Think Your Diabetic Shoes Are Too Big? Think Again.

I would like to address an occasional problem, or conflict, that some times arises when diabetics consider diabetic shoes.  If you need diabetic shoes to prevent shoe-related foot complications, please take heed of this post.

On occasion, I have patients who refuse their diabetic shoes when they absolutely medically need them because they feel too big and roomy.  These same patients have worn narrow and shallow flats, pumps, or loafers for many years, and are simply accustomed to the security of feeling the shoe near the skin, and want nothing to do with those shoes.  I'm sure many of you out there likely feel the same.  Unfortunately, as a foot specialist desperately trying to reduce amputations in diabetics, my thought on the matter is....tough for you!  In the words of a famous author of thrillers, those shoes present 'a clear and present danger' to your feet.  Because of nerve disease, poorer skin texture and strength, decreased microcirculation, and increased joint contractures (all courtesy of diabetes), these shoes are a dangerous source of friction and pressure, and have a high likelihood of starting and continuing a skin wound process that often leads to infection, bone disease, and potentially amputation.  The roomier diabetic shoe, which gets the shoe material away from the skin, takes away this potential.  Yes, it is a different feeling.  Yes, it may initially feel awkward.  However, this is necessary because of a serious disease.  Get over the aversion to it.  A diabetic shoe is a prescription medical device to save your feet, not simply a government issued shoe to add to your fashion collection.

I hope this does not come across as too mean spirited.  Most of you out there 'get it', and want what's best for your feet.  A few of you though are too distracted by superficial concerns or long engrained habits, and need to change your mindset on how a protective shoe should fit.  Plainly speaking, a prosthetic limb or partially amputated foot fits really poorly in a flat, pump, or loafer anyway.

Until next time,
Scott R. Kilberg DPM

www.inpodiatrygroup.com - foot surgeon, podiatrist in Indianapolis
myachingfoot.blogspot.com -  foot pain explained
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A foot doctor in Indianapolis Noblesville Fishers Carmel Westfield and Fortville Indiana.