FAQs for Australians: Should Diabetics Always Wear Shoes?

Foot care is one of the most important aspects of managing diabetes. Many people wonder if it’s safe to go barefoot at home or outside. This FAQ guide provides clear answers for Australians living with diabetes.

1. Why is footwear important for diabetics?

People with diabetes are at increased risk of:

• Neuropathy (nerve damage), which can reduce sensation in the feet

• Poor circulation, which slows healing

• Foot ulcers and infections

Wearing proper shoes helps protect the feet from injuries, infections, and pressure sores.

2. Should diabetics wear shoes all the time?

Yes, generally. Diabetics should wear diabetic shoes whenever possible, especially outdoors or in environments where injury is likely. Even minor cuts or blisters can develop into serious infections.

3. Is it ever safe to go barefoot at home?

• Some people may walk barefoot safely on clean, soft surfaces at home, but caution is needed.

• Avoid walking barefoot on hard, uneven, or dirty surfaces.

• Consider indoor slippers or socks with grips for protection and comfort.

4. What type of shoes are best for diabetics?

Diabetic-friendly shoes should:

• Have a wide toe box to prevent pressure on toes and bunions

• Offer extra depth for orthotics if needed

• Have soft, supportive materials to reduce friction

• Include non-slip soles to prevent falls

Examples: therapeutic or custom-made shoes, or medically approved extra-depth shoes.

5. Can sandals or open shoes be worn?

• Only if approved for diabetic use with protective features.

• Avoid flip-flops or thin-soled sandals, which can lead to cuts, burns, or bruising.

• Shoes should cover the foot and protect against injury.

6. How often should diabetics check their feet?

• Daily self-inspection is recommended.

• Check for cuts, blisters, redness, swelling, or nail problems.

• Report any issues to a podiatrist or GP immediately.

7. Can going barefoot affect healing?

Yes. Walking barefoot, even at home, increases the risk of:

• Infections from small cuts

• Pressure sores

• Worsening neuropathy complications

Proper footwear helps prevent injuries before they start.

8. Tips for diabetics to protect their feet

• Always wear well-fitted shoes and clean socks

• Inspect feet daily

• Keep feet clean, dry, and moisturized (avoid between toes)

• Rotate shoes to prevent pressure points

• Use podiatrist-recommended diabetic shoes or orthotics

Bottom Line:
For Australians with diabetes, wearing shoes is not just about comfort—it’s a crucial part of foot health. While occasional barefoot walking on safe surfaces may be acceptable, protective, well-fitted shoes should be worn most of the time to prevent serious complications.