The Medicare Diabetic Shoe Program--What You Should Know.
By Thomas Ortenzio, DPM

Medicare has recognized the importance of proper footwear as part of a comprehensive plan of treatment for people with diabetes. Diabetic individuals that have certain foot conditions may be eligible to receive a pair of extra-depth shoes and three pairs of custom-molded inserts every year. These foot conditions include: peripheral arterial disease (poor circulation); peripheral neuropathy (significant pain or loss of feeling); excessive swelling; deformities such as bunions, hammertoes, corns, and calluses; and ulceration (loss of skin and internal soft tissues).
Properly fitted footwear can provide the support and protection that is essential for people with diabetes. Sores can easily develop from shoes that are not fitted properly. In turn, these sores may result in a foot infection that can sometimes lead to ulceration and amputation. Diabetics that have peripheral neuropathy may develop these sores without even knowing it.

“If the Shoe Fits”

The proper sizing of a shoe is critical in preventing skin irritation, ulcers, and infections. Shoes that are fitted by your podiatrist will assure that you are getting the proper length, width, and depth for the particular shoe style selected. If you notice that you have redness or skin irritation due to pressure from a shoe, your shoes do not fit correctly!

Custom-Molded Inserts

Custom-molded inserts are made from state-of-the-art materials that accommodate and relieve pressure on weight-bearing areas of the foot. These inserts are molded to the exact contour of the bottom of your foot to relieve the pressure points that could cause skin irritation or ulceration. If you already have had an ulceration on a particular area of your foot, a custom-molded insert can reduce the chance of its recurrence.

It’s Time to Find Out!

Your podiatrist is the professional that is best trained to assess your diabetic foot condition, and accommodate your feet with the proper sizing and style of shoe-gear that is best for you. Ask your podiatrist today if the Medicare Diabetic Footwear Program is right for you.