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Do diabetics need special shoes to prevent ulcers?

Answered byDr. Pavan Kumar UppulaMBBS, MD (General Medicine), DM (Endocrinology)
Fact checked byDiabetes.co.in medical review team
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Patient's Query

I’ve heard about diabetic foot ulcers and amputations, which really scares me. How can I effectively protect my feet? Are specialized diabetic shoes necessary, or is daily foot inspection enough?

Doctor Answers

Dr. Pavan Kumar Uppula
Dr. Pavan Kumar Uppula
Endocrinologist

Protecting your feet through daily care and prevention can greatly reduce the risk of ulcers or amputations in diabetes.

Essential foot care steps include:

  • Daily inspection of your feet for redness, sores, cuts, blisters, or changes in skin color.

  • Regular washing and moisturizing of feet (avoid lotion between toes).

  • Always wearing comfortable, properly fitted shoes—consider diabetic-specific footwear if you have existing foot deformities or pressure points.

  • Avoid going barefoot, even at home, to prevent injury.

  • Regular podiatry check-ups at least annually or as recommended.

In addition, good control of blood glucose, blood pressure, and cholesterol supports overall vascular and nerve health, significantly reducing foot ulcer risks.

Always consult your healthcare provider or podiatrist for a personalized foot care plan.

References:

  1. Boulton, A. J. M., Vileikyte, L., Ragnarson-Tennvall, G., & Apelqvist, J. (2005). The global burden of diabetic foot disease. Lancet, 366(9498), 1719–1724.
  2. American Diabetes Association. (2023). Foot Care Guidelines. Diabetes Care, 46(Suppl 1), S215–S224.
  3. Armstrong, D. G., Boulton, A. J. M., & Bus, S. A. (2017). Diabetic foot ulcers and prevention. New England Journal of Medicine, 376(24), 2367–2375.
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Disclaimer: The information provided in this Q&A is for educational purposes only and should not be considered as medical advice. Always consult with a qualified healthcare professional for personalized medical guidance and treatment recommendations.