Foot problems can affect anyone who has diabetes especially
if there is a lack of circulation, poor feeling in the feet or if the
feet are misshapen. Any injury to the foot can break the skin, let infection
in and lead to an ulcer. Poorly chosen shoes are a common cause of such
injury, leading to these serious problems, even including amputation.
Footwear can damage feet?
of footwear is so important. Good foot care must include choosing the
correct footwear. The right shoes and stockings/tights/socks will help
to keep your feet healthy. Having diabetes should not, in itself, cause
you difficulties in finding suitable shoes.
Shoes that do not fit well can cause corns, calluses,
in growing toe-nails, blisters and ulcers. Remember, because there
might be a problem with numb sensation in your feet, don’t be fooled into thinking your
shoes and socks are safe just because they are comfortable. Maybe you
simply can’t feel that they are tight. If you have neuropathy (poor
feeling) or poor circulation in your feet, continued rubbing or pinching
by unsuitable shoes can cause serious damage without causing you any
How can I help myself?
ensure the shoes you buy are suitable for you, you should have your
feet measured for size and width when you buy a new pair of shoes. Buy
shoes which are broad fitting, have a deep and rounded toe area, are
flat or low heel, are fastened by lace or buckle to keep the heel in
the back of the shoe – this prevents the foot from being able
to slide forward and crush the toes. Always examine the inside of
your shoes for sharp objects or stones before putting them on and replace
damaged inner sole linings. Avoid socks, stockings or tights with
wrinkles or prominent seams. Stockings or socks with over tight elastic
tops should also be avoided as they may restrict the circulation. Never
wear socks with darned areas or holes which can also cause rubbing
Seeking help and what care to expect
should have full education about foot care. Your feet should be examined
every year. If you have misshapen feet or poor circulation and lost
feeling then you should have specialist care. All of this includes
clear advice about footwear. If your feet are at high risk, you should
be assessed formally for special footwear.
If you are unsure of which fit or style is suitable for you, ask your
diabetes team for advice or ask to see a diabetes specialist chiropodist.
You must report urgently to your diabetes team if there are any foot