Proper Shoe Selection for Diabetic Patients

  • Assoc. Prof. Dr. Aytaç Çetinkaya
  • May 8, 2025

Proper Shoe Selection for Diabetic Patients

Proper Shoe Selection for Diabetic Patients

Proper shoe selection for diabetic patients is crucial for maintaining foot health and preventing potential wounds. Diabetes can cause nerve damage (neuropathy) and blood circulation problems, making the right shoe selection critical for protecting and comforting the feet.

Key Features to Consider in Diabetic Shoe Selection

1. Soft and Flexible Materials

One of the most important criteria in diabetic shoe selection is that the shoe is made of soft and flexible materials. Shoes should not constrict or put pressure on the feet. The upper part of the shoe should be made of soft and flexible materials that do not irritate the feet. Hard leathers or stitching can cause friction, leading to wound formation. Soft fabrics or leather shoes can reduce these risks.

2. Inner Cushioning and Support

Diabetic patients often experience sensory losses in their feet, so the inner part of the shoe should be sufficiently cushioned and supportive. A good inner sole protects the feet from shocks, preventing pressure points from being damaged. An orthotic insole or footbed with orthopedic features can also be preferred.

3. Wide and Roomy Toe Box

The width of the toe box is very important in diabetic shoe selection. The toe box should be wide and not put pressure on the toes. Narrow shoes can cause toes to rub against each other or become compressed, increasing the risk of calluses, wound opening, and other foot problems. The toe box should be wide enough to allow the toes to move comfortably.

4. Closed and High-Heeled Shoes

For diabetic patients, closed shoes are recommended, as open shoes can leave the feet unprotected against external factors. Additionally, high-heeled shoes provide proper support for the feet and distribute pressure, preventing potential pressure wounds.

5. Stitching and Inner Design

Attention should be paid to the inner design details in diabetic shoe selection. There should be no hard stitching or other hard elements inside the shoe. Stitching can cause friction when in contact with the foot, leading to wound formation. The inner part of the shoe should be smooth and flat, providing a comfortable fit.

6. Breathable Materials

Diabetic patients should prefer shoes that allow their feet to breathe to control moisture and temperature. Closed and breathable materials prevent sweating and can prevent complications such as fungal infections. Leather and special fabrics generally provide air permeability.

Summary

Proper shoe selection for diabetic patients is critical for maintaining foot health and preventing potential complications. By preferring shoes with the above features, diabetic foot problems can be prevented, and foot health can be protected. With regular foot care and proper shoe selection, diabetic patients can lead more comfortable daily lives.

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