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Table 1 Footwear recommendations for people with diabetes based on their risk stratification for developing foot ulceration

From: Australian Diabetes Foot Network: practical guideline on the provision of footwear for people with diabetes

Category      Foot assessment Recommendations
  Low No peripheral neuropathy Off the shelf footwear is likely to be appropriate.
  No peripheral arterial disease Encourage clients to have their feet measured and professionally fitted.
  Normal foot shape Encourage clients to wear footwear that meets the criteria in Table 2.
  No history of amputation  
 At Risk Peripheral neuropathy Off the shelf footwear is likely to be appropriate.
  AND / OR Encourage clients to have their feet measured and professionally fitted.
  Peripheral arterial disease Encourage clients to wear footwear that meets the criteria in Table 2.
  Normal foot shape Footwear must be worn at all times to protect feet from injury.
  No history of amputation Fit footwear in the afternoon to ensure any dependent oedema is accommodated.
   New footwear should be worn in gradually.
   Check feet regularly for signs of trauma when wearing in new shoes.
 High Abnormal foot shape, including History of amputation Footwear assessment by an appropriately trained health professional recommended.
   Medical grade footwear and custom moulded foot orthoses will generally be required.
   Foot orthoses to be supplied prior or together with prescribed footwear.
   Footwear must be worn at all times to protect feet from injury.
   Fit footwear in the afternoon to ensure any dependent oedema is accommodated.
   New footwear should be worn in gradually.
   Check feet regularly for signs of trauma when wearing in new shoes.