foot’s shape can make your regular Continue reading >>
Effectiveness Of Diabetic Therapeutic Footwear In Preventing Reulceration
Abstract OBJECTIVE—To review the evidence for the effectiveness of therapeutic footwear in preventing foot reulceration in individuals with diabetes and foot risk factors. RESEARCH DESIGN AND METHODS—We conducted a structured literature review based on a Medline search for studies of therapeutic footwear that examined prevention of reulceration. Nine published articles were identified. Characteristics of the study population, components of the intervention, and level of adherence were evaluated. U.S. Preventive Services Task Force criteria for evaluating research were applied to rate each study on study design and internal validity. RESULTS—Risk ratios in all studies assessing the association between therapeutic footwear and reulceration were below 1.0, suggesting some protective footwear benefit. However, in the most rigorous experimental study, no statistically significant benefit was observed between control patients wearing their own footwear and intervention patients wearing study footwear. Annual reulceration in these studies’ control groups ranged from 8.4 to 59.3%. In patients with severe foot deformity or prior toe or ray amputation, observational studies suggested a significant protective benefit from therapeutic footwear. CONCLUSIONS—Therapeutic footwear has been used for decades as one of many strategies to prevent reulceration in patients with diabetes and foot risk factors. The findings of several studies reporting statistically significant protective effects from therapeutic footwear may have been influenced by several design issues. When considering the appropriateness of therapeutic footwear recommendations for moderate-risk patients, clinicians and patients should jointly explore individual strategies to decrease events that lead to foot ulce Continue reading >>
Why Wear Special Shoes For Diabetes?
No one told me that Type 2 diabetes would make my feet hurt. It was one of those surprises that developed after a few years with this sneaky condition. Burning feet from what my podiatrist called plantar fasciitis was just the beginning. Heel spurs made walking a misery. On top of it all, I was dealing with peripheral neuropathy, the numbness and pain in feet, hands, arms, and legs that comes along with nerve damage from high blood sugar. I did not become aware of my Type 2 diabetes until it had been around for a while. If that happened to you as well, your smallest blood vessels and nerves may have already been damaged before you began treating your diabetes. Early signs of this are feet that feel numb in some spots and extremely sensitive in others. Worst of all, diabetes can also make sores and scratches slow to heal. Reading about foot ulcers and amputations brought home to me how important it is to take care of my feet. Because they take a beating every day, our feet deserve extra care and protection. Diabetes makes this absolutely necessary. My podiatrist recommended shoes made for people with diabetes. If your doctor does too, I encourage you to listen. My feet are living proof that those shoes work. Because of them I can walk again. How are shoes for diabetes different? 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 for us as fast as they did before we had 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 Continue reading >>
Diabetes Shoes: How To Find The Right Diabetic Shoes
Update: We have had dozens of our readers ask us where can they get the best and cheapest diabetic shoes. We suggest you try this link to order. In this comprehensive guide we will cover everything you need to know about diabetic shoes. Do not buy any shoes until you read the guide from start to end. What are diabetic shoes? It is very common amongst people with diabetes to develop foot problems. Per year, the American Diabetes Association indicates that 600,000 people with diabetes get foot ulcers which can result in over 80,000 amputations. Neuropathy is when there is a nerve damage in the foot which can then lead to foot problems. Neuropathy causes tingling, pain, burning or stinging sensations, weakness in the foot. The worst is when you injure your foot, you may not even feel it due to loss of feeling. If you do not have any feeling in your feet, then it may make your injury or illness worse than it was before. It has been shown that people with diabetes have the highest cases of foot or leg amputation due to their foot problems. This is also caused due to peripheral arterial disease (PAD). PAD reduces blood flow to your feet. That along with neuropathy, you can only imagine the possibilities of getting an ulcer or infection on your foot. However, you can prevent matters from getting so serious that you may require an amputation in the future. You need to take good care of your foot. People with diabetes should regularly visit their podiatrists to ensure their feet is taken good care of. Regular care of your feet can also include the addition of proper footwear. You can ask your doctor if you need to start wearing prescription shoes, which may be covered by Medicare or other insurances. I recommend reading the following articles: If you are having trouble walking o Continue reading >>
What Is Special About Diabetic Shoes?
While walking is a beneficial activity to our health, and very useful for controlling blood sugar levels, it might come with risks of injuries for people with Diabetes and Neuropathy. Fortunately, most of these foot injuries can be prevented by paying proper attention to foot care, and by wearing Diabetic shoes. What is the special features of diabetic shoes? Diabetic shoes are specially designed shoes intended to offer protection for diabetic feet and reduce the risk of skin breakdown, primarily in cases of poor circulation, neuropathy and foot deformities. Protective Interior - the interior of a diabetic shoe is made with soft material and with no protruding stitching, as sometimes even the smallest prominence can irritate and cause skin breakdown in a diabetic foot. Non-Binding Uppers - the upper of the shoe in the front part of the foot shoe should be soft and with no overlays across the bunions to eliminate pressure points. Stretchable Uppers – in cases where extra protection is needed it is recommended to use shoes with stretchable uppers that shape to the contours of the deformed feet, and help ease pressure points. Orthotic Support - Diabetic shoes feature special insoles that provide support to the arch, conform to the contours of the foot and reduce pressure on the bottom of the foot. Extra-Depth Design -the shoes are made with extra depth to accommodate diabetic insoles or orthotics, and offer loose, pressure free fit. Deep Toe-Box - the tip of the shoe is higher, offering extra room for the toes, including deformed toes such as hammertoes. Multiple Widths - diabetic shoes are available in a variety of widths (at least there widths - Medium, Wide, Extra Wide) to improve fit and protection. Functional Soles - diabetic shoes feature light weight soles with a Continue reading >>
Does Your Patient Need Diabetic Therapeutic Footwear? (where Benefit, Evidence, And Bureaucracy Collide)
In 2012, the estimated incremental burden of diabetic foot ulceration in all Medicare and non-Medicare patients in the United States was $9.1–13 billion (1). These costs do not include the suffering of patients and families, loss of income, loss of mobility, and predicted increased mortality. Coverage for extra-depth or custom-molded therapeutic shoes and inserts for individuals with diabetes became a Medicare benefit on 1 May 1993. Within 5 years of the benefit’s availability, a report from the Office of the Inspector General of the United States found that 57% of paid claims for therapeutic shoes had missing or inadequate documentation. An audit of beneficiaries found that 3% did not report having diabetes, 12% did not report any of the qualifying conditions, and 47% denied having a foot deformity or previous amputation (2). As with any government program, instances of fraud and abuse have been reported. Dr. Comfort shoes paid a fine of $27 million for providing inserts that did not meet Medicare standards (3). A provider in California was accused of entering an extended-care facility and offering free shoes to residents, telling them the government wanted them to have shoes. Individuals who did not walk were told the shoes would help them walk (4). To qualify for footwear coverage, Medicare beneficiaries must have diabetes plus one of the following conditions: neuropathy with evidence of callus, previous or current ulcer, previous or current pre-ulcerative callus, previous amputation, foot deformities, or poor circulation. How Medicare defines neuropathy (e.g., does it require an insensitive limb?), pre-ulcerative callus, foot deformity, or poor circulation is unclear. The Centers for Medicare & Medicaid Services requires that the treating physician (MD or DO) mu Continue reading >>
The Best Shoes For People With Diabetes
Two complications people with diabetes may be at risk for are poor circulation and the absence of sensation, according to John Giurini, DPM, Chief, Division of Podiatry at Beth Israel Deaconess Medical Center. (Beth Israel Deaconess Medical Center is an affiliate of the Joslin Diabetes Center). People with these diabetes complications may not be aware of whether or not their shoes fit correctly, so their feet must be properly measured and fitted before purchasing shoes. Tips for Buying Shoes with Diabetes Have feet measured periodically, because feet change over time. Shop later in the day, because feet swell throughout the day, especially if you have heart disease and kidney problems. Have shoes fitted with the socks you’ll be wearing with those specific shoes. That way you’ll know they will fit properly. The distance between your longest toe and the tip of the shoe should be ½ of your thumb’s width, so you have the right amount of space to fit your feet. When you buy a new pair of shoes, break them in before wearing them for a long period of time. Wear them for one to two hours, then check your feet for any cuts or blisters. Wear them three to four hours the next day, and so on, until they feel comfortable, Giurini says. Important Shoe Features for People with Diabetes Shoes should be made of soft leather, because they can stretch. Choose a cushioned sole over a thin, leather sole, because the shock absorption is better. The back of the shoe should not collapse to one side or the other, because it won’t provide good support. Choose laced shoes over loafers, so they fit better and provide better support. People with diabetes and specific foot deformities should buy shoes that match the width of their foot, perhaps with extra depth. Those with diabetes and seve Continue reading >>
Shoes And Diabetes: What's On Your Feet Matters
When you have diabetes, you need to take special care of your feet. That's why it's important to check your feet daily and choose your shoes wisely. Wear well-fitting, comfortable shoes to help keep small foot problems -- like a corn, blister, or a callus -- from turning into severe ones. Find the Right Size If you haven't had your foot measured in a while, visit a shoe store to see what size you should wear, says podiatrist James Wrobel, DPM. Don't buy shoes that are too small or too big, which can cause blisters and calluses, he says. About 6 out of 10 people with diabetes wear the wrong-size shoes, a study at the University of Dundee in the United Kingdom shows. Another study shows that only about one-fourth of all people wear the correct-size shoes. Don't mistake a tight fit for good support, Wrobel says. Instead, wear shoes with comfortable support. Tips to Pick the Right Shoe Once you know your correct size: 1. Look for shoes that don't have pointed toes. Instead, choose ones with a spacious "toe box," so your toes have plenty of wiggle room. That way they won't be crushed together. You'll have less chance of corns, calluses, and blisters that can turn into ulcers. 2. If you can remove the shoe's insole, take it out and step on it. Your foot should fit comfortably on top of it with no overlap. If your foot is bigger than the insole, it will be crammed inside the shoe when you wear it. Choose a different shoe. 3. Avoid high-heeled shoes, because they put pressure on the ball of your foot. If you have nerve damage, you might not realize that area is sore or getting calluses. High heels can also cause balance issues, especially if you have nerve damage. 4. Steer clear of sandals, flip-flops, or other open-toe shoes. Straps can put pressure on parts of your foot, lead Continue reading >>
The Low Down On Diabetic Shoes
Diabetic therapeutic shoes are, in my opinion, one of the most important parts of my job. Diabetic shoes help save feet, plain and simple. According to the American Diabetes Association, each year 600,000 diabetic patients get foot ulcers, resulting in over 80,000 amputations. As a podiatric physician I try to embrace preventative care modalities such as regular diabetic foot exams and diabetic shoes to prevent my patients from getting foot ulcers. My patients will tell you that I’m a stickler about these things. I do understand patient concerns over cost, but the vast majority of insurances cover diabetic shoes and insoles. It is widely accepted that preventative medicine is the best medicine, and not only the monetary cost but also the emotional and physical cost of an amputation makes money spent on diabetic shoes and insoles money well spent. So, what makes diabetic shoes and insoles so different from your run-of-the-mill shoe? Which patients need them? And how do you know if insurance will cover them? Read on for the low down on diabetic shoes. The Definition: Diabetic shoes can also be referred to as extra depth or therapeutic shoes. They are specially designed shoes intended to reduce the risk of skin breakdown in diabetics with co-existing foot problems (such as neuropathy, poor circulation, and foot deformities). Why They’re So Special: Diabetic shoes are extra deep to accommodate diabetic insoles or orthotics. They have a built in firm heel counter to provide medial and lateral rearfoot stability. The toe box of the shoe is higher so there is plenty of room for toes (even ones that like to stick up like hammertoes). There is little to no stitching on the inside of a diabetic shoe. The stitching is on the outside. Sometimes even the smallest prominence can Continue reading >>
Why Diabetic Shoes?
Diabetic shoes and inserts compensate for any foot abnormalities including high arch or flat arch. Inserts eliminate excessive irritation caused by high pressure points as you walk on your feet. Inserts and shoes custom fitted by a podiatrist or therapeutic shoe fitter ensure a proper fit that will support your feet and reduce the chance of ulcers. Shoes and inserts from off the shelf in a department store or pharmacy may not give your particular feet the support they need – or worse, they might cause irritation that could lead to a break in the skin. One size does not fit all, so please ask your podiatrist which shoes and inserts are right for your foot type. You should wear your diabetic shoes with inserts everyday. This will help prevent foot ulceration. Using other shoes for long periods of time may increase your risk for developing calluses, blisters and other abrasions that will cause your skin to crack. Medicare’s Therapeutic Shoe Program helps cover part of the cost of a new pair of diabetic shoes and up to three pairs of inserts each year. Ask your podiatrist to examine your feet and determine if you qualify for the program. Continue reading >>
Shoes And Orthotics For Diabetics
Proper footwear is an important part of an overall treatment program for people with diabetes, even for those in the earliest stages of the disease. If there is any evidence of neuropathy, or lack of sensation, wearing the right footwear is crucial. By working with a physician and a footwear professional, such as a certified pedorthist, many patients can prevent serious diabetic foot complications. Footwear for people with diabetes should achieve the following objectives: Relieve areas of excessive pressure. Any area where there is excessive pressure on the foot can lead to skin breakdown or ulcers. Footwear should help to relieve these high-pressure areas and therefore reduce the occurrence of related problems. Reduce shock and shear. A reduction in the overall amount of vertical pressure, or shock, on the bottom of the foot is desirable, as well as a reduction of horizontal movement of the foot within the shoe, or shear. Accommodate, stabilize and support deformities. Deformities resulting from conditions such as Charcot involvement, loss of fatty tissue, hammer toes and amputations must be accommodated. Many deformities need to be stabilized to relieve pain and avoid further destruction. In addition, some deformities may need to be controlled or supported to decrease progression of the deformity. Limit motion of joints. Limiting the motion of certain joints in the foot can often decrease inflammation, relieve pain, and result in a more stable and functional foot. If you are in the early stages of diabetes, and have no history of foot problems or any loss of sensation, a properly fitting shoe made of soft materials with a shock absorbing sole may be all that you need. It is also important for patients to learn how to select the right type of shoe in the right size, so Continue reading >>
10 Best Diabetic Shoes Reviewed
People with diabetes are more susceptible to foot problems. This health affliction can lead to nerve damage that affects a person’s ability to grasp the exact moment when their feet are injured. Consequently, diabetes elevates the risks for getting serious wounds and ulcers on the feet, which may also become serious enough to lead to amputation. Furthermore, diabetes also impacts the ability of the body to heal. This is because the feet receives less blood and oxygen, therefore it takes more time to recover from even a minor skin irritation. A diabetic foot is also more prone to swelling or edema. You can minimize the risks of both short term and long term foot injury, as a diabetes patient, by wearing a pair of good diabetic shoes. These are available in various types – such as diabetic dress shoes, work shoes or walking shoes. Whatever the type, good diabetic shoes are unified in eliminating the risk of diabetic foot injury and the benefits they offer to the wearer. The optimal diabetic shoes are generally made from breathable materials like suede and leather and are created to cushion and support the heel and ankle. Such shoes also help in the even distribution of weight of the body across the foot to eliminate the problem of pain in the pressure points. By Daniel Gonzalez: The latest update includes a revised list of the top 10 shoes for diabetics. This list features shoes from brands such as Skechers, New Balance, Propet and Orthofeet (who are all know to provide the most comfortable, cushioned & specialized shoes around). We’ve also included the criteria we used to evaluate the best diabetic shoes, and some of the most frequently asked questions about the subject. Featured Recommendations An optimal diabetic shoe also comes with more depth to accommodate cus Continue reading >>
Why do you need Diabetic Shoes? Diabetic shoes are important as a common side effect of diabetes is "peripheral neuropathy," which causes loss of sensation in the extremities. Ill-fitting shoes which rub or pinch the feet excessively can lead to ulceration and foot injury, simply because the diabetic does not feel the injury until it is too late. Properly fitted diabetic shoes are very important in preventing such injuries. Companies specializing in pedorthics -- the design of footwear and specialty insoles to help alleviate and/or prevent foot pain and injury -- manufacture special shoes and insoles for diabetics. Diabetic shoes are often wider and deeper than regular shoes, to make room for special diabetic insoles. Pedorthic insoles for diabetics are generally custom made for the patient's feet, to ensure proper fit and minimize rubbing and uneven weight distribution, preventing injury. It is also important for a diabetic to have shoes with good air circulation, meaning a lot of diabetic footwear features fabric or sandal-style uppers. It is very important for a diabetic to have their shoes custom fitted by a trained professional, since they may not be able to feel an improper fit, due to peripheral neuropathy. By ensuring proper fit and good air circulation, properly designed diabetic shoes and insoles prevent pressure ulcers, encourage good blood circulation, and allow the skin to breathe. Some things to look for in good shoe designs for diabetics are: Diabetic Shoes need to have a breathable construction - sandals and fabric shoes are good for this. Deep and wide designs that allow room for custom pedorthic insoles. Designs with no interior seams (or covered seams) to prevent rubbing injuries. Diabetic shoes need a roomy "toe box" to prevent pinching or squeezing Continue reading >>