Do I Need Diabetic Shoes and Where Can I Find Them? (2024)

Overview

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 shoes feel uncomfortable. Wearing shoes that are too tight or too loose can put you at risk for foot problems, or make your foot problems even worse. Don’t try to squeeze your feet into uncomfortable shoes. Instead, ask your doctor or podiatrist about special shoes made for people with diabetes. By wearing the right shoes, you’ll be more comfortable and you’ll keep your feet healthier.

If your diabetes is under control and you don’t have any real foot problems, a comfortable, well-fitting shoe may be all you need. But if you do develop any foot problems, your doctor might recommend one of these shoe options:

In-depth shoes

In-depth shoes are 1/4 to 1/2 inch deeper than normal shoes. The extra room can accommodate foot changes like calluses or hammertoes. In-depth shoes also leave enough room for inserts if you need them.

Healing shoes

Healing shoes are worn while you recover from foot sores or foot surgery. They come in open sandals or closed-toe versions. Generally, open-toed shoes aren’t recommended for people with diabetes unless ordered by your doctor.

Custom-made shoes

Custom-made shoes are created from a mold of your foot. This type of shoe may be an option if your feet have a deformity.

In general, therapeutic shoes are specifically designed to keep your feet healthy if you have neuropathy, nerve damage, or an existing foot injury.

Orthopedic shoes are shoes designed to give more comfort to those with bunions, corns, or other foot problems. Not everyone who wears orthopedic shoes has diabetes. A great variety of orthopedic shoes are available, no matter what style of shoe or type of sole you prefer.

In addition to buying new shoes, you can also modify shoes you already own. For example, you might add a thicker, more shock-absorbent sole. You could also add orthotics. These are footpads or inserts placed inside your shoes to take pressure off of your feet and provide added comfort.

Start with a visit to your primary care doctor, endocrinologist, or podiatrist, who can check your feet and recommend the right shoe. You might also see a specialist to get fitted. An orthotist is a medical practitioner that can design, prescribe, and make diabetes footwear. A pedorthist is trained to fit and modify shoes.

A specialist might order your shoes for you, or you may get them through a pharmacy, online store, or specialty shoe store. Medicare will cover the cost for one pair of therapeutic shoes if your doctor prescribes them. Check with your insurance provider to learn more about your coverage.

Dr. Comfort, Hush Puppies, and Prophet are well-known brands that manufacture therapeutic and orthopedic shoes. Shoes with the American Medical Association’s Healthcare Common Procedure Coding System (HCPCS) code A5500 or A5501 are classified as diabetic footwear and may be covered by Medicare or your health insurance provider. The sneaker brand New Balance also makes shoes with these codes.

Finding a good shoe is important if you have diabetes. Below are some tips that may help.

When you buy

  1. Look for a lightweight shoe that lets your feet move and breathe.
  2. Choose a flexible material, such as leather, canvas, or suede.
  3. Remember that a good diabetic shoe should have a shock-absorbing sole, which will help relieve pressure on the bottom of your foot.
  4. Pick shoes with laces that you can loosen or tighten. This makes it easier to accommodate any swelling or changes in your feet over time.
  5. Keep in mind that the shoe should also have a solid back to provide extra support.

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It’s also important to find a shoe that fits well and matches the shape of your foot. You don’t want your foot sliding around inside the shoe. This can cause blisters, sores, and calluses, which can be dangerous for a person with diabetes.

Additionally, choose a shoe that can accommodate changes in your feet, such as hammertoes.

To find just the right fit for your feet, see a specialist for a fitting whenever you buy new shoes. Be sure to wear the same socks you’ll normally wear with these shoes to ensure proper fit.

Shoes to avoid

If you have diabetes, you should avoid wearing certain types of shoes:

  • Avoid any shoe with a pointed toe because it will aggravate your toes and restrict circulation.
  • Don’t wear shoes without arch support, as they may lead to the breakdown of tissue in your foot.
  • Be careful to avoid shoes that don’t fit properly, as those could injure your feet.
  • Wear high heels sparingly it all. If you do wear high heels, round-toe styles with heels below 2 inches are best.

Diabetic socks

Diabetic socks are socks that don’t constrict the foot and are designed to promote healthy circulation. Most brands don’t contain elastic, and some brands are moisture-wicking. Diabetic socks that keep the foot dry can help prevent infection. The following are brands of different diabetic socks:

  • Truform
  • Dr. Comfort
  • Activa
  • Drymax

For the most part, diabetic socks can be made to look like regular socks and come in many different lengths, colors, and styles.

If you don’t want to purchase socks specifically made for people with diabetes, look for regular socks made with moisture-wicking fabric. Be careful of rough seams along your sock’s toe area, which could lead to blistering, and buy socks that come above the ankle for this same reason. Avoid compression socks, which will have a negative effect on the circulation in your feet.

For the right fit

  • Get your feet measured every time you try on shoes because they can grow.
  • Buy shoes in the afternoon. This is when your feet tend to swell.
  • When you’re trying on new shoes, wear the same socks or stockings you plan to wear with the shoes.
  • Make sure there’s plenty of room in the shoe for your instep and the ball of your foot.
  • Allow an extra 3/8 to 1/2 inch of room between your toes and the top of the shoe.
  • Make sure your shoes fit snugly around your heels.

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If you’re able to purchase two pairs of therapeutic shoes, it’s a good idea to alternate between them. This will preserve the shock absorption and prolong the lifespan of both pairs of shoes. Once the heels of the shoe begin to wear down, or if one side of a shoe starts to collapse, stop wearing that pair and transition to a new pair. Wearing worn-out therapeutic shoes defeats the purpose of having them.

In general, most insurance companies will replace a pair of diabetic shoes every two years. Diabetic shoes that are worn daily will generally need replacing by that time.

Getting new shoes is just one way for people with diabetes to care for their feet. You should also see your podiatrist for annual checkups and take good care of your feet every day to help keep them in top shape.

Even if you’re wearing diabetic shoes, follow these tips to make sure your feet are healthy:

  • Check your feet every day to make sure there are no developing sores, ulcers, or calluses.
  • Trim your toenails regularly, making sure to cut straight across to prevent ingrown toenails.
  • Smooth your corns and calluses gently with a pumice stone or an exfoliating foot scrub.
  • Avoid using razors or other sharp tools on your feet.
  • Wash your feet daily with warm water to promote circulation.
Do I Need Diabetic Shoes and Where Can I Find Them? (2024)

FAQs

How can I get free pair of diabetic shoes? ›

If you are diabetic and have Medicare and Medicaid, you could be eligible for a pair of shoes and 3 pairs of moldable insoles. It is that easy! All you have to do is bring in your insurance cards and a prescription from your doctor. We will contact your doctor for any additional information we need for billing.

Do I need a prescription for diabetic shoes? ›

The doctor who treats your diabetes must certify your need for therapeutic shoes or inserts. A podiatrist (foot doctor) or other qualified doctor must prescribe the shoes or inserts, and you must get the shoes or inserts from one of these: A podiatrist.

How to get shoes for diabetics? ›

Have your medical physician complete all required paperwork pertaining to your CDFE. Make sure you also obtain a prescription for diabetic footwear. Contact your medical physician that treats your diabetes and have them fill out all required paperwork pertaining to your diabetes.

What is the difference in diabetic shoes and regular shoes? ›

Diabetic shoes decrease the risk of diabetic foot ulcers and thereby reduce amputations. They provide support and protection while minimizing pressure points on the feet. They also have extra depth to accommodate diabetic inserts. There are many styles to choose from, and the shoes look much like any other shoe.

How much does diabetic shoes cost? ›

Diabetic shoes can be costly because they're specialty shoes and need to be custom-fitted for your feet. On average, diabetic shoes can range in cost from $50-$200 per pair. Your out-of-pocket costs may depend on several factors: Any existing insurance you may have.

Are diabetic shoes expensive? ›

You can expect to spend anywhere between $40-200 for a pair of diabetic shoes. These shoes can be more expensive than regular shoes because they are specialty shoes and require extra cushioning and support to properly fit your foot.

Should diabetics sleep with socks on? ›

Wear socks or stockings with shoes. Wear socks without seams. Avoid tight-fitting socks and garters. Wear socks in bed if your feet are cold at night.

What kind of shoes is best for diabetic residents to wear? ›

Choosing shoes made with leather, canvas or suede will allow for adequate air circulation, she adds. If you have trouble getting shoes off or on, look for a pair with Velcro straps that can be easily adjusted. Finally, if you can't find a perfect fit, custom insoles can be a key way to manage foot pain due to diabetes.

Why can t diabetics soak their feet in Epsom salt? ›

People with diabetes often have dry feet or nerve damage that results from diabetic neuropathy. When wounds such as blisters develop, they can take a long time to heal, and they can get worse quickly. Prolonged soaking can also open small cracks that may be present in the skin, allowing germs to enter.

Do diabetic shoes help with neuropathy? ›

Diabetic shoes can be designed with impressive features that can help relieve neuropathy symptoms. One important feature is stretchable uppers which is an ideal feature for those experiencing severe neuropathy symptoms. These uppers contour to the shape of the foot, relieving any pressure on certain points.

What are diabetic feet? ›

Over time, diabetes may cause nerve damage, also called diabetic neuropathy, that can cause tingling and pain, and can make you lose feeling in your feet. When you lose feeling in your feet, you may not feel a pebble inside your sock or a blister on your foot, which can lead to cuts and sores.

Why should diabetics wear shoes in the house? ›

The importance of Diabetic Shoes can provide both protection and comfort. Diabetics should always wear shoes in the house, even when they aren't going outside, in order to avoid possible injury to feet from objects on floors that can be stepped on or fallen upon by accident.

Why do they cut off diabetics feet? ›

Most lower leg and foot removals begin with foot ulcers. An ulcer that won't heal causes severe damage to tissues and bone. It may require surgical removal (amputation) of a toe, a foot or part of a leg. Some people with diabetes are at higher risk than others.

How often do you get diabetic shoes? ›

Most patients with diabetes qualify for footwear and inserts under the Medicare Therapeutic Shoe Bill. Medicare covers patients for one pair of shoes and three inserts per year.

What is the best lotion for diabetic feet? ›

Highly recommended lotions include: Eucerin, Gold Bond, Ease-Z, and Aveeno lotion that are for patients with diabetes. Disclaimer: Any information provided is not intended as medical advice. Iowa Diabetes is not responsible for any information from third parties.

How to get free diabetic supplies? ›

Partnership for Prescription Assistance (PPARX.org ).

People who don't have insurance coverage for prescriptions may find their medicines and supplies for free or at low cost through PPARX.org. RxAssist.org lists drug-company assistance programs, state programs, discount drug cards, copay help, and more.

What is the code A5500 for diabetic shoes? ›

A depth shoe (A5500) is one that: Has a full length, heel-to-toe filler that when removed provides a minimum of 3/16" of additional depth used to accommodate custom-molded or customized inserts; and.

What shoes should diabetics not wear? ›

Shoes to avoid
  • Avoid any shoe with a pointed toe because it will aggravate your toes and restrict circulation.
  • Don't wear shoes without arch support, as they may lead to the breakdown of tissue in your foot.
  • Be careful to avoid shoes that don't fit properly, as those could injure your feet.

Do you need prescription for orthopedic shoes? ›

You will require a prescription for custom made or customized orthopedic shoes from a physician, podiatrist or chiropodist*.

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