Per Reiber et al., 21–52% of diabetic foot ulcers begin with inappropriate footwear. Proper shoes prevent and help heal ulcers. The risk rises further when neuropathy has removed protective sensation.
Footwear features
- Seamless interior
- Wide and deep toe box
- Stable heel ≤2 cm
- Adjustable closures
- Shock-absorbing outsole
Offloading the active ulcer
- Total contact cast (TCC) — gold standard
- Non-removable knee-high walker
- Removable knee-high walker
- Offloading shoe
Ulcer assessment and offloading at Dialine is part of the same wound-care plan.
References
- Bus SA, et al. IWGDF 2023 offloading guideline. Diabetes Metab Res Rev. 2024;40(3):e3647. https://iwgdfguidelines.org/
- Bus SA, et al. Custom-made footwear RCT for diabetic foot ulcer recurrence. Diabetes Care. 2013;36(12):4109–4116. https://doi.org/10.2337/dc13-0996
