When you have diabetes, you need to take unique care of your feet. That’s why it is very important to examine your feet daily and select your shoes carefully.
Use well-fitting, comfortable shoes to help keep small foot problems — like a corn, blister, or a callus — from becoming severe ones.
Find the Right Size
If you have not had your foot determined in a while, go to a shoe shop to see what size you must wear, says podiatrist James Wrobel, DPM. Do not buy shoes that are too little or too huge, which can cause blisters and calluses, he states.
About 6 out of 10 individuals with diabetes use the wrong-size shoes, a research study at the University of Dundee in the United Kingdom reveals. Another research study reveals that only about one-fourth of all individuals use the correct-size shoes.
Do not mistake a tight fit for good assistance, Wrobel says. Rather, wear shoes with comfortable support.
Tips to Pick the Right Shoe
When you know your right size:
1. Try to find shoes that do not have actually pointed toes. Instead, select ones with a roomy “toe box,” so your toes have a lot of wiggle room. That way they won’t be crushed together. You’ll have less opportunity of corns, calluses, and blisters that can develop into ulcers.
2. If you can get rid of the shoe’s insole, take it out and step on it. Your foot must 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. Pick a various shoe.
3. Avoid high-heeled shoes, since they put pressure on the ball of your foot. If you have nerve damage, you may not realize that area aches or getting calluses. High heels can also cause balance problems, especially if you have nerve damage.
4. Stay away from shoes, flip-flops, or other open-toe shoes. Straps can put pressure on parts of your foot, causing sores and blisters. Open-toe shoes can make you vulnerable to injuries like cuts. It’s likewise simpler for gravel and small stones to get inside them. These can rub versus your feet, causing sores and blisters.
5. Think about laced shoes rather of slip-ons. They often provide much better assistance and a much better fit.
6. Try on shoes at the end of the day. Your feet are more likely to be a little swollen. If shoes are comfy when your feet are swollen, they must feel fine the remainder of the time, too.
7. Don’t purchase shoes that aren’t comfortable, planning to break them in as you wear them. Shoes must feel excellent when you first attempt them on. If you remove new shoes after wearing them a few hours and find red, tender spots, do not use them again.
8. Purchase least two couple with excellent assistance. Each pair will likely have different pressure points on your feet, so alter your shoes daily. Your shoes will likewise get to dry and air out when you do not use them every day.
9. In some cases, Medicare covers the cost of unique shoes for people with diabetes. You must meet specific criteria, such as having modifications in your foot shape, previous foot ulcers, or calluses that can result in nerve damage. A doctor needs to recommend them. Talk to your foot doctor or primary care doctor to find out more.
Keep Your Shoes On
When you discover shoes that fit well, wear them all the time. Don’t go barefoot, even around the house or swimming pool areas. “Some patients, when they are numb, may walk on a piece of glass and not be aware of it,” states podiatric cosmetic surgeon Robert K. Lee, DPM.
Foot doctors recommend you put on shoes even if you just take a couple of actions to go to the bathroom in the middle of the night. There’s always a possibility you could step on something, not feel it, and injure yourself.
Take pleasure in Occasional Fancy Feet
Having diabetes doesn’t imply you need to wear reasonable shoes every day for the rest of your life.
“The need for taking care depends upon how advanced the neuropathy is,” Lee says. “The risks vary substantially depending upon how advanced the disease is and how numb or how bad blood circulation is.”
If you have normal sensation and blood flow, it may even be OK to wear dressy shoes like high heels or pointy wing-tips for short amount of times, Lee states. Ask your foot doctor what’s best for your feet, though.