The Best Shoes for People with Diabetes
Cowboy boots, pumps, wingtips, or sneakers? If you have diabetes, choosing shoes is far more than a matter of looks—it’s a vital part of your treatment plan. Finish off an outfit with well-fitting, comfortable shoes or boots and you can prevent sores, nerve damage, and even amputation.
It may take some time and patience, and perhaps the advice of your podiatrist or an experienced footwear professional, but you can find footwear that’s both flattering and healthy for your feet. Look for shoes that:
Breathe. Air circulation can keep your feet safe from fungus or bacteria. Choose shoes made of porous materials, such as leather or fabric. Skip those made with stifling plastic. However, don’t aim for too much of a good thing. Sandals and flip-flops may give your feet more oxygen, but they also increase your risk of injury. Avoid them.
Absorb shock. Special shock-absorbing soles, often found in athletic shoes, can reduce the impact your feet take with each step. If your shoes don’t come with this feature, you may be able to purchase special insoles that serve the same purpose.
Don’t pinch or crowd. High heels and pointed toes may be in vogue, but they’re likely to cause long-term damage. Search for low-heeled styles that don’t rub or pinch your feet or cause calluses or blisters. Carefully inspect the inner surface for jagged edges or shoddy workmanship. Over time, these seemingly minor annoyances can turn into big problems, including ulcers and infections.
Fit well. Shoes that are too big may cause your foot to shift inside without you noticing, squashing your toes, or increasing the pressure on them. But don’t be tempted to buy shoes that are too small, which can hinder your circulation.
What is Toujeo® (insulin glargine injection) 300 Units/mL?
Prescription Toujeo® is a long-acting insulin used to control blood sugar in adults
with diabetes mellitus.
• Toujeo® contains 3 times as much insulin in 1 mL as standard insulin (100 Units/mL)
• Toujeo® is not for use to treat diabetic ketoacidosis
• Toujeo® should not be used in children
Important Safety Information for Toujeo® (insulin glargine injection) 300 Units/mL
Do not take Toujeo® if you have low blood sugar or if you are allergic to insulin or any of the ingredients in Toujeo®.
Do NOT reuse needles or share insulin pens even if the needle has been changed.
Before starting Toujeo®, tell your doctor about all your medical conditions, including if you have liver or kidney problems, if you are pregnant or planning to become pregnant or if you are breastfeeding or planning to breastfeed.
Heart failure can occur if you are taking insulin together with certain medicines
called TZDs (thiazolidinediones), even if you have never had heart failure or
other heart problems. If you have heart failure, it may get worse while you take
TZDs with Toujeo®. Your treatment with TZDs and Toujeo® may need to be
changed or stopped by your doctor if you have new or worsening heart failure.
Tell your doctor if you have any new or worsening symptoms of heart failure,
• Shortness of breath
• Swelling of your ankles or feet
• Sudden weight gain
Tell your doctor about all medications you take, including OTC medicines, vitamins, and supplements, including herbal supplements.
Toujeo® should be taken at the same time once a day. Test your blood sugar levels daily while using insulin, including Toujeo®. Do not make changes to your dose or type of insulin without talking to your doctor. Verify you have the correct insulin before each injection. Your dose for Toujeo® may be different from other insulins you have taken. Any change of insulin should be made cautiously and only under medical supervision.
Do NOT dilute or mix Toujeo® with any other insulin or solution. It will not work as intended and you may lose blood sugar control, which could be serious. Use Toujeo® only if the solution is clear and colorless with no particles visible.
Toujeo® (insulin glargine injection) 300 Units/mL
While using Toujeo®, do not drive or operate heavy machinery until you know how Toujeo® affects you. Don’t drink alcohol or use other medicines that contain alcohol.
The most common side effect of any insulin, including Toujeo®, is low blood sugar (hypoglycemia), which may be serious and can be lifethreatening. Severe hypoglycemia may cause harm to your heart or brain. Symptoms of serious low blood sugar may include shaking, sweating, fast heartbeat, and blurred vision.
Toujeo® may cause serious side effects that can lead to death, such as severe
allergic reactions. Get medical help right away if you have:
• A rash over your whole body
• Shortness of breath
• Swelling of your face, tongue, or throat
• Extreme drowsiness, dizziness, or confusion
• Trouble breathing
• Fast heartbeat
Toujeo® may have additional side effects including swelling, weight gain, low potassium, and injection site reactions which may include change in fat tissue, skin thickening, redness, swelling, and itching.
Toujeo® SoloStar® is a disposable prefilled insulin pen. Talk to your doctor about proper injection technique and follow instructions in the Instruction Leaflet that comes with the pen.
Please see link below for Full Prescribing Information for Toujeo®
How do you get it just right? It’s best not to rely on how a shoe feels—especially if you know you have nerve damage. Have your feet measured regularly when you go to purchase new footwear. Then, choose a style and size that leaves 10 to 15 millimeters between your toes and the front of the shoe. Try to match the shape of the shoe’s toe-box to the shape of your toes. And check that the widest part of your foot—across the base of your toes—aligns with the widest part of your shoe.
Since your feet may swell and shrink during the course of a day or month, seek out shoes with an adjustable fit. Laces, Velcro, and buckles all allow you to make changes to accommodate your comfort.
Follow the doctor’s orders
If you have concerns about finding the right shoe, or if you’ve already had foot sores, your doctor may suggest prescription footwear specially designed for your feet. They’re often covered by insurance, and some styles can reduce the pressure on your feet by as much as 30 percent, according to a recent study in the journal Diabetes Care.
Brands approved by the American Podiatric Medical Association for people with diabetes include CrocsRx and Dr. Comfort.
Wearing well-fitting, comfortable shoes can help prevent sores, nerve damage, and even amputation.
Choose shoes made of porous materials, such as leather or fabric, but avoid sandals and flip-flops.
Search for low-heeled styles that don’t rub or pinch your feet or cause calluses or blisters.
Have your feet measured. Then, choose a style and size that leaves 10 to 15 millimeters between your toes and the front of the shoe.
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- McInnes AD, et al. Comparison of shoe-length fit between people with and without diabetic peripheral neuropathy: a case–control study. Journal of Foot and Ankle Research. 2012;5(1):1-8.
- Buss SA, et al. Evaluation and Optimization of Therapeutic Footwear for Neuropathic Diabetic Foot Patients Using In-Shoe Plantar Pressure Analysis. Diabetes Care. 2011;34(7):1595–1600.
- Fiedler KE, et al. The effect of shoe lacing on plantar pressure distribution and in-shoe displacement of the foot in healthy participants. Gait & Posture. 2011;33(3):396-400.
- Exercise: How to Get Started—Shoes and Equipment. National Institutes of Health. Senior Health. http://nihseniorhealth.gov/exerciseandphysicalactivityhowtogetstarted/shoesandequipment/01.html
- Care of the Diabetic Foot. American Academy of Orthopaedic Surgeons http://orthoinfo.aaos.org/topic.cfm?topic=A00148
- Shoes and
Orthotics for Diabetics. American Orthopaedic Foot & Ankle Society. http://www.aofas.org/footcaremd/conditions/diabetic-foot/Pages/Shoes-and-Orthotics-for-Diabetics.asp...)
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- How to Select the Right Athletic Shoes. American Orthopaedic Foot &
Ankle Society. http://www.aofas.org/footcaremd/how-to/footwear/Pages/Selecting-Athletic-Shoes.aspx
- Products by Type. American Podiatric Medical Association. http://www.apma.org/learn/CompanyProductsList.cfm?navItemNumber=3862)
- Take Charge of Your Diabetes. Centers for Disease Control and
- Living With Diabetes: Keep Your Feet Healthy. Centers for Disease
Control and Prevention. http://www.cdc.gov/features/diabetesfoothealth/
- Foot Complications.
American Diabetes Association. http://www.diabetes.org/living-with-diabetes/complications/foot-complications/
- 13 Tips for Healthy Feet. American Diabetes Association. http://www.diabetesforecast.org/2014/07-jul/13-tips-for-healthy-feet.html
- Steps to Prevent or Delay Nerve Damage. American Diabetes Association. http://www.diabetes.org/living-with-diabetes/complications/neuropathy/steps-to-prevent-or-delay.html
- Diabetes and Pedorthotics: Conservative Foot Care. Pedorthic Footcare Association. http://www.pedorthics.org/?DIABETESANDPEDORTHIC