Influence of a long-term use of diabetic shoes on the development and progression of the diabetic foot syndrome
2007
Abstract
48 years old male type 2 diabetes mellitus patient tested a novel model of prophylactic diabetic shoes for 2 years. He was continuously followed by diabetologist, medical podiatrist and shoes technologist.
Despite of a satisfactory diabetic control the patient developed progression of both microvascular and macrovascular diabetic complications (retinopathy, nephropathy, neuropathy and microangiopathy progressed to a more serious stage) after two years, however, the clinical finding on the feet did not get worse. On the contrary some parameters of interest even improved which we consider to be related to the use of the prophylactic diabetic shoes because other foot care remained the same as before the start of clinical testing.