A common complication in people with diabetes is foot ulcers. Diabetic foot syndrome is a complex disease in which polyneuropathy, infection, peripheral vascular disease (PVD), and foot deformity are some of the leading factors for diabetic foot ulceration. Risk factors for re-ulceration include: elevated body mass index (BMI), severe neuropathy, limited joint mobility (LJM), previous amputation, previous ulcers, metatarsal head bone prominences, claw and hammer toes, hallux valgus and rigidus, structural and functional equines, and Charcot foot and altered gait.

The aforementioned factors will not result in foot ulceration apart from an external trauma or pressure. External trauma is classed as repetitive pressure causing continuous stress, such as walking, pressure from poorly fitted footwear or a short duration of a period of high pressure, such as standing on an object, which results in tissue damage. Approximately 80% of ulcers involve some trauma, and many ulcers are related to ill-fitting footwear.

Ideal features of a shoe for the diabetic foot:

• Leather & other breathable Fabrics for upper/lining.
• Roomy & Wide Toe-box (no crowding of toes within the footwear).
• Extra-depth for orthotic option.
• Lace or Velcro for proper fastening.
• Minimize friction and uneven weight distribution.
• Rigid outer sole (Rubber or EVA moulded sole).
• Firm Heel counter
• Removable foot beds
• Flexible insoles/diabetic friendly Inners.
• No interior seams that may cause friction
• Lower heel height

Ideal shoes for diabetes from Comfort and fit range:

• Propet:  
• Finn comfort Finnamic Range: Pretoria, Watford, etc.
• Schein Classic/Kinetic Shoes: Sven, 
• PWM Shoes: Leisure Time, Leisure Time DX2, Leisure, Leisure DX2, Performance Walkers, Pleasure DX2, Natural DX2, Velvet,
• Orthofeet athletic range: Sprint, Verve
• DB: Rowena, Florence, Carloline-2, Eunice-2, Joseph, Daniel,
• Apis: 
• Pulman: 

Some people have what is called “oversupination” or “hypersupination,” which can predispose them to injuries like shin splints, plantar fasciitis, ankle sprains, and stress fractures. You can tell you’re a supinator if you have high arches, your running shoes wear out on the forefoot and outer sole, and if your wet footprints show a thin connection between heel and forefoot on the outside edge of the foot. Having the right shoes can help prevent a world of hurt from developing over time. 

Ideal features of footwear for high arched/cavus foot should be:

• A lot of cushioning and shock absorption
• A lightweight, flexible midsole
• Arch support
• Removable foot beds

(Ref: www.healingfeet.com)

 Ideal shoes for High Arched foot from Comfort and fit range:

• Finn comfort Finnamic Range: Ikebukuro, Pretoria, Salo, Watford etc.
• Finn comfort shoes and Sandals: Adelaide, Laval, Aarau, Flachau, Biscaya, Barletta, Vivero, Usedom
• Schein Classic/Kinetic Shoes: Sven, Achim,
• PWM Shoes: Leisure Time, Leisure Time DX2, Leisure, Leisure DX2, Performance Walkers
• Orthofeet athletic range: Sprint, Verve
• DB: Rowena
• Apis: 

Prefab or custom orthotics could be considered and could be helpful for many cases to help the high arched foot.