Choosing the safer fit

Treatment pathway
Diabetic Footwear
Footwear assessment and advice to help reduce rubbing, pressure and skin injury for people living with diabetes.
A shoe that feels comfortable can still create a hidden pressure point when sensation is reduced. New rubbing, redness or skin changes need attention.
Treatment overview
Care is shaped around the person, the diagnosis and the goal.
Footwear assessment and advice to help reduce rubbing, pressure and skin injury for people living with diabetes. Diabetes can affect sensation, circulation and healing. Appropriate shoe depth, width, seams, cushioning and fit can help protect areas that are vulnerable to pressure and friction.

Treatment context
Who may benefit
A clear assessment helps identify the right pathway.
A shoe that feels comfortable can still create a hidden pressure point when sensation is reduced. New rubbing, redness or skin changes need attention.
01Why diabetic footwear matters
02Choosing the safer fit
How the pathway works
Understand the care before it begins.
Diabetes can affect sensation, circulation and healing. Appropriate shoe depth, width, seams, cushioning and fit can help protect areas that are vulnerable to pressure and friction.
What to expect
Treatment is reviewed as needs change.
Assess
Bring the footwear you use most often. A clinician can review fit, wear patterns and any areas of rubbing, then discuss whether footwear changes, insoles or further assessment are needed.
Plan
The clinician explains the next step in the context of your findings.
Provide care
The clinician explains the next step in the context of your findings.
Follow up
The clinician explains the next step in the context of your findings.
Treatment modules
Practical care, explained clearly.
Choosing the safer fit: Bring the footwear you use most often. A clinician can review fit, wear patterns and any areas of rubbing, then discuss whether footwear changes, insoles or further assessment are needed.
Protect your feet between reviews.
Keep changes protected, avoid unadvised self-treatment and seek advice if symptoms worsen or do not improve.
The next step should be clear.
A timely assessment helps match care to the diagnosis, risk and practical needs of the person.
Common questions
When should I seek medical advice?+
A new wound, spreading redness, swelling, discharge, odour, colour change, or a hot, cold or painful foot should be assessed promptly. If you feel very unwell, seek urgent or emergency care.
How is the right pathway chosen?+
A clinician considers the diagnosis, symptoms, skin or wound, sensation, circulation, pressure, footwear, medical history and your goals before recommending next steps.
What should I bring to an appointment?+
Bring recent reports, a medication list, details or photographs of changes over time and your usual footwear when relevant.
Continue the care journey
The right next step depends on the clinical picture.
Explore the related pathways that may be discussed after assessment.
Make an appointment
Find the right next step for diabetic footwear.
Our team can help you understand what needs assessment and what information to bring. Diagnosis and treatment depend on an in-person review.

Dr. A. Nirupan Chakkaravarthy
Consultant Podiatrist · Limb Salvage Specialist
This guide is for general education and does not replace an in-person assessment.


