An Article Written By Soomin Pahk
Podiatrist
For individuals with diabetes, choosing the right footwear is crucial for preventing foot ulcers and other complications. Poorly fitting shoes or walking barefoot can lead to dangerous foot injuries, especially for those with neuropathy. To avoid these risks, it’s essential to wear proper footwear both indoors and outdoors. In this guide, we’ll walk you through the key features of diabetic-friendly shoes and why they’re vital for your foot health.
Perfect Fit: Why Shoe Length and Width Matter
When selecting diabetic-friendly shoes, the length should be 1-2cm longer than your foot to allow room for movement. Equally important, the shoe width should match the widest part of your foot, known as the MTPJ. A snug but comfortable fit helps prevent pressure points that can lead to sores and blisters.

Toe Box Space: Room to Breathe and Move
The toe box of your shoes should have enough room to comfortably accommodate your toes without causing any rubbing or pressure. Tight toe boxes can increase the risk of developing corns, calluses, or ulcers, particularly for those with decreased sensation due to neuropathy.
Soft Interiors: Avoid Abrasive Stitching
Diabetic footwear should have smooth, soft interiors free from abrasive stitching. Rough or hard seams inside the shoe can cause friction, leading to irritation or wounds, which can quickly escalate into serious ulcers for diabetic individuals.

Adjustable Closures: Custom Fit Throughout the Day
Look for shoes with adjustable closures such as laces or Velcro straps. These features allow you to customise the fit throughout the day, especially if your feet swell. Adjustability is crucial for comfort and to prevent your feet from sliding within the shoe, reducing the risk of injury.
Supportive Design: Reducing the Risk of Falls
Neuropathy can reduce sensation in the feet, making it harder to maintain balance. This is why it’s essential to choose shoes with a supportive structure that promotes stability and minimises the risk of falls. Look for shoes with firm heel counters and solid arch support for added protection.

Daily Shoe Check: Inspect Before You Step In
Even if your diabetes is well-controlled, it’s vital to check the inside of your shoes each time before wearing them. Ensure that there are no foreign objects, debris, or sharp materials inside that could harm your feet. This simple habit can prevent serious injuries from going unnoticed due to reduced sensation.
Medical-Grade Footwear: When Custom Shoes Are a Good Option!
For individuals with a history of foot ulcers, standard shoes might not provide enough protection or appropriately fit. In these cases, medical-grade footwear or custom foot orthoses may be necessary. The podiatrists at New Step Podiatry are trained to assess your specific needs and can prescribe custom solutions to keep your feet safe and healthy. By prioritising proper footwear, people with diabetes can significantly reduce their risk of foot complications, ensuring long-term foot health and comfort.
Are you in need of Diabetes-Friendly footwear?
Our podiatrists are here to ensure those in Canberra have access to quality services that can help individuals get the treatment they deserve.
Easily BOOK ONLINE or give us a call on 02 6198 4818.

