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<p>Diabetes can increase a person’s risk of having foot problems. Since the extreme consequence is amputation, foot care for someone with diabetes becomes a daily priority.<br /><br />Physical Facts<br /> Diabetes frequently results in neuropathy, or nerve damage, in the feet. The patient may not be able to feel pain due to loss of sensation. Friction or rubbing can go unnoticed and worsen into a break in the skin, or an ulcer. Shoes can be tied too tightly, hindering circulation. If foot orthotics is needed, the patient may not be able to determine whether it is effective.<br /><br />The Pedorthic Approach<br /> Working from a doctor’s prescription, Hank’s alleviates foot problems by fabricating or modifying shoes and foot orthoses. Filling a prescription includes measuring the foot, and may include taking a foot impression. The two basic elements of fit are shape and size. A foot orthosis can only be worn with a shoe, so it is imperative that the foot, orthosis and shoe be treated as a unit.<br /><br />The Wearer’s Responsibility<br /> It’s a mistake to assume a shoe can be “broken in.” If a shoe isn’t comfortable at the try-on stage, it can distort the foot. People with diabetes must examine their feet daily, and be willing to tell their C.Ped. immediately if they see a problem begin.</p>