Best Shoes for Diabetics With Neuropathy in the UK: A Practical Guide

NHS guidance recommends checking inside footwear for objects, worn linings and creases before putting it on.

4. Space for Prescribed Insoles

If you use prescribed insoles, the shoe must accommodate them without becoming tight or lifting your heel out of position.

Bring the insoles to your fitting appointment. Ask your podiatrist or orthotist how they should be used with the shoe’s original footbed.

A removable insole can make fitting easier, but it does not establish that the shoe has enough depth or provides appropriate pressure relief.

5. A Stable Base and Low Heel

Look for footwear that feels secure when standing, walking and turning. Check the heel shape and how firmly the shoe stays on your foot.

Diabetes UK recommends flat or low-heeled footwear, while NHS guidance also highlights a wide, stable heel.

Avoid selecting shoes solely because the sole feels exceptionally soft. Cushioning, fit and stability need to work together.

How to Check the Fit Safely

Have both feet measured and try on both shoes. Foot shape can change over time, so your previous size is only a starting point.

Wear the socks you intend to use and bring any prescribed inserts. During the fitting, check:

• Length: Your toes should clear the front of the shoe.
• Width: The sides should accommodate your forefoot without compression.
• Depth: The upper should not press onto your toes or instep.
• Heel security: Your foot should remain comfortably in place.
• Fastenings: They should secure the shoe without excessive tightening.

NHS guidance recommends professional fitting and checking new footwear carefully, especially when neuropathy is present. If you are unsure whether a pair is suitable, ask your podiatrist before wearing it.

Introducing New Shoes

Do not start with a full day in unfamiliar footwear.

Diabetes UK recommends trying new shoes indoors for a short period of around 20–30 minutes. Remove them and inspect your feet for rubbing or pressure marks.

If redness, a blister or broken skin appears, stop wearing the shoes and seek advice. Do not continue wearing a restrictive pair in the hope that your feet will adapt.

Check the retailer’s returns policy before purchase and follow its conditions during indoor fitting.

Choosing Socks to Wear With Your Shoes

Socks affect both fit and skin contact.

Choose the correct size and check for bulky seams, folds or tight elasticated tops. A thicker sock can reduce the space available inside a shoe, so assess the combination rather than buying each item separately.

NHS guidance recommends changing hosiery daily and avoiding bulky seams and restrictive tops.

Inspect socks for damage or anything caught in the fabric before putting them on.