Choosing the best footwear for diabetics is about more than finding a comfortable pair of shoes. For people with diabetes, properly fitting footwear can help protect the feet from unnecessary pressure, friction, blisters, and other sources of irritation.
Diabetes can affect the nerves and circulation in the feet. Neuropathy may reduce the ability to feel pain, while poor circulation can make injuries more difficult to heal. This means a small blister or cut may go unnoticed and potentially become a more serious problem.
The right footwear should provide enough room, cushioning, stability, and protection while matching the individual shape of your feet.
What Is the Best Footwear for Diabetics?
There isn’t one shoe that is best for everyone with diabetes. The right choice depends on your foot shape, width, activity level, and whether you have problems such as neuropathy, deformities, calluses, or previous ulcers.
For many people, good diabetic-friendly footwear should provide:
- A comfortable, secure fit
- A roomy toe box
- Adequate width
- Sufficient depth
- Cushioning and shock absorption
- Good stability
- A smooth interior
- Breathable materials
- Reliable traction
- Removable insoles when needed
The American Diabetes Association notes that diabetic footwear can include features such as extra depth, extra-wide widths, large toe boxes, easy closures, stretchable materials, and options for custom orthotics.
Why Is Footwear Important for People With Diabetes?
Footwear plays an important role in protecting the feet.
Diabetic neuropathy can reduce sensitivity to pain, heat, and cold. As a result, someone may not notice that a shoe is rubbing against the skin or creating excessive pressure.
Poor circulation can also make it harder for the feet to heal after an injury. Properly fitted shoes can help reduce avoidable sources of pressure and friction.
For this reason, shoes should feel comfortable when you first try them on rather than relying on the expectation that they will eventually “break in.”
Key Features of the Best Diabetic Footwear
1. A Roomy Toe Box
A spacious toe box is one of the most important features to look for.
Your toes should have enough room to move naturally without being squeezed together or pressed against the front of the shoe.
A narrow toe box can create unnecessary pressure around the toes and forefoot. Men and women with particularly wide feet may benefit from shoes specifically designed with a wider forefoot.
The ADA’s diabetic footwear guide specifically highlights large toe boxes and extra-wide widths as useful footwear features.
2. Extra-Wide Width Options
Standard-width shoes aren’t suitable for everyone.
If your feet are broad, look for footwear available in wide or extra-wide widths. Some shoes are offered in widths such as 2E, 4E, or wider.
The goal isn’t to choose the widest shoe possible. Instead, choose a width that gives your feet enough room while keeping the heel and midfoot secure.
Extra-wide shoes can be particularly useful for people with foot deformities or a broad forefoot. The ADA notes that people with conditions such as bunions or hammertoes may need extra-wide or extra-deep footwear.
3. Extra Depth
Extra-depth footwear provides additional vertical space inside the shoe.
This can be useful for people with higher-volume feet, toe deformities, or those who use custom insoles or orthotics.
Extra depth can also reduce the chance of the upper pressing against the top of the foot.
4. Soft, Flexible Materials
The upper should comfortably move with your feet.
Soft or stretchable materials can reduce unnecessary pressure, particularly around the forefoot. Avoid materials or seams that create obvious pressure points.
The ADA’s footwear guidance highlights materials that can stretch without causing excessive pressure or irritation.
5. Comfortable Cushioning
Cushioning can make walking more comfortable by absorbing some of the impact generated with each step.
If you spend several hours walking or standing, look for a shoe with sufficient midsole cushioning without sacrificing stability.
However, maximum softness isn’t necessarily the goal. A shoe should still provide a stable base for walking.
6. A Secure Heel
While the front of the shoe should be roomy, the heel shouldn’t slide excessively.
A secure heel helps keep the foot positioned correctly inside the shoe and can reduce unnecessary friction.
When trying on shoes, walk around and make sure the heel doesn’t repeatedly lift or slip.
7. Adjustable Closures
Adjustable closures can make it easier to achieve a personalized fit.
Useful options include:
- Laces
- Hook-and-loop straps
- Adjustable elastic
- Stretch panels
Adjustability can be particularly useful when foot volume changes during the day.
8. A Smooth Interior
Check the inside of the shoe carefully.
Rough seams, loose material, exposed edges, or foreign objects can create friction against the skin. The CDC recommends checking the inside of shoes before wearing them and making sure they don’t contain anything that could cause injury.
Best Footwear for Diabetics With Wide Feet
Wide feet often require more than simply buying a larger shoe.
Increasing the length can give you extra space in front of the toes without actually providing enough width across the forefoot.
Instead, look for:
- Wide toe boxes
- Wide or extra-wide widths
- Extra-depth construction
- Stretchable uppers
- Adjustable closures
- Removable insoles
If standard shoes consistently feel tight around the sides of your feet, diabetic shoes for wide feet may provide a better fit.
Best Footwear for Diabetics for Walking
Walking is an accessible form of physical activity for many people with diabetes, but footwear should be comfortable and appropriate for the individual’s feet. The ADA recommends sturdy, comfortable shoes that fit well for walking and advises against walking when there is an open sore or ulcer.
For walking, look for:
- Cushioned midsoles
- Stable construction
- Good traction
- A roomy toe box
- Secure heel fit
- Breathable upper
- Flexible forefoot
- Appropriate width
If you regularly walk long distances, lightweight construction can also help reduce fatigue.
Best Footwear for Diabetics With Neuropathy
Neuropathy can reduce sensation in the feet, making it harder to recognize pressure or injury.
For people with neuropathy, proper fit becomes particularly important. A shoe should not pinch, rub, or create concentrated pressure points.
The ADA recommends discussing therapeutic shoes or inserts with a doctor when regular shoes don’t fit comfortably because of neuropathy or changes in foot shape.
People with significant neuropathy, foot deformities, increased plantar pressure, or a history of ulcers may require specialized therapeutic footwear rather than ordinary walking shoes.
Best Footwear for Diabetics With Swollen Feet
Feet can change in volume throughout the day, which can make a fixed, narrow shoe uncomfortable.
If your feet become swollen, consider footwear with:
- Extra-wide construction
- Extra depth
- Stretchable uppers
- Adjustable closures
- Removable insoles
Adjustable shoes allow you to modify the fit rather than forcing your feet into a fixed opening.
However, persistent or significant swelling should be discussed with your healthcare provider.
Should Diabetics Wear Sandals?
Open footwear provides less protection than fully enclosed shoes.
For people with diabetes and reduced sensation, exposed feet can be more vulnerable to cuts, burns, and other injuries. The CDC advises people with diabetes not to walk barefoot and recommends footwear that fits well and protects the feet.
If you choose sandals, consider discussing the appropriate option with your healthcare provider, particularly if you have neuropathy, poor circulation, ulcers, or other foot complications.
How Should Diabetic Shoes Fit?
A properly fitting diabetic shoe should feel comfortable immediately.
When trying on shoes:
Check the length: Your longest toe should have adequate space in front of the shoe.
Check the width: Your foot shouldn’t be squeezed from the sides.
Check the toe box: Your toes should have room to move naturally.
Check the heel: Your heel should remain reasonably secure.
Check the upper: It shouldn’t press against the top of your foot.
Walk around: Make sure there is no rubbing or uncomfortable pressure.
CDC guidance recommends trying shoes on while wearing the socks you normally use and making sure they feel comfortable rather than expecting them to stretch later.
When Is the Best Time to Buy Diabetic Shoes?
Feet can change in size and volume during the day.
Trying shoes on later in the day can help you evaluate how they feel when your feet are closer to their larger daily size. The CDC also recommends trying shoes after your feet have been active for a while when possible.
Always try both shoes and walk around before making a final decision.
Common Mistakes When Choosing Diabetic Footwear
Buying Shoes That Are Too Tight
A tight shoe can create pressure and friction. Don’t assume that footwear will become comfortable after several wears.
Choosing a Longer Shoe Instead of a Wider Shoe
If the problem is width, increasing the length isn’t necessarily the solution. Choose a wider shoe instead.
Ignoring the Toe Box
A shoe can have enough overall width but still have a tapered front. Make sure the toe area is spacious enough.
Choosing Fashion Over Fit
Appearance is important, but comfort and protection should come first when choosing diabetic footwear.
Wearing Damaged Shoes
Inspect your shoes regularly. Worn-out cushioning, rough interiors, damaged linings, or uneven soles can affect comfort and fit.
Going Barefoot
The CDC and ADA recommend avoiding barefoot walking because injuries can be harder to notice when sensation is reduced.
How to Choose the Best Footwear for Diabetics
Before buying, consider your individual needs.
For wide feet: Look for wide or extra-wide shoes with a roomy toe box.
For swollen feet: Consider stretchable and adjustable footwear.
For neuropathy: Prioritize a secure, pressure-free fit and discuss therapeutic options with your healthcare provider if necessary.
For everyday walking: Look for cushioning, stability, traction, and comfortable support.
For orthotics: Consider shoes with removable insoles and extra depth.
For foot deformities: Extra-wide or extra-depth therapeutic footwear may be appropriate.
The best shoe is not necessarily the one with the most features. It is the one that fits your feet properly and provides the protection and support you need.
Frequently Asked Questions
What is the best footwear for diabetics?
The best footwear for diabetics should fit comfortably without pinching or rubbing and should provide adequate room, support, cushioning, and protection. People with specific foot complications may need therapeutic shoes or custom inserts.
What type of shoes should diabetics wear?
Well-fitting walking or athletic shoes can be appropriate for many people with diabetes. Shoes should provide enough room for the toes, protect the feet, and avoid pressure or friction.
Are extra-wide shoes good for diabetics?
Extra-wide shoes can be helpful for people with broad feet, bunions, hammertoes, swelling, or other conditions that require additional room. Extra-depth footwear may also be useful for some individuals.
Should diabetic shoes be loose?
No. Diabetic shoes should provide enough room without allowing excessive foot movement. The toes need space, while the heel and midfoot should remain reasonably secure.
Are walking shoes good for diabetics?
Comfortable, well-fitting walking shoes can be suitable for many people with diabetes. However, people with neuropathy, ulcers, deformities, or other foot complications may need specialized footwear and professional advice.
When should someone with diabetes consider therapeutic shoes?
People with significant neuropathy, foot deformities, increased pressure under the foot, or a history of ulcers may benefit from therapeutic footwear. Discuss your individual needs with a doctor or qualified foot-care professional.
Final Thoughts
Finding the best footwear for diabetics starts with choosing shoes that fit correctly and protect the feet.
A roomy toe box, appropriate width, extra depth, cushioning, stable construction, smooth interior, and adjustable fit can all contribute to better everyday comfort. For people with wide or high-volume feet, extra-wide and extra-depth options may be particularly useful.
Most importantly, don’t ignore discomfort. If a shoe pinches, rubs, or creates pressure, choose a different fit rather than waiting for the shoe to stretch.
People with neuropathy, foot deformities, ulcers, or a history of serious foot problems should speak with their healthcare provider or foot-care specialist about whether specialized therapeutic footwear is appropriate. Regular foot checks and properly fitted footwear are important parts of protecting diabetic feet.
