By Jane Sterling | Published on January 8, 2024 @ 5:30 PM

Navigating through diabetic foot care can be daunting, especially for those newly diagnosed. This comprehensive guide aims to demystify diabetic shoe inserts, a crucial tool in maintaining foot health for diabetics. We’ll explore what they are, their importance, and how to choose and care for them effectively.

What are Diabetic Shoe Inserts?

Diabetic shoe inserts are specialized insoles designed to offer extra support and cushioning for individuals with diabetes. They differ significantly from regular shoe inserts by focusing on alleviating pressure points, enhancing comfort, and preventing foot injuries. These inserts are crucial for those with reduced foot sensation and circulation issues, common complications of diabetes.

Why are Diabetic Shoe Inserts Important?

Diabetes often leads to neuropathy (nerve damage) and poor blood circulation in the feet, making them susceptible to injuries and ulcers. Proper foot care is vital, and diabetic shoe inserts play a significant role in this regime.

Benefits of Diabetic Inserts:

Pressure Redistribution:

They help redistribute weight across the foot, reducing pressure on high-risk areas.

Injury
Prevention:

By cushioning and supporting the feet, they minimize the risk of cuts, blisters, and ulcers.

Improved
Comfort:

Enhances overall foot comfort, which is essential for daily mobility.

Types of Diabetic Shoe Inserts

When it comes to diabetic shoe inserts, understanding the different types available is crucial for making an informed choice. Each type caters to specific needs and foot conditions associated with diabetes. Here’s a closer look at the common types of diabetic shoe inserts:

Custom Molded Inserts

  • Description: Tailored specifically to fit the contours of your feet. They are made after a podiatrist takes a mold of your foot to ensure a perfect fit.
  • Best For: Individuals with significant foot deformities, severe neuropathy, or history of foot ulcers.
  • Benefits: Offers maximum protection by distributing pressure evenly across the foot, reducing the risk of sores and ulcers.

Heat Moldable Inserts

  • Description: These inserts are pre-fabricated but can be heat-molded to better conform to the foot’s shape.
  • Best For: Those who need more customization than off-the-shelf options but not to the extent of fully custom inserts.
  • Benefits: Provides a semi-custom fit, enhancing comfort and protection, and is generally more affordable than fully custom inserts.

Gel Inserts

  • Description: Made with gel padding, these inserts provide cushioning and relief to the feet.
  • Best For: Diabetics experiencing mild to moderate discomfort or those with less severe foot issues.
  • Benefits: The gel helps in shock absorption and provides comfort during prolonged periods of standing or walking.

Foam Inserts

  • Description: These are soft and cushiony, made from different densities of foam to provide support and pressure relief.
  • Best For: Individuals looking for comfort and relief from minor foot pain or fatigue.
  • Benefits: Foam inserts are lightweight and can provide relief from pressure points while being cost-effective.

Insoles with Arch Support

  • Description: Specifically designed to provide support to the arch area of the foot.
  • Best For: Diabetics with flat feet or high arches who need additional arch support to distribute foot pressure more evenly.
  • Benefits: Helps in maintaining proper foot alignment, reducing strain on the feet and lower body. The Canles Easeon, for example, have this feature built-in, so you won’t need to worry about inserts.

Extra Depth Inserts

  • Description: These inserts are thicker and used in extra depth shoes to provide ample room and cushioning.
  • Best For: Individuals who require more space due to foot swelling, large bunions, or hammertoes.
  • Benefits: Offers a comfortable fit for those who need additional space in their footwear due to various foot conditions.

Choosing
the Right Diabetic Shoe Inserts

Size and Fit:

Ensure they fit properly in your shoes and accommodate the shape of your foot.

Material:

Consider the materials based on comfort, durability, and specific foot conditions.

Consultation:

Always consult a healthcare professional, like a podiatrist, to guide your choice based on your foot’s condition.

How to Use and Care for
Your Diabetic Shoe Inserts

Proper usage and maintenance of diabetic shoe inserts are vital for maximizing their benefits and lifespan. Here’s an expanded guide on how to effectively use and care for your diabetic shoe inserts:

Using Your Diabetic Shoe Inserts

Initial Adjustment Period:

  • Start by wearing the inserts for a few hours each day to allow your feet to adjust. Gradually increase the duration as your comfort level improves.

Checking for Fit:

  • Ensure that the inserts fit snugly in your shoes without causing any discomfort or crowding of the toes.
  • Check that your heel sits comfortably in the insert’s heel cup for proper alignment and support.

Wearing Tips:

  • Wear diabetic socks with your inserts for additional protection and comfort.
  • Avoid going barefoot and always use your inserts in your shoes, even indoors, to maintain consistent foot support.

Caring for Your Diabetic Shoe Inserts

Daily Inspection:

  • Examine your inserts daily for any signs of wear or damage, such as tears, cracks, or flattening of the cushioning. This is especially important as diabetics may not feel small changes due to reduced foot sensitivity.

Cleaning:

  • Regularly clean your inserts according to the manufacturer’s instructions. Most can be gently cleaned with a mild soap and air-dried.
  • Avoid exposing them to direct heat sources like radiators or sunlight, as this can warp or damage the material.

Odor Control:

  • To manage odor, you can sprinkle baking soda on the inserts and leave them overnight. Brush off the baking soda before using them again.
  • Some inserts come with antimicrobial treatments; if yours don’t, consider using odor-control sprays or powders designed for shoe inserts.

Rotation:

  • If possible, have more than one pair of inserts to rotate between. This allows each pair to rest and air out, extending their life and effectiveness.

Replacement:

  • Be aware of the typical lifespan of your inserts, which can vary based on daily usage and material. They generally need replacement every 6 months to a year.
  • Always replace your inserts at the first sign of significant wear or as recommended by your healthcare provider.

Common Myths and Misconceptions

Diabetic shoe inserts are surrounded by various myths and misconceptions. It’s important to address these misunderstandings to ensure that individuals with diabetes can make informed decisions about their foot care. Here are some common myths and the facts to dispel them:

  • Myth: Diabetic Shoe Inserts Aren’t Necessary If You Don’t Have Foot Pain
    Fact: Many diabetics may not feel pain due to neuropathy (nerve damage), which dulls sensation in the feet. Inserts are used for preventive care, to distribute pressure evenly and prevent injuries that might go unnoticed until they become severe.
  • Myth: Any Shoe Insert Can Work for Diabetics
    Fact: Diabetic shoe inserts are specifically designed to address the unique needs of diabetic feet, such as pressure relief and reducing the risk of ulcers. Regular inserts may not provide the necessary support and protection.
  • Myth: Diabetic Inserts Cure Foot Problems
    Fact: While inserts are an essential part of managing foot health, they are not a cure. They work best in conjunction with other diabetic foot care practices, like regular check-ups, proper footwear, and maintaining good blood sugar levels.
  • Myth: Diabetic Inserts are Uncomfortable and Bulky
    Fact: Modern diabetic shoe inserts are designed with comfort and usability in mind. They are made of materials that offer support while being lightweight. Custom options ensure a perfect fit, eliminating discomfort and bulkiness.
  • Myth: Once You Start Wearing Diabetic Inserts, You Can’t Stop
    Fact: The use of diabetic inserts should be seen as part of an ongoing foot care routine. While it’s not advisable to stop using them arbitrarily, adjustments can be made with the guidance of a healthcare professional as your foot health evolves.
  • Myth: Diabetic Shoe Inserts are Only for the Elderly
    Fact: Diabetes can affect people of all ages, and the need for diabetic shoe inserts is based on foot health, not age. Younger individuals with diabetes can also benefit significantly from using these inserts.

Final Thoughts

Diabetic shoe inserts are a simple yet vital part of managing diabetes and maintaining foot health. They offer protection, comfort, and peace of mind, making them an essential investment for anyone managing diabetes.

For more detailed information, consult resources like the American Diabetes Association website or talk directly to healthcare professionals. They can provide valuable guidance and support tailored to your specific needs.

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