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WHAT IS DIABETES?

Diabetes, also known as Diabetes Mellitus, is a serious chronic condition of metabolism resulting in high blood glucose.  The high level of blood glucose is the result of a lack of either insulin secretion or insulin action or in some cases both. Diabetes is the fourth-largest cause of death in the USA with more than 200,000 people dying each year from this disease. Diabetes, if left untreated, can cause blindness, heart attacks, strokes, kidney failure and amputations.

Diabetes and Foot Care

Foot disease is the most common complication of diabetes that leads to hospitalizations accounting for up to 20% of admissions, with 15% of diabetics developing a foot ulcer during their lifetime. Ulcers usually occur as a result of a loss of nerve function as a protective sensation in the foot which is known as peripheral neuropathy. The loss of the protective sensation in the foot, often called in medical terms  an insensate foot, coupled with a foot deformity and peripheral arterial disease places the foot at a very high risk for ulceration.  If an ulcer fails to heel, infection can lead to gangrene and ultimately amputation. Nearly 100,000 lower foot amputations are performed each year related to diabetes. Although over 10 million people in the United States have been diagnosed with diabetes it is estimated that  only half of the total diabetic population have actually been diagnosed which puts the real number at  20 million plus.  About 10 % have Type 1 diabetes or juvenile onset diabetes where the body does not produce any insulin where a daily insulin injection is needed to stay alive. The other 90% have type 2 diabetes or adult onset diabetes where the body is unable to make enough or properly use insulin. Adult onset diabetes is primarily a result of a poor diet and where a sedentary lifestyle prevails.

How To Find Shoes For Diabetes

Diabetes and Shoes: What are the key features of Diabetic Shoes?

In 1993 Congress enacted a bill known as the Therapeutic Shoes for Individuals with Diabetes. The Bill recognizes that Diabetics who may have peripheral neuropathy are at risk for factors that can lead to an ulceration and possibly amputation. Appropriate Diabetic Shoes and Diabetic Inserts help to minimize those risks.

 

Therapeutic footwear is regarded as a generic term for footwear that is designed to allow some form of treatment and may refer to both custom-made or pre-fabricated medical grade footwear.

 

However, in order to be considered as appropriate footwear for Diabetics certain design criteria need to be met. The shoe needs to accommodate the foot in such a way that there is plenty of room in the toe box The insole needs to be at least 3/16th’s of an inch thick and removable in order to accommodate a custom or prefabricated diabetic insert. The diabetic shoe needs to be available in full and half sizes and available in a minimum of three widths. Further the outsole needs to be graded to the upper, again in at least three distinct widths. The shoe needs to have a closure to ensure the shoe stays on the foot in order to protect it.

 

12 Key features of Diabetic Shoes

 

-  Soft, preferably seamless, upper material
-  Strechable or moldable upper
-  Wide deep toe box
-  Full and half sizes and multiple widths.
-  Removable insole
-  Adjustable closure
-  Stable wide midfoot
-  Soling graded to upper
-  Lightweight
-  Toe Spring
-  Delayed Heel Strike
-  Ideally machine washable.

 

More on other design features on Shoes For Swollen Feet here

Our Pedors Shoes for Diabetics

One of the best and effective shoes for diabetics is Mary Jane Stretch Shoes. Not just Diabetes but it’s designed For Mildly Swollen Feet, Bunions / Hallux Valgus, Sore Feet, Extra Wide Feet, Arthritis, etc.

What are Orthopedic Shoes?
The phrase “orthopedic shoes” or “orthopedic footwear” refers to the orthopedic design features of a shoe to relieve pain or pressure in the foot and sometimes in conjunction with the ankle.  Orthopedic shoes tend on the whole to be extra depth shoes designed to accommodate an orthotic device to help remedy a biomechanical deficiency in the foot. It could be that additional arch support is required in the shoe to help relieve plantar fasciitis. It could be that an accommodative insert is needed to help evenly distribute pressure on the plantar surface of the foot to relieve a pressure point.  It could be that a shoe is required that is big enough and wide enough to accommodate a device to stabilize the ankle joint by using an ankle-foot orthoses, often called an AFO.  It could be that an orthopedic shoe is needed to enable a modification to be made to address leg length discrepancy where one leg is longer than the other causing pain in the hip alignment and lower back issues.  Orthopedic footwear is often a critical component to successfully treating a whole range of health issues that may start in the foot but lead to other problems throughout the body.

Extra Special Soles for Diabetics
Triple Layer Medical Grade Inserts For Diabetics Gives Incredible comfortability for all people. The top layer molds to your feet over time to reduce pressure points and hot spots.  The middle layer adds "bounce" and the bottom layer provides structure & stability.

What Are Diabetic Shoes?

Diabetics have to be very careful with what is worn on their feet and there are several features to consider when choosing a shoe if you are diabetic. Most importantly the shoe should fit well to avoid excess sheer forces.

 

-  Avoid shoes with prominent seams, stitching or rough edges.
-  Choose shoes that are soft and generally minimize the risk of trauma to the foot caused by the shoe.
-  Choose a that is deep enough, often termed “ extra depth” to accommodate the diabetic foot where swelling or edema is a factor over the course of the day
-  Choose a shoe with a removable deep insole or liner so a custom orthotic or diabetic insert can be used instead.
-  Choose a shoe whose fit can be easily adjusted. A Velcro strap or shoes with “speed lacing” are preferred.
-  Shoes that use stretch materials to accommodate swelling and foot deformities are often preferred for both safety and comfort.
-  If possible, choose a shoe with uppers that are easily modified to accommodate a foot deformity.

 

We sell a range of diabetic shoes that can be viewed on the Diabetes Section Of Pedors.Com.

Pedors Shoes and Inserts for Diabetics
-  The seamless stretchable forefoot of the Pedors Classics and Pedors Classic Max are perfect for managing your diabetic foot health.
-  The Pedors 3P Inserts are designed to even out pressure on the plantar surface of the foot which helps to reduce hot spots and pressure points.

 

Click here to redirect to Diabetic Section.

What Are Diabetic Inserts?

Diabetic inserts are accommodative inserts designed to evenly distribute weight across the bottom or plantar surface of the foot. By doing so, the insert helps alleviate any pressure points that could cause a callus that could lead to a breakdown of the skin and ultimately ulceration that could possibly lead to eventual amputation.

 

To evenly distribute the weight the insert needs to be in 100% contact with the plantar surface of the foot so that the foot is cradled to minimize movement of the foot inside a shoe and the shear forces caused by that movement. For diabetics, how the shoe fits are critically important and having the correct insert is a big component of the fit.

 

We sell a range of diabetic inserts that can be viewed on the Diabetes Section Of Pedors.Com.

 

Pedors Shoes and Inserts for Diabetics
-  The seamless stretchable forefoot of the Pedors Classics and Pedors Classic Max are perfect for managing your diabetic foot health.
-  The Pedors 3P Inserts are designed to even out pressure on the plantar surface of the foot which helps to reduce hot spots and pressure points.


Click here to redirect to Diabetic Section.