There is evidence to indicate that therapeutic footwear can help preve
nt lower extremity amputation in patients with diabetes. The primary m
eans of preventing amputation is to protect the insensitive foot from
unnoticed trauma and excessive plantar pressures that occur during wal
king. The specific prescription of the shoe will depend on many foot r
isk criteria, but particularly on the patient's level of sensation, hi
story of ulceration, and the amount of foot deformity. This article de
scribes the type of footwear recommended for each of these increasing
levels of foot risk categories.