Jody Weightman, C.Ped (C), discusses diabetes and footwear selection.
BIO: Physiotherapy Now
UBC Human Kinetics (Exercise Science)2000. Certified Pedorthist (Canada) 2005 NCCP Level 2 Track and Field Coach.
Diabetes and Footwear
Diabetes can affect the foot fairly significantly.
Typically, what you’ll see in a foot with diabetes, whether it’s type 1 or type 2 , is that there will be decreased circulation and decreased sensation. So the lack of circulation really affects healing time so proper footcare is really important by someone who’s trained in treating a diabetic foot.
In terms of sensation changes in the foot you will have decreased sensation typically with diabetes, and it gets worse the longer you have the disease. It’s really important with decreased sensation to work with someone who can fit shoes properly and who can fit insoles properly, if that’s needed, a specialist in those areas.
In terms of the shoe you want to make sure there’s no seams on the inside of the shoe to irritate the top of the foot, and in terms of the insole you want to make sure that it’s distributing the pressure across the bottom of the foot.
If there are any bony prominences there that are going to be prone to breakdown, that you have a little bit of an accommodation in the area of the prominence, just to even the pressure out through the bottom of the foot.
Local Practitioners: Pedorthist