Footwear and orthotics play an important role in diabetic footcare. Orthotics inserts designed with Plastazote foam, the, are usually recommended. Plastazote is a material designed to accommodate pressure by conforming to heat and pressure. By customizing to the foot, Plastazote provides the comfort and protection needed in diabetic footcare. Footwear constructed with Plastazote is also recommended frequently for the diabetic patient. Diabetic footwear should also provide the following protective benefits:
- High, wide toe box (high and wide space in the toe area)
- Removable insoles for fitting flexibility and the option to insert orthotics if necessary.
- Rocker Soles designed to reduce pressure in the areas of the foot most susceptible to pain, most notably the ball-of-the-foot.
- Firm Heel Counters for support and stability.
If you are a diabetic, you should be particularly alert to any problems you may be having with your feet. It is very important for diabetics with neuropathy to take necessary precautions to prevent injury and keep their feet healthy. If you have diabetes and are experiencing a foot problem, immediately consult your foot doctor.
Medicare Will Assist Patients in Purchasing Diabetic Shoes
However, patients must meet the following criteria to qualify for Medicare-funded diabetic footwear.
- Have diabetes (ICD-9 250.0 & 250.91)
- One or more of the following
The certifying physician who is managing the patient's systemic diabetes condition has certified that conditions 1 & 2 are met, and he/she is treating the patient under a comprehensive plan of care for his/her diabetes and the patient needs diabetic shoes.
- Previous amputation of a foot or part of either foot
- History of foot ulceration on either foot
- History of pre-ulcerative calluses on either foot
- Peripheral neuropathy with evidence of callus formation
- Foot deformity of either foot
- Poor circulation in either foot