Diabetic shoes sometimes referred to as extra depth or therapeutic shoes, are specially designed shoes or inserts intended to reduce the risk of skin breakdown in diabetics with co-existing foot disease.
DECREASED SENSITIVITY
People with decreased sensitivity in their feet may have a false sense of security as to how much at risk their feet actually are. An ulcer under the foot can develop in a couple of hours.
THERAPEUTIC FOOTWEAR
The primary goal of therapeutic footwear is to prevent complications, such as: strain, ulcers, calluses, or even amputations for patients with diabetes and poor circulation. In addition to meeting strict guidelines, diabetic shoes must be prescribed by a physician and fit by a qualified individual. The shoes must also be equipped with a removable orthotic. Foot orthotics are devices such as shoe inserts, arch supports, or shoe fillers such as lifts, wedges and heels. The diabetic shoes and customized insoles work together as a preventative system to help diabetics avoid foot injuries.
UNDERSTANDING THE BENEFITS
The benefits of therapeutic shoes so you can establish your goals and to achieve the desired benefits.
What you Need To Know
Every year about 38,000 people with diabetes have a lower extremity amputation. Therapeutic shoes are prescribed by clinicians specializing in foot care to prevent foot ulcerations and amputations among at-risk patients with diabetes. Medicare ran a 3-year demonstration of a therapeutic-shoe benefit for beneficiaries with diabetes and in May 1993 Medicare added the benefit nationwide.
What does Medicare Cover?
Medicare covers therapeutic shoes and inserts for beneficiaries who have Medicare Part B, have diabetes, and are being treated under a comprehensive plan of care. This benefit includes either 1 pair of custom-molded (including inserts provided with such shoes) and two additional pairs of inserts, or one pair of depth shoes and three pairs of inserts (not including the non-customized removable inserts provided with such shoes). Medicare beneficiaries pay 20% of the Medicare-approved amount after meeting the yearly Medical Part B deductible.
DEVELOPING FOOT ULCERS?
Proper foot care is an important part of diabetes management. In fact, diabetics are at an extremely increased risk of serious foot disorders. Foot problems are the most common diabetes complication leading to hospitalizations. Ulcers or sores on the feet can be caused by improper shoe gear that can result in infection and possible amputations.
Studies show that the well fitted diabetic shoes with molded insoles reduce the development of these ulcers and sores. By starting preventative measures early, it is possible to avoid later foot complications and will enable you to maintain an independent active lifestyle.