The main purpose of diabetic shoes is to achieve a proper fit to avoid “shearing,” the movement of the foot inside the shoe. Because diabetics with foot conditions may not be able to feel when their shoes fit incorrectly, they are susceptible to developing foot sores. These sores can lead to more serious problems if they can’t heal properly because of poor circulation. Properly fitting diabetic shoes and inserts prevent shearing by achieving total contact with the bottom of the foot, reducing the risk of sores. Approximately 60-70% of diabetics have mild to severe forms of nerve damage resulting in loss of sensation in their feet, but only 7% receive diabetic shoes. The Centers for Disease Control indicates that comprehensive foot care programs including diabetic shoes can reduce diabetic amputations between 45 and 85%, so that 7% figure should be much higher.
Patton Pharmacy offers Dr. Comfort therapeutic shoes, custom fit to you by Danni Vandenbergh, our certified therapeutic shoe fitter. This service ensures that you will be properly measured, and it allows you to submit an insurance claim for coverage.
Check with your insurance company to see what coverage it provides. Medicare B covers for one pair of shoes and three pairs of custom inserts per year if a person is 65 or older and has been diagnosed with diabetes type II and an accompanying foot problem related to the diabetes. This includes neuropathy, poor circulation, foot deformity, amputation, pre-ulcerative callus, or previous foot ulceration. Therapeutic shoes and inserts are available without a prescription and may be purchased without insurance as well.