Diabetic patients are a key group for whom orthotics are especially effective. Because diabetic patients often have impaired circulation and limited sensation in their feet, areas of abnormal pressure can create open wounds on the bottom of the foot. These wounds, known as plantar ulcers, are slow to heal due to impaired circulation and are the leading cause of non-traumatic lower extremity amputation.

It is imperative that all diabetic patients seek a computerised Gait and Pressure Analysis Test to assess biomechanical foot function. The Gait and Pressure Analysis Report generated by this test identifies those patients at risk for plantar ulcers and allows preventative measures to be implemented. Orthotics help to reduce peak pressure areas by distributing weight evenly thereby alleviating high pressure points on the bottom of the foot where ulcers may form. Because our system analyses the feet while in motion and weight-bearing, the peak pressure points are easily recorded.

In addition to wearing diabetic orthotics, there are other steps that diabetic patients can take to ensure healthy feet:

• Wash feet daily with mild soap and lukewarm water. Make sure to dry them thoroughly especially between the toes.
• Use a daily moisturising lotion on feet to prevent skin cracking
• Inspect feet daily for redness, blisters, or irritation
• Wear thick soft socks, and change them often
• Never go barefoot
• Wear shoes with rounded rather than pointed toes
• Avoid alcohol and tobacco as they contribute to circulation problems
• Wear properly fitted shoes with enough space for all your toes to wiggle
• Do not wear constricting leg or foot wear
• Trim nails straight across and not too short
• Do not trim corns and calluses or use over-counter medications on them