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A loss of sensation, numbness, or even hypersensitivity, from a compromise of the peripheral nervous system. Usually manifests itself in the feet or lower extremities first.

Shoe Recommendations
It is important to get a shoe that promotes good circulation and support. During check out please include the pressure relief insert as it is designed to help with diabetes.

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Diabetic neurotrophy is a common side effect of diabetes. When a diabetic's blood sugar level gets too high, nerve damage can occur throughout the body. This results in a loss of sensation in affected areas. In diabetics, the feet are very susceptible. This loss of feeling leaves the sufferer less likely to notice if their feet become injured. The immune system becomes compromised, so diabetics are more prone to infection. A minor injury can quickly develop ulcers or an acute infection and, if left untreated, can lead to severe tissue damage. It is imperative that diabetic patients take extra special care of their feet.

One thing diabetics can do for their feet is to buy the proper shoes, such as the New Balance Shoes recommended here, for their condition. Shoes for diabetics have special features that allow them to help the wearer. Diabetic shoes should provide ample ventilation to prevent the build-up of dangerous bacteria, and they should provide support. They should promote proper circulation in the feet and they should not have stitching or seams that can create pressure points. Diabetic shoes should be professionally fitted by a podiatrist. A diabetic might not be able to tell if ill-fitting shoes are causing blisters, which can become the pathways to infection.

New Balance makes many types of shoes for both men and women who suffer from diabetic neurotrophy. Specially designed to absorb shock and cushion the feet, New Balance motion control shoes are durable, flexible and breathable. Those available here are Medicare/HCPCS coded as diabetic shoes, making them eligible for the Medicare Therapeutic Shoe Program.