Footwear Myths and Other Misinformation

Inside the Box…The Shoe Box!

Foot Facts
Q: What is it in the human foot that differentiates humans from others and allows them to walk upright?
A: The longitudinal arch.

We are always encouraged to think outside of the box. When it comes to diabetes and feet, I’m going to ask you to start thinking and looking inside the box…the shoebox.

Hi. My name is Joy Pape, an out-of-the-box thinker, except when it comes to diabetes and foot care. I am a certified diabetes nurse educator and foot, nail, and wound care nurse with over twenty-five years of experience. I realized early on I could not specialize in one of these fields without the other, so I’ve done both to deliver the best care to people who have diabetes.

There are a lot of myths about diabetes, and one of them is that people who have diabetes lose their feet. Well, let’s put that to rest right now - you don’t have to! The American Podiatric Medical Association has coined the phrase “You Can Keep Your Feet for a Lifetime!” With a few simple steps (no pun intended), I agree! Not only do I agree, I’ve seen it and want to see this for you.

Another myth is that people who have diabetes have to wear big ugly shoes! I’ve seen many people avoid talking with their health care professional about their feet for fear they’ll wind up with those big ugly shoes. Well, get ready because we’ll address this topic too. I don’t think we’ll ever advise you to wear 5” stiletto heels, and I would have to ask…why would you even want to???? Okay, I’m a lady, I know why (ouch!),

We want this column to be yours. I can write volumes, but if it’s not what you’re interested in, what good is it to you? Since you haven’t yet had the chance to write me with your questions, here’s a peek at the kind of issues we’ll be looking at in coming months:

• Why do people with diabetes need to be so concerned about their feet?
• What are shoe inserts? How do these differ from orthotics?
• What are orthotics?
• Do I need custom shoes or can I buy them off the rack?
• Can I get a pedicure?
• What does insurance cover?
• I want to get dressed up…what kind of shoes can I wear? Where do I get them?
• Why are my feet so dry and cracked? What do I do about dry cracked feet?
• I can’t feel my feet. Why?

That sounds like a pretty good start to me. So please…send in your questions about diabetes and foot care and for now…EnJoy!

Find out more about diabetic foot disease and preventative care.

Read Joy’s Bio here.

Read More of Joy Pape's Columns.

Got diabetes questions? Ask an Expert!

NOTE: The information is not intended to be a replacement or substitute for consultation with a qualified medical professional or for professional medical advice related to diabetes or another medical condition. Please contact your physician or medical professional with any questions and concerns about your medical condition.

Last Modified Date: November 27, 2012

All content on is created and reviewed in compliance with our editorial policy.

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by Brenda Bell
As I mentioned in an earlier post, one of the benefits that made it cost-effective for me to go with the real healthcare (HSA) plan rather than the phony (HRA) plan is that my company is now covering "preventative" medicines at $0 copay. The formulary for these, as stated by CVS/Caremark (my pharmacy benefits provider), covers all test strips, lancets, and control solutions. I dutifully get my doctor to write up prescriptions for all of my testing needs, submit...
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