What Are the Best Shoes for People with Diabetes?

Foot health is a crucial concern for individuals with diabetes, as they are more susceptible to foot-related complications due to poor circulation and nerve damage (neuropathy). Proper footwear prevents injuries, reduces pressure points, and ensures long-term foot health.

At QCity Podiatry, we specialise in diabetic foot care and provide expert guidance on choosing the best shoes for people with diabetes.

Why Proper Footwear Matters for Diabetics

People with diabetes are at an increased risk of developing foot ulcers, infections, and other complications due to reduced blood flow and sensation in the feet. Ill-fitting shoes can cause blisters, calluses, and pressure sores, which may go unnoticed and lead to serious medical conditions. The proper footwear helps to:

• Provide adequate cushioning and support.
• Reduce friction and pressure points.
• Promote proper circulation.
• Prevent foot deformities and complications.
• Lower the risk of infections caused by minor foot injuries.
• Enhance mobility and reduce foot fatigue for daily activities.

Key Features to Look for in Diabetic Shoes

When selecting shoes for diabetes, it’s essential to consider the following features:

Proper Fit and Width

Diabetic shoes should have a roomy toe box to prevent rubbing and pressure on the toes. They should fit comfortably without being too tight or too loose. Since swelling is common in diabetic feet, adjustable features can ensure an ideal daily fit.

Soft, Seamless Interior

Shoes with a soft lining and no internal seams help prevent irritation, reducing the risk of sores and blisters, especially for those with neuropathy. A seamless interior minimises friction and protects sensitive skin from developing pressure ulcers.

Supportive Insoles and Cushioning

A well-cushioned insole absorbs shock, reduces pressure on sensitive areas, and enhances overall comfort. Look for shoes with built-in arch support to improve foot alignment and reduce plantar fascia and joint strain.

Breathable Materials

Shoes made from breathable materials, such as leather or mesh, help keep feet dry and reduce the risk of infections. Moisture-wicking properties prevent excessive sweating, which can lead to fungal growth or skin irritation.

Adjustable Closures

Velcro straps, elastic laces, or hook-and-loop fasteners allow for easy adjustments to accommodate foot swelling, common in people with diabetes. Secure but flexible closures also help those with mobility issues fasten their shoes easily.

Non-Skid, Firm Outsole

A slip-resistant outsole improves stability and helps prevent falls, which can lead to foot injuries. Shoes with a firm yet flexible grip provide better traction, especially for individuals with balance concerns.

Recommended Shoe Types for Diabetics

Diabetic-Specific Shoes

These shoes are designed with extra depth, cushioning, and seamless interiors to provide maximum protection and comfort. They are available in various styles, from casual wear to dress shoes, ensuring that individuals with diabetes don’t compromise fashion or function.

Athletic Sneakers with Proper Arch Support

Running or walking shoes with adequate arch support and shock absorption are ideal for everyday wear and exercise. They help alleviate stress on the feet and reduce the risk of pressure ulcers, especially for the physically active.

Extra-Depth or Custom Orthotic Shoes

Extra-depth shoes or custom orthotics provide additional space and support for individuals with foot deformities, bunions, or other structural concerns. These specialised shoes help prevent rubbing against sensitive areas and accommodate medical-grade orthotic inserts.

Slippers with Arch Support

Even at home, wearing supportive slippers can help prevent injuries and maintain proper foot alignment. Choose slippers with closed toes, a sturdy sole, and good arch support to ensure continuous protection indoors.

Sandals with Protective Features

While many sandals are not recommended for diabetics, specific designs with adjustable straps, contoured footbeds, and cushioned soles can provide comfort and safety in warmer weather. Look for models that offer full foot coverage to reduce the risk of injuries.

What to Avoid in Diabetic Footwear

• High heels and narrow shoes that increase pressure points.
• Flip-flops and unsupportive sandals that expose feet to injuries.
• Shoes with stiff or rigid materials that may irritate.
• Tight-fitting shoes that restrict circulation.
• Shoes with pointed toes can compress and damage toe joints.
• Worn-out footwear with inadequate cushioning.

Additional Tips for Foot Care and Shoe Selection

• Always wear socks with your shoes to reduce friction and keep your feet dry.
• Check your feet daily for signs of redness, swelling, cuts, or blisters.
• Have your feet measured regularly, as foot size and shape may change over time.
• Break in new shoes gradually by wearing them for short periods before extended use.
• Rotate your footwear to allow shoes to air out and maintain their shape.
• Consider custom orthotics if you have specific foot conditions that require additional support.

When to See a Podiatrist

If you experience foot pain, swelling, or signs of irritation, it’s essential to consult a podiatrist. Diabetic foot complications can escalate quickly, leading to infections, ulcers, or even amputation in severe cases. At QCity Podiatry, we offer diabetic foot assessments, custom orthotics, and personalised footwear recommendations to ensure your feet remain healthy and pain-free.

Signs that indicate you should visit a podiatrist include:

• Persistent foot pain or discomfort when walking.
• Redness, warmth, or swelling around the toes or heels.
• Thickened or discoloured toenails, which may indicate fungal infections.
• Numbness or tingling in the feet can be a sign of neuropathy.
• Wounds, cuts, or blisters that are slow to heal.

Protect Your Feet with the Right Shoes

Choosing the right shoes is a key step in preventing diabetic foot complications. Proper footwear can maintain comfort, mobility, and overall foot health while reducing the risk of injuries.

Our specialists help you select the ideal shoes tailored to your specific needs, ensuring that your feet remain supported and protected.