Diabetic Foot Australia guideline on footwear for people with diabetes

Table 4 Specific footwear requirements for people with diabetes and a foot deformity

	Height	Outsole	Uppers (quarter)^b	Tongue
Limited joint mobility	Low^a	Toughened	Supple	Supple
Pes cavus	Ankle-high	Toughened	Toughened	Toughened^c
Flexible flat foot with hallux valgus	High	Toughened	Toughened	Toughened^c
Rigid flat foot with hallux valgus	Ankle-high	Toughened	Strong medial support	Toughened^c
Charcot foot	High	Stiff	Toughened	Toughened^c
Hallux or toe amputation	High	Stiff	Toughened	Toughened^c
Forefoot amputation	High	Stiff	Stiff	Stiff

This table is based on [33]
^aUnless a person has limited joint mobility in the ankle joint, in that case use ankle-high or high footwear
^bThe uppers consist of quarter and vamp, the requirements here concern the quarters, as the vamp typically needs to remain supple to accommodate the toes (see further Table 2)
^cWhen a tongue is toughened, it should be padded as well

ISSN: 1757-1146