As we provide an overview of Dr. Comfort diabetic shoes and their benefits, we also analyze diabetes and the complications that it inflicts on its patients. Diabetic peripheral neuropathy is among the leading complications associated with diabetes thereby creating the need for diabetic shoes. The value of diabetic shoes cannot be underrated and there is a need to discuss Dr. Comfort as one of the leading brands associated with the same.
Diabetes is a chronic disease that is primarily characterized by elevated levels of glucose in the blood. The increased glucose is caused by declined conversion and storage of sugar produced after the consumption of foods that are rich in carbohydrates. The metabolism of carbohydrates results in the production of glucose which is regulated by insulin and glucagon.
The insulin hormone is produced by the pancreatic beta cells called islet of Langerhans. It is responsible for the uptake of glucose from the blood and its storage. The malfunctioning of insulin or the disbalance of this regulatory mechanism leads to the development of a condition referred to as Diabetes Mellitus. Diabetes mellitus is linked to hyperglycemia.
The basis of the development of diabetes mellitus involves either insufficiency when it comes to insulin production or complete failure of production of the same. Accordingly, the level of blood glucose elevates to abnormal levels.
Diabetes can result to a variety of severe health complications including blood pressure, cardiovascular diseases, stroke, liver kidney disorders, diabetic peripheral neuropathy, just to mention a few. Diabetic peripheral neuropathy is the foundation for numerous lower limbs related issues. It can lead to development of serious conditions that can lead to amputation or death. Amputation and ulceration are conditions that alter the movement capabilities of a patient.
Peripheral Neuropathy Complications among Diabetes Patients
Here are the common neuropathic health issues associated with diabetics
- Diabetes is known to be associated with an increased risk of hip fracture.
- Diabetic patients with ankle fractures are prone to increased foot complications.
- Diabetes can cause Charcot neuroarthropathy. It is a condition of altered bone turnover and microtrauma.
- Diabetes patients have an in increased risk of developing plantar ulcerations which is highly associated with amputations.
- Patients with Diabetes have a higher risk of infections in the case of Perioperative hyperglycemia.
- Development of cold feet
- Peripheral neuropathy can also lead to pain, numbness and tingling in the arms, fingers and hands.
Diabetic neuropathy is associated with peripheral nerve dysfunction, which affects the diabetes patient’s pain receptors reducing the ability to sense pain. Almost 25% of the diabetes patients suffer from peripheral neuropathy. The condition is also associated with peripheral artery disease causing diabetic angiopathy. Almost half of the total number of diabetes patients have been diagnosed with foot complications associated with diabetic neuropathy at some point in their lives.
Wounds take a longer time to heal when an individual is suffering from diabetes. They are also prone to getting worse and complicated. As a result, the pain of the wounds is prone to increasing with time. The crucial pain and deterioration of the wounds can lead to foot
Diabetic foot ulcers can be prevented through the regulation of blood glucose levels and control of the increasing glucose concentration in the blood. Popularizing awareness and education that can enable diabetes patients acquire knowledge about self-examination of body parts, especially feet is also fundamental. It helps them detect health issues before they get out of hand. Moreover, patients with diabetes should be aware of issues such as fungal infections, hyperkeratosis, skin lesions and related problems. If any these conditions arises, they must take care of their feet and aid it to prevent the likelihood of permanent damage.
What is Diabetic Foot Ulcer or DFU?
Diabetic foot ulcer is known to be a severe complication related to diabetes that arises from a bad condition of wound due to hyperglycemia prevailing in the body. This situation is responsible for the development of dead ulcerated areas that cause severe pain and discomfort.
Diabetic foot ulcer is characterized by the loss of key repair mechanism. Diabetes is a condition that has a proclivity towards impeding the natural flow of this healing mechanism. It delays the formation of mature granulated tissues that lead to healing and recovery. The delay makes the wound susceptible to infections along with prolonged pain.
Following steps helps a great deal in preventing and treatment of the aforementioned conditions.
- Regulation and control of blood sugar levels.
- Proper dressing of the wounds.
- Taking proper care of wounds.
- Removing the extra pressure from the area affected by wounds.
- Use of techniques such as Total Contact Casting to help or aid healing.
- Hyperbaric oxygen therapy is helpful in this scenario; however, it is relatively expensive.
- If nothing works, surgery can be performed to improve the situation.
There is no evidence of prevention foot ulcers with the help of specialized footwear. However, the Dr. Comfort Diabetic Shoes are known to aid the healing process and are involved in protecting the feet from further infection, injury and worsening by providing protection and support.
Total Contact Casting or TCC
A cast designed specifically to off-load the feet of diabetic patients suffering from foot ulcers. This is because the removal of pressure by taking off the weight has been found to be extremely effective in treating the foot ulcers. It is very important as diabetic foot ulcers are the leading cause of foot and leg amputations. CDC (Center for disease Control & Prevention) reports that diabetic foot ulcers are the cause of 85% of amputations among the diabetes patients in the United States of America. Furthermore, it is said that the mortality among diabetics after amputation within or after 5 years is strongly linked to it. Almost 45% of the cases are associated with neuropathic diabetic foot ulcer in the patients suffering from diabetes mellitus in the United States.
The total contact casting is the offloading mechanism that includes the casting of the whole leg including foot to redistribute pressure and take it off from foot throughout everyday operations. As the leg develops the ability to bear more pressure, it provides protection to the wounds and help it in the healing process to regenerate tissues at the site of the wound.
Dr. Comfort Diabetic Shoes
Dr. Comfort is a shoe company that was established in the year 2002 with the aim of providing diabetic shoes worldwide. Comfort, quality and style are the motivating factors that primarily contributed to the international success of the company. The ‘comfort factor’ ensures that diabetic patients are provided with footwear products that prevent injuries, pain and foot complications that lead to amputations.
Quoting the words of Greg Karian, the Marketing Director, Mequon, WI Companies, “The prevention of amputations associated with diabetic peripheral neuropathy motivated the founders of Dr. Comfort. The company is determined to move to higher heights for the purpose of serving diabetes patients.
According to statistics released by the Center for Disease Development, diabetic foot pain and amputation cases have declined significantly. The commendable changes have been achieved because of the advancements made in the development of diabetic shoes. Secondly, massive efforts have been dedicated to programs that educate diabetes patients on proper foot care methods including the choice of footwear. The statistics show that diabetic foot complications have declined from 11.2% to 3.9% among every 1000 patients from 1996 to 2008.
On the other hand, the figures of individuals diagnosed with diabetes have continued to soar every year. In 2008, approximately 18.8 million individuals were diagnosed with diabetes. Furthermore, researchers estimate that at least 7 million people live with diabetes undiagnosed. The statistics are a clear indication of the importance of diabetic shoes.
Why Dr. Comfort?
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Dr. Comfort shoes are designed under the supervision of health care professionals. The human foot has specific pressure points (the key areas that experience maximum pressure when the human feet are subject to different forms of activity). Dr. Comfort provides shoes that have additional depth and width to relieve pressure in some of the pressure points. For instance, the staff emphasize on forefoot and the toe box when designing shoes.
Quality is another factor that is put into consideration when it comes to the manufacture of Dr. Comfort diabetic shoes. The shoes are manufactured with the top-quality material to provide protection and care to diabetes patients and patients suffering from other orthopedic related complications. The shoes are designed based on lasting standards of America and they fit into the relative size number. The major shortcoming of Dr. Comfort shoes is that they lack the protective standards of ASTM F2412-05 and ASTM F2413-05.
Besides the provided wide and attractive variety, Dr. Comfort also offers customized shoes. They have well equipped laboratories that are run by experts who prescribe and customize shoes for Dr. Comfort’s customers. Customized shoes are better than on-the-shelf shoes because they provide the users with their desired experience. Some customers require customized shoes because of they have difficulties finding their exact fit. Others have special foot conditions that require shoe customization.
Dr. Comfort shoes are designed specifically to meet the footwear needs of people facing any orthopedic related issues. The designs of the shoes vary depending on the foot challenge they address. Custom made shoes are made on prescriptions and they can only be worn if the prescriber confirms the eligibility of the customer when it comes to style and type of therapeutic need.
Design Type and Size of Shoes
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The designs of Dr. Comfort shoes differ on basis of gender and other factors such as style, usability, color, just to mention a few. The male shows are designed to two standards. They are American standard and Euro standard. For example, women shoes come in designs such as Delight, Kristin, Vigor, Betsy, Betty, Lily, LuLu, Move, Walk, Paradise, Sunshine, Flute, Breeze and Susie.
The sizes of Dr. Comfort shoes also vary significantly. The shoes of Men in size are available in numbers 6, 7, 8, 9, 10, 11, 12, 13, 14 and 15 in every style. The width of Men shoes ranges from B to EEEE within every style range. On the other hand, the shoes of women are produced in size 4, 5, 6, 7, 8, 9, 10 and 11 in almost every style. However, unique sizes include 10 ½ and 12 are also offered. The width of Women shoes ranges from a solid A to EE in every style range. The selected width of AA is only available for selected styles.
The shoes from Dr. Comfort are made of extremely high-quality materials to provide best care and comfort to diabetes patients. The fabrics commonly used to make the upper parts of the shoes are leather, suede and Lycra. Buffed leather known as nubuck is also used. Leather and suede fabrics are used to enhance the durability of the shoes. On the other hand, Lycra is used because it is highly stretchable and it increases breathability. In addition, it creates more space for people with edema foot problems. The lining of all the shoes except for the model athletics is composed of soft leather, whereas for the latter, cotton is used to line.
Dr. Comfort Diabetic Shoes Inserts
Dr. Comfort Shoes come with three types of shoe inserts to address specific requirements. They include
- Gel Inserts
- Standard moldable inserts upon heat
- Custom Inserts
The gel inserts are usually recommended for general comfort of patients. They have a base proprietary material containing gel in the metatarsal and heel areas with a p-cell in the middle hidden under a layer of leather. The leather layer is a more of a top cover used to enhance appearance. However, the latter two (heat moldable standard inserts and the Dr. Comfort custom made inserts) are specifically designed for the patient with diabetes. They are made to the specifications of A5512 with a base material of EVA and a p-cell custom made cover.
Benefits of using Dr. Comfort Diabetic Shoes
The diabetic shoes are designed to minimize the foot problems and skin degenerative issues prevalent among diabetes patients. The shoes are designed for the patients with existing foot diseases and are only recommended by health practitioners. However, they can also be used by diabetes patients without foot problems to prevent future complications. Diabetic ulcers can develop easily with diabetic feet are not cared for properly.
Besides foot ulcers, Dr. Comfort shoes prevent complications such as strain, calluses, gangrene, edema and almost all sort of amputations. Overall, the shoes are used to treat and prevent the development of diseases because of poor circulation in diabetic patients.
Peripheral neuropathy is known for causing alterations to the feet of diabetes patient that can greatly affect the sizes of shoes they wear. Accordingly, Dr. Comfort customized shoes allow patients who have experienced such foot complications to keep their feet protected and comfortable. Most of the shoes possess features such as arch support, inserts, and fillers to provide support while individuals are traveling in lifts. The inserts and diabetes-specific shoes work together to help protect diabetes patient from amputations, fracture, and injuries.
With an increasing number of diabetic patients in the world, there is an ever-increasing demand of providing education and creating awareness. It is absolutely crucial for the patients of diabetes to acknowledge the fact that the disease and complications associated with it can lead to ulceration, amputation and eventually, death. Accordingly, embracing knowledge about diabetes shoes is essential.
Dr. Comfort is among the companies that have gained massive recognition in the orthopedic shoes domain. The global name provides footwear to the patient of diabetes mellitus across the globe. The products offered by Dr. Comfort are capable of preventing the anomalies, abnormalities, and complications that arise from diabetes mellitus