Footwear advice for people with diabetes

This leaflet gives advice about wearing the most appropriate shoes, taking into account the shape of the feet and diabetes. Unsuitable shoes or shoes that don’t fit properly are the most common cause of foot problems in people with diabetes.

Types of shoes

A well-fitting soft leather shoe, boot or trainer with a wide, stable heel (up to three centimetres) that fastens with a lace, velcro or a strap will help to keep feet firmly in place, which will help prevent rubbing.

Ensure shoes are long enough, deep enough and wide enough for the feet so that the toes are not constricted.

Avoid slip-on shoes, backless or sling-backed shoes and slippers as they give less support.

Signs of wear and tear

Check the shoes for signs of wear, such as rough edges in seams or linings, and worn soles or heels. Always check the shoes are in good condition and replace them whenever there are signs of wear and tear that can’t be repaired.

Socks, stockings and tights

Change your socks, stockings or tights daily. All hosiery should be the right size for the feet. They should not have bulky seams and should be worn inside out, as this prevents irritation. To prevent pressure they should not have tight elasticated tops.

Check your feet and shoes

Diabetes can sometimes cause the feet to become numb (known as neuropathy). If you have neuropathy you may not be able to feel shoes rubbing or a ‘foreign object’ in your shoe. Therefore, every day and every time you remove your shoes, socks, stockings or tights, look for any redness or blisters.

Check the bottom of the shoes before putting them on to make sure that nothing sharp has pierced the outer sole. Look and feel inside each shoe for small objects and check that the insides are not worn or creased.

The shape of your feet

Feet can change shape over time. So, when buying new shoes, always check their fit carefully, especially if you have neuropathy.

Buying new shoes

Get feet measured, and new shoes fitted properly. Neuropathy increases your risk of falls so leather shoes that fasten with velcro, laces or buckles are recommended.

Most people’s feet are slightly different sizes. Wear new shoes around the house for short periods (20 minutes) and then check the feet. Look for problems such as redness caused by rubbing or pressure.

Hospital shoes

If you are supplied with shoes they should be the only shoes worn, with the insoles provided as an important part of footwear. If you notice any wear to the shoes, you should contact your orthotist.

Page last reviewed: August 12, 2025
Next review due: August 12, 2026