People with diabetes know that proper foot care is very important to their health. Diabetics can suffer from poor circulation and loss of sensation in their feet. This means that a diabetic may not feel pain and discomfort in their feet which can result in foot complaints going undetected. Poor shoe fit, excessive pressure and friction and injuries to the foot may not be noticed by the patient and sometimes it can be too late when they do notice that something is wrong.

Proper shoe fitting is of paramount importance in order to avoid pressure sores, friction and stress. The shoe must be roomy and be wide enough to accommodate your feet. You should always have your feet measured by a professional before purchasing a pair of shoes. Shoes that offer stability with a lace, buckle or velcro fastening are ideal as they prevent movement and rubbing of the foot within the shoe.

Occasionally an orthotic device may be required to offload pressure from areas of the foot that are at risk of ulceration. Your Podiatrist may wish to carry out a Biomechanical Assessment in order to assess the problems that you may be experiencing in your feet. A Biomechanical Assessment consists of a video gait analysis which looks at the way you walk and a pressure plate analysis which looks at the forces that are running through you feet. If a biomechanical fault or site of excessive pressure is identified the Podiatrist may recommend custom made orthotics. Custom orthotics can be fitted into your everyday shoes providing that the shoe is suitable and adhere to the requirements mentioned above.

Orthotics can help to improve ambulation (walking from place to place) by minimizing the stress on the muscles in the foot and leg. Studies have shown that if a diabetic patient stays active they are at a reduced chance of encountering diabetic complications such as heart and kidney disease and the risk of a stroke. Orthotics can also be designed to reduce shear forces and shock, limit abnormal pronation and reduce plantar pressures. Using custom orthotics and appropriate shoes will save many feet from unnecessary infection and damage and in the worst case scenario, amputation.

If you have diabetes and ever have any concerns about your feet it is vital that you make an appointment to see a Podiatrist or a doctor as soon as possible. Foot conditions, particularly ulcers can develop very quickly.