Diabetic Medicare: Do I need a prescription for Diabetic Shoes?

Diabetic footwear is a critical part of diabetic foot care and you do not need a prescription to purchase diabetic shoes. If you are covered by Medicare, however, and your doctor has mandated a rigorous foot-care regimen because you are at risk of complications, you may be eligible for partial or full reimbursement of one pair of diabetic shoes and up to 3 insoles each year. If you would like to have qualified professional evaluate your feet, and provide diabetic shoes and inserts under Medicare Part B, please call MMAR Medical at 800-622-7633 and they will be able to locate a certified provider in your area. If you are not on Medicaid, it is important to know that diabetic shoes are, in fact, a medical necessity for many, and most insurance companies follow similar reimbursement protocols. Be sure to ask your insurer how your specific coverage works.

Reimbursement requires that your doctor, typically a podiatrist, orthotist, prosthetist, or pedorthist must complete a certificate of medical necessity for the therapeutic shoes. They must also verify that you suffer from one of the following:

• History of foot ulcers or severe calluses that could lead to ulcers


• Foot nerve damage


• Poor foot circulation


• Foot deformities such as bunions or hammertoes


• Partial or complete foot amputation

The diabetic shoe provider must receive your order prior to billing Medicaid and keep that order on file for verification. Once these terms are met, you should receive appropriate compensation.

It is important to realize that diabetic shoes are part of a larger comprehensive plan for diabetic foot care. It is recommended that patients at risk for diabetic foot complications work with a foot-care specialist for routine nail and callus care. Always speak with your physician about the best solution for your specific needs.

Please note that this article is for informational purposes only and is not intended to diagnose or treat any medical condition, or be taken as medical advice. For more information related to your unique situation, please speak with your personal physician.

About the Author:MMAR Medical Group Inc. is a wholesale distributor of comfort footwear offering a wide selection of diabetic shoes, custom made orthotics, as well as support braces. Please visit www.mmarmedical.com for more information.

Choosing the Best Diabetic Shoe

Diabetics often suffer foot-related ailments which can detract from their quality of life and lead to serious medical complications. It is strongly recommended that diabetics wear shoes specifically designed for their needs in order to avoid potential problems such as infection and even, in extreme cases, amputation. Specially designed diabetic shoes will decrease the likelihood of blisters and ulcers which can escalate into dangerous infections. Here are a few recommendations for selecting the diabetic shoe that’s right for you.

Step 1: Visit a podiatrist. All feet are unique. A qualified podiatrist can identify any foot irregularities that require special attention. They will be able to advise you on what type of shoe you require. Medicare will cover one pair of diabetic shoes and 3 sets orthotic inserts each calendar year. Talk with your doctor about the next steps for covering those costs.

Step 2: Look for comfort and support. Once you understand your particular needs, you can start shopping. The shoe you select should have the following features:

• Extra depth. Diabetic footwear should be deeper than standard shoes so that you can include custom insoles. Orthotic insoles are an integral part of diabetic foot care and, as mentioned earlier, are also covered by Medicare.


• Good ventilation. A proper diabetic shoe must be breathable. Moist heat is a breeding ground for bacteria and should be avoided at all costs.


• Seamless, lightweight construction. A heavy shoe with protruding seams can lead to irritation.


• Arch support. Shoes for diabetics must have proper arch support. This aids in weight distribution and alleviates pressure point pain.


• Room for your toes. Most diabetic shoes are available in different widths to accommodate all types of feet. The width of the shoe should fit the ball of your foot comfortably, while the shoe’s toe box should be high and durable to minimize stubbing.


• A perfect-fitting heel. The heel should be snug, not tight, to avoid excessive rubbing.


• Thick sole. Make sure your shoe has a thick sole to act as a shock absorber.


• Style. Just because you are diabetic, doesn’t mean you have to wear ugly shoes. Diabetic shoes are available in a wide variety of styles including sandals, loafers, casual dress, slippers, Mary Janes, walking, and running shoes. Choose a shoe that fits your style and personality.

Step 3: Get the right accessories. Be sure to stock up on seamless socks for diabetics and at least three sets of custom orthotic insoles. These critical accessories take your comfort to the highest level.

Step 4: Now get moving. Exercise is especially important to diabetics. Now that you have the right shoes, don’t be afraid to use them.

Note: This information is not intended to supplement or replace advice from a medical professional, or to diagnose or treat any condition.

About the Author: MMAR Medical Group Inc. is a leading diabetic shoe supplier specializing in diabetic footwear including shoes and socks for diabetics as well as a full line of orthotic insoles.

Diabetic Foot Care

Approximately one fifth of diabetics are hospitalized for foot problems. There are many unfortunate factors that contribute to this. Diabetics endure an increased build up of calluses which can thicken and break, leading to ulcers. Poor circulation impairs the diabetic’s ability to fight infection and heal. To further complicate this, diabetics frequently experience nerve damage which can diminish sensation; they may not even realize an injury has occurred. Even simple injuries such as minor cuts and scratches can become infected when they go unnoticed. In severe situations, these infections may require antibiotics, hospitalization, and even amputation. For this reason, it is of critical importance that diabetics practice rigorous foot care. The following is a recommended list of care procedures that will help keep diabetic feet healthy.

• Never ignore foot irritation of any kind.
• Wash your feet every day with warm water but do not soak them. Test the water heat with your elbow to ensure you do not burn your feet.
  
• If the skin on your feet is dry, use lotion, but be careful not to put lotion between your toes as the area can breed bacteria.
  
• After washing your feet, file calluses and corns down gently with an emery board.
  
• Trim your toenails once a week (or as needed) after you shower. Shape the nail around the toes, careful not to cut too short. File the edges to prevent snagging and tearing.
  
• Check your feet every day for sores, blisters, cuts, redness, irritation, calluses or other issues. If you cannot reach your feet, use a mirror or have a trusted friend or family member check for you.
  
• Always wear shoes or slippers. Never walk around bare foot.
  
• Choosing the right diabetic footwear is critical as most diabetic foot ailments are the direct result of poor fitting shoes. You should always wear shoes that fit correctly. They should not be too tight or allow your foot to slide around. High heels and pointed toes should be avoided whenever possible. Breathable fabrics such as leather and canvas along with mesh vents help to prevent bacteria-friendly environments. Always use stocking or socks which help to stave off blisters. There are even special seamless socks for diabetics which further minimize the potential for irritation.
• Again – it’s worth repeating - never ignore foot irritation of any kind. Tell your doctor immediately if you notice any issues. Warning signs include swelling, pain in your legs, cracks (especially around the heel), corns or calluses that bleed, nail issues, open sores, changes in color of the skin, and changes in skin temperature.
  
• Even if injury free, visit your doctor for an annual foot check-up or as recommended by a medical professional.

Please note that this article is for informational purposes only and is not intended to diagnose or treat any medical condition, or be taken as medical advice. For more information related to your unique situation, please speak with your personal physician.

About MMAR Medical Group: MMAR Medical Group Inc. is a wholesale distributor of comfort footwear offering a wide selection of shoes for diabetics as well as custom made orthotics. Please visit www.mmarmedical.com for more information.

Sebago boat shoe- a stylish choice for Diabetics.

The Sebago Clovehitch II has a removable footbed, for easy placement of your orthotic. This functional, two-eye handsewn features premium Nubuck and full grain leather uppers with breathable Dri-Lex Hydrofil mesh panels. An anatomical EVA footbed provides comfort while the Sebago Marine Tack sole conceals an EVA midsole for comfort and slip-resistant security.Designed to keep all feet on deck, this functional, two-eye handsewn features premium Nubuck and full grain leather uppers with breathable Drilex® Hydrofil® mesh panels. An anatomical EVAfootbed provides comfort while the Sebago® Marine Tack™ sole conceals an EVA midsole forcomfort and slip-resistant security.

About MMAR Medical Group: MMAR Medical Group Inc. is a wholesale distributor of comfort footwear offering a wide selection of shoes for diabetics as well as custom made orthotics. Please visit http://www.mmarmedical.com/ for more information.

Diabetic Neuropathy: a Silent Threat

A recent press release by the Centers for Disease Control stated that the new cases of diabetes increased by 90 percent over the last 10 years. And with diabetes comes a whole new set of complications that patients must seriously think about when being proactive about their health. One such complication is Diabetic Neuropathy. According to the Centers for Disease control it affects 60 to 70 percent of the patients diagnosed with this disease.

So what does Diabetic Neuropathy mean? It means the nervous system becomes damaged over time because of high blood sugar levels in the body. This translates to loss of sensation, tingling, even constant pain in any region of the body but mostly in the feet and extremities. Damage to nerves can also mean that the body looses the ability to regulate blood pressure and therefore circulation to these important parts of the body. Also when applied to the muscles of the feet, poor circulation can lead to weak muscles and can sometimes cause a drop in the mid part of the foot. This in return can cause calluses and ulcerations because of the uneven pressure points when walking. All this can occur with a diabetic not even knowing because of loss of sensation to the feet. Amputation can then become a serious risk when this takes place.

Science has long known the advantage of the application of heat. The physiological benefits include increasing the diameter of the arteries in the body to increase blood flow which in itself has a therapeutic effect. One such product that uses controlled heat for therapeutic healing is the Vitalwrap System. Recent case studies have shown the application of the Vitalwrap system to improve circulation to occluded vessels. One such case study was done on an 86 year old African American female who had a history of Type II Diabetes and also presented with Diabetic neuropathy. Doppler exam also found the client had moderate to severe occlusive arterial disease on both the right and left foot. After only twenty minutes of application of the Vitalwrap system to the left foot improvement in circulation was seen. The left posterior tibial artery saw an improvement of blood circulation from 8.9cm/sec to 13.9cm/sec. Another such case study was done on a 75 year old Caucasian man also with a history of Diabetes Mellitus and pressure ulcer on the second digit of left foot. Improved circulation is especially vital when healing from ulcers. The blood brings the oxygen the tissue needs to restore itself to its original state. After using the Vitalwrap system the left posterior tibial artery went from 22.1cm/sec to 25cm/sec. The dorsalis pedis artery improved as well going from 22.9cm/sec to 38cm/sec. These studies have shown that the vitalwrap system is useful in assisting diabetic individuals in improving circulation and regain a better quality of life.

Note: This information is not intended to supplement or replace advice from a medical professional, or to diagnose or treat any condition.

About MMAR Medical Group: MMAR Medical Group Inc. is a supplier of orthopedic medical products including a wide selection of braces and supports. To find a quality hinged knee brace, lumbar brace or other quality brace, please visit http://www.mmarmedical.com/

What is Diabetic Footwear?

Diabetes can be a contributing factor in a range of related problems, including leg and foot pain. Used in conjunction with a foot care regimen advised by a podiatrist or certified pedorthist, diabetic footwear can help alleviate the foot pain and discomfort commonly experienced by those with diabetes. Proper foot care is essential for anyone with diabetes.

A common cause of foot problems is neuropathy, or damage to the peripheral nervous system that is known to occur in many people with diabetes. Among other symptoms, nerve damage to the feet can cause pain as well as numbness or tingling. The lack of sensitivity resulting from nerve damage in the feet can prevent a person from noticing and subsequently treating foot problems such as blisters, cuts or ulcers, leading these conditions to worsen.

Poor circulation to the feet and toes is another factor that can lead to diabetic foot pain. As narrower arteries decrease circulation, less oxygen is supplied to the lower legs, feet and toes, reducing their ability to recover from infections and other problems. In addition to neuropathy and a decline in circulation, other issues caused or exacerbated by diabetes can lead to foot pain. Among these are ulcers, calluses and infections. Diabetic footwear is designed to help alleviate the pain that is often associated with such conditions.

Diabetic shoes provide optimal support for the arch, heel and ankle while controlling the distribution of weight such that painful pressure points are avoided as much as possible. Many types of diabetic shoes also allow extra room inside so that custom orthotic inserts can be worn with them for optimal comfort.

The options and styles for diabetic shoes were in the past quite limited, but today a wide range of styles are available. People with diabetes can now find comfortable footwear for any purpose or occasion, including running shoes, casual dress shoes, sandals and loafers.

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Note: This information is not intended to supplement or replace advice from a medical professional, or to diagnose or treat any condition.

About MMAR Medical Group: MMAR Medical Group Inc. is a wholesale distributor of comfort footwear offering a wide selection of shoes for diabetics as well as custom made orthotics. Please visit www.mmarmedical.com for more information.