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How to Get a Shoe That Fits Just Right

(Hint: you need a professional shoe fitter!)

Getting the right size for your diabetic shoe is very important. It needs enough space for therapeutic inserts and cushioning, but not so much that your foot is insecure and vulnerable to injuries. You should only be fitted for diabetic shoes by a licensed shoe fitter, trained podiatrist, or certified pedorthists (people trained by podiatrists to fit therapeutic shoes).

You cannot get Medicare or insurance coverage for your shoes without a professional fitting. Experts recommend being fitted for shoes in the afternoon if possible. Since feet swell throughout the day, this is when feet will be at their largest.

Professional shoe fitters are typically not found in a local shoe store. Instead, you should speak to your doctor about possible options near you. You can also get a house call from one of our trained and licensed fitters across the USA.

Questions to Ask Before Buying Diabetic Shoes

It's important to select diabetic shoes that will support your lifestyle while managing and preventing foot conditions. Here are some questions you should ask yourself when picking the perfect pair.

Are they comfortable?

You should pick a shoe where your feet feel right at home. Be mindful of any pinching or constriction, and look out for red spots after wearing new shoes. A bad-fitting diabetic shoe can be worse than a good-fitting regular shoe.

Do I like the look/style?

We've seen countless foot injuries and conditions from people who step out of their therapeutic shoes even briefly, especially if they opt for high heels, loose sandals, or tight-fitting dress shoes. It's not worth the risk, especially since there are plenty of stylish or diabetic shoes available.

To avoid this issue, make sure you like the look of your diabetic shoes and that the color suits your wardrobe. If you find a brand you want, consider purchasing other pairs for special occasions or different uses, such as formal or athletic shoes.

Are there too many seams?

Once you find a style you like, look carefully at the seams. Fewer seams tend to mean less friction, meaning more protection against blisters and other foot issues.

Am I likely to trip and fall in these?

Foot injuries from slip and fall accidents can be particularly damaging to people with diabetes, so avoiding an injury should be a priority when picking your shoes. Look for non-slip shoes to prevent these accidents. While a lighter material may be best for most of the shoe, the sole should be sturdy enough to absorb shock and restrict sliding.

Is there enough room for my diabetic orthotics/insoles?

If you use insoles, pick shoes designed with some extra depth. You should also ensure there is enough room for your diabetic socks inside the shoe. Discuss these needs with your shoe fitter to ensure the proper recommendation for sizing and type.

Can I fasten them?

Many people have health conditions that prevent them from tying shoelaces. For this reason, many diabetic shoes use elastic lacing or Velcro. Find a fastener that works for you, but be sure to pick one secure enough to support the shoe. Slip-on shoes are not typically recommended.

Getting Medicare Coverage for Your Diabetic Shoes

You need three documents from two medical professionals to get coverage from Medicare:

• Prescription verifying the need for diabetic shoes
• Certification of the need for the shoes from the active doctor treating diabetes
• Receipt from a qualifying supplier