Diabetes can cause nerve damage or neuropathy. Neuropathy leads to decreased footsensitivity and pain. Sometimes patients lose all sensation in both feet. Many affectedpatients do not feel pain to alert them to injury so much so that they can not sense foreignobjects in the shoes which may ultimately result in injury & infections.
High blood sugar levels in diabetes leads to poor blood circulation and this reduced bloodflow in the feet and legs means that the wounds and infections may heal slowly in diabeticpatients..
Any injury or bunions or hammertoes create pressure points resulting in ulcerations on thefeet. If these conditions are ignored, unrecognised or untreated, then these footcomplications may also lead to amputation.
For Diabetic patients, poor footwear can trigger serious problems and a series of footcomplications. These problems are not inevitable, but Diabetics can learn to choose theirshoes with care, which in turn will take care of their feet.
Some very basic considerations while making a footwear selection for diabetes patientare:
1. How long has a person had diabetes?
2. What is the extent of damage done to the nerve and feet?.
3. Is there any abnormality in the feet?.
4. Is there any loss of sensation in one or both feet?
5. Is there any deformity caused thereby?
A good choice will be dibetic shoes made specifically for people with Diabetes. Theseshoes are made of soft leather, have a wider rounder and deeper toe box which canaccommodate bunions or hammertoes etc,. Various brands like Easy Spirit, Drew, PWMinor, Crocs Rx cater to the very specific demands of diabetic patients.
Diabetics should not walk barefoot, at home or anywhere as it might expose them toinjuries. Thus wearing slippers in the house or while walking anywhere is a good idea.Also diabetic patients who are prescribed any type of medical shoes must wear themreligiously. Alternatively experts say that jogging shoes and walking shoes are also good.
Some common queries and tips related to doabetic footwear are:
1. The inner lining is torn.
2. The bottom of the heel is worn out.
3. The Heel or the toe begins to collapse on the outside.
Experts say that patients who have good food health can wear any kind of shoes theylike,
as they are not at any greater risk. But they should inspect their feet regularly for redness,swelling ,sores, blisters, cuts, ingrown toenails or any other abnormalities. These shouldbe reported to the doctor immediately and should not be ignored.
Diabetic women with good foot health and no foot deformity can also wear high heels.They can wear fashionable style shoes but for a short period of time. Again, feet shouldbe inspected regularly for redness, swelling ,sores, blisters, cuts, ingrown toenails or anyother abnormalities.
1. Shoes that expose the toes to injury.
2. Shoes that are not supportive.
3. Shoes with straps that can cause irritation of blisters.
4. Flip flops, if they cause irritation in between toes.
1. Buy footwear that is made of soft leather.
2. A good tip, to always try to buy shoes later in the day as for diabetics, the feetswell during the day time.
3. Always try your shoes, wearing the socks that you use regularly.
4. Go for cushioned soles instead of thin leather soles. This will provide that extracushioning that your feet need.
5. Remember laced shoes fit better can also give more support.
6. Once you have bought your shoes you should increase the wearing time of thenew shoe gradually.
To conclude, take good care of your feet if you are diabetic and keep consulting yourdoctor about any abnormality regularly.