FAQs for Australians: What Type of Shoes Should Diabetics Wear?

Foot health is a top priority for Australians living with diabetes. Wearing the right type of shoes can prevent injuries, ulcers, and long-term complications. Here’s a clear FAQ guide on choosing diabetic shoes.

1. Why is shoe choice important for diabetics?

Diabetes can cause:

Neuropathy (loss of sensation), increasing the risk of unnoticed injuries
Poor circulation, slowing healing
Foot deformities like bunions or hammertoes

Proper shoes reduce pressure, friction, and the risk of infections, keeping your feet healthy.

2. What are the key features of diabetic shoes?

Diabetic-friendly shoes should have:

Wide toe box – prevents crowding and pressure on toes
Extra depth – accommodates orthotics or swelling
Soft, flexible materials – reduces friction and irritation
Cushioned insoles – provides shock absorption
Non-slip soles – helps prevent falls and injuries
Adjustable closures – Velcro or laces for a secure fit

3. Should diabetics wear custom-made shoes?

Custom-made shoes are recommended for people with severe foot deformities or high risk of ulcers.
Standard extra-depth diabetic shoes may be sufficient for people with mild foot issues or preventive needs.

4. Are orthotics or insoles necessary?

Many diabetic shoes allow for removable orthotics, which help support arches, relieve pressure points, and correct alignment.
Your podiatrist can recommend the right inserts based on your foot structure and medical needs.

5. Can diabetics wear sandals or open shoes?

Only if the sandals are medically approved for diabetic use and have protective features.
Avoid flip-flops or thin-soled sandals, which increase the risk of cuts and burns.

6. How should shoes fit?

There should be about a thumb’s width between the longest toe and the front of the shoe.
Shoes should fit snugly around the heel and midfoot without pressure points.
Walk in the shoes before purchasing to check comfort and support.

7. When should shoes be replaced?

Replace shoes when the sole wears out, the shape changes, or comfort is lost.
Medicare in Australia generally allows one pair of therapeutic shoes per year for eligible patients.

8. Tips for choosing the best diabetic shoes

Consult a podiatrist for advice on the right type.
Check for approved brands and suppliers that meet Medicare requirements.
Always wear shoes both indoors and outdoors if you have neuropathy or foot complications.

Bottom Line:
Australians with diabetes should prioritize wide, extra-depth, cushioned, and supportive shoes to protect their feet. Proper footwear, combined with daily foot care, helps prevent injuries and long-term complications.