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Diabetic shoes are specially made for diabetics using custom inserts that are molded to the patient's foot. The purpose of the diabetic shoe program is to prevent ulcers and amputation in diabetic patients. It offloads the pressure from a callus or an ulcer and helps prevent infection. Many diabetics have poor circulation, poor perspiration, and really can't feel their feet. They wouldn't know if they had a pebble in their shoe.