Wednesday, April 9, 2025

Revolutionizing Diabetic Footwear: Merging Comfort, Protection & Style

INTRODUCTION

Why Specialized Footwear Matters for Diabetes Patients

Diabetes Mellitus (DM) is a silent epidemic, affecting over 77 million people in India alone. With an alarming rise in Type 2 diabetes cases—expected to hit 98 million by 2030—the risk of diabetic foot ulcers (DFUs) is also increasing.

DFUs aren’t just minor foot wounds. They are open sores that, if ignored, can lead to severe infections, reduced mobility, and even amputations. Approximately 15% of people with diabetes will develop a diabetic foot ulcer in their lifetime, and the risk is even higher for those over 60.

While therapeutic footwear is a proven way to prevent complications, most diabetic shoes are outdated, unappealing, and lack customization—resulting in low patient compliance.


STUDY

A Step Forward: The Hyderabad Experiment

To address this issue, an experimental study was conducted by FDDI Hyderabad in collaboration with the Lepra Society in Hyderabad, India. The goal? To test customized footwear with orthosis support and analyze its impact on comfort, pressure relief, and overall foot health for diabetic patients.

The Study at a Glance

110 participants (80 men, 30 women) at low risk of DFUs
Therapeutic footwear with Micro Cellulose Rubber (MCR) insoles & custom orthotic pads
Patient feedback collected to refine future designs

                                          Orthosis pads for deformed feet and foot ulceration

What Do Diabetic Patients Really Want?

The results were eye-opening! A one-size-fits-all approach doesn’t work. Patients have distinct preferences based on comfort, usability, and aesthetics.

Here’s what they asked for:

85% wanted variety in colors & styles – Because diabetic shoes shouldn’t look like medical devices!
75% preferred soft, adjustable Velcro straps – Easy to wear, easy to remove.
60% requested closed footwear – Extra protection, especially during winters.
30% suggested adding MCR insoles to regular footwear.
2% desired removable, well-fitting insoles – More adaptability, less hassle.

Key Takeaway? Men prioritized function, while women focused on design. The future of diabetic footwear needs to cater to both!


The Science Behind Specialized Footwear

Why is customized diabetic footwear essential? Here’s how it makes a difference:

Distributes pressure evenly – Prevents hotspots that could turn into ulcers.
Enhances healing – Offloading techniques speed up recovery.
Soft, seamless linings – Reduce friction and irritation.
Advanced materials – Plastozote, memory foam, cork-based insoles provide better support.
Breathable, seamless socks – Keep feet dry and irritation-free.

The Real Challenge: Getting Patients to Wear Them

Even with these benefits, many diabetic patients hesitate to wear specialized shoes. Why?

Limited design options – No one wants to wear shoes that look like medical gear.
Low market availability – Finding the right pair is a challenge.
Price sensitivity – Patients are willing to pay more for good design + comfort, but manufacturers still ignore essential features.

The Future of Diabetic Footwear: Style Meets Functionality

To truly revolutionize diabetic footwear, we need to rethink the way we design them.

Stylish & Aesthetic – Shoes that people actually want to wear.
Adjustable Fit – Soft, cushioned, and easy to customize.
Material Innovation – Smart textiles for better comfort & durability.
Casual & Professional Wear – So patients don’t have to compromise between health & style.

 New possibilities of footwear with Orthosis pads for People with DFU


CONCLUSION

Final Thoughts: Walking Towards a Healthier Future

This study proves one thing: Diabetic footwear isn’t just about medical benefits—it’s about comfort, confidence, and daily usability. With better designs, smarter materials, and patient-focused innovation, diabetic shoes can move beyond hospitals and become a lifestyle choice—helping millions take safer, healthier steps every day.

After all, a shoe isn’t just a shoe—it’s a step toward a better future.

Link to access full research paper-  https://rb.gy/ik9i59

Abdul Rahuman M, Senior Faculty @ School of Footwear Design & Production, Hyderabad

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