Part 6: Detection and Prevention of Foot Problems in Type 2 Diabetes

Summary - Footwear to Reduce Ulceration and Amputation• Shoe trauma is frequently the pivotal event which precedes ulceration oramputation• Therapeutic shoes and customised insoles have been shown to reduce ulcerrecurrence and the severity of callus• Therapeutic shoes in combination with podiatry care decrease amputation• Plantar pressures are influenced by barefoot walking and type of footwear• Plantar pressure can be reduced with moderately priced commercially availablerunning shoes and cross trainers• Plantar pressures can be further reduced by insoles, especially if custom-made• Padded experimental hosiery has been shown to reduce plantar pressures• People with diabetes and high risk feet require special attention to footwear whichshould be professionally fitted81