An interesting set of observations regarding shoe
sizing was made by Nixon and colleagues,395 who found in a study of 440 consecutive podiatry patients (the
being male military veterans, 58% of whom had diabetes) that only 25% of patients wore appropriate sized shoes. People with current diabetic foot ulceration were five times more likely to have poorly fitting shoes than were those without a wound. The most appropriate approach to casting the feet for the prescription of custom
insoles was explored by Tsung and colleagues. those authors found that.
foot-shape-based insoles were superior to flat insoles in pressure reduction and that semi-weight- bearing casts were better than . non-weight or full weight- bearing casts
