"THE FITTED SHOE"
Diabetes is a problem of our culture. It tends to run on family lines and some ethnical groups are more prone to diabetes than others. It is considered a syndrome in which the pancreatic hormone insulin is absent or in such low quantities that it can not break down sugars in the blood. This results in high blood sugar which can disrupt the vascular system. It can attack almost any anything that requires a blood supply. So organs like the kidneys, your eyes, heart, reproduction organs and circulation to the extremities and more can be involved.
Besides heredity, other factors that can affect diabetes are diet, weight, stress, and smoking. What we will concern ourselves here are legs and feet. Diabetes can cause problems in two ways in the legs and feet. First is peripheral circulation or vascular disease. This affects patients in two ways. First it may cause hypo-sensitivity, a lack of feeling. This allows the foot to become injured without knowing it. It also allows infection to take place without immediate notice to the rest of the body. In severe cases, gangrene and amputation can result. Due to the poor circulation, wounds do not heal normally. Open ulcers can result from small ignored minor injuries.
The second problem caused by diabetes is peripheral neuropathy. The nerves may be hypersensitive on fire, or may go completely dead. Due to this lack of sensation, the charcot joints, fractures and deformities occur.
If your blood sugar is under control and there is no neuropathy or circulation problems, you can wear most styles of shoes. Just make sure they are long and wide enough and have reasonable support. For every day, a good tie oxford or walking shoe. For dress, a rounder toe dress shoe that fits and does not irritate the feet. Watch for rough seams or anything in the shoe that could irritate your foot or hinder circulation.
If you have bunions, hammer toes or other problems, you will have to make sure that the shoes accommodate these problems. Abnormal feet are a magnet for skin break downs, and diabetes may quietly over time destroy and weaken foot structures from within. Then suddenly you may have a huge problem. If you have any foot abnormalities, you may want to spend a little more for insurance to prevent problems later. In depth, extra support shoes with cushion innersoles. Or with bunions or hammer toes, Oblique toe in depths with extra support features.
If you have a real problem controlling your blood sugar, have neuropathy or circulation problems related to diabetes, then for daily wear you should consider the oblique toe in depth shoes. Clinical studies have shown such shoes to reduce the number of people who ulcerate, have infections or amputations. The extended counters give better heel control and balance. The cushion inner-soles reduce impact to the foot from repetitive blows produced from walking. Your doctor can and often will remove the cushion innersole and replace it with a custom orthotic to take pressure off problem or pressure areas. The oblique toe shoes are a quarter of an inch deeper than conventional shoes and will take prescribed orthotics. The locking mechanism built into the shoe for the heel is also higher to give a better heel fit with an orthotic. The oblique toes are rounder and straighter lasted to remove pressure on foot and toes.
Be sure to consult with your doctor for all questions about your diabetes, symptoms, foot care and maintenance. Make sure your shoes fit, support and do not pinch or irritate your feet. Our favorite shoes are Barefoot Freedom's Fitter for the active woman who does not have any walking problems. Sally and Stroller for a change or where the sole must slide easier. Happy for those with bad arthritis or a stroke who can not tie. Or any of the P W Minor shoes on the Contour last like Miss Contour or Duchess etc.
BACK TO INTRODUCTION - PES PLANUS & RELATED PROBLEMS - VARUS & OTHER PROBLEMS -
BAREFOOT FREEDOM - P W MINOR - ARTHRITIS - TOCYNBRO
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