This presentation discusses the design and development of medicated footwear for diabetic patients. It outlines 10 objectives for the project, including learning about materials used, safety features incorporated, and foot troubles related to diabetes. The document then provides details on the pathophysiology of diabetic foot complications and how specially designed shoes can help reduce risks. Design aspects of the proposed diabetic footwear are presented, along with testing methods for shoe insoles. Challenges in diabetic footwear such as lack of awareness and economic limitations are also examined.

1. WELCOME TO MY PROJECT
WORK
PRESENTATION

2. Studies on the Evolving of
Medicated Footwear for
Diabetic Patients

3. 1. Designing and Construction of medicated footwear for
diabetic patients.
2. Learning about the materials used for making diabetic
footwear.
3. To make the people conscious about diabetic foot troubles
and footwear.
4. To know the prospect on diabetes of Bangladesh.
5. To learn diabetes mellitus.
6. To control the diabetes using medicated footwear.
7. To know about medicated footwear for diabetic holders.
8. To learn about various safety features that has
incorporated in diabetic footwear.
9. To learn about foot troubles due to diabetes and curing.
10.Diabetic holder’s foot and shoe care.

4. 1. Increase of consciousness will happen among the
diabetic patients to keep their feet in safe.
2. The developed process would be ready for
commercialization to the entrepreneurs.
3. Complete functional footwear for diabetic patient will
be available in the market; new item will be
introduced into the footwear export basket.

5. ╬ The deficiency or insufficient production of insulin leads to an
increased level of glucose in the blood. This condition is known
as Diabetes Mellitus.
╬ Diabetic shoe, which is sometimes referred to as extra depth
& width or therapeutic shoes, which are specially designed
shoes, or shoe inserts, intended to reduce the risk of skin
breakdown in diabetics with co-existing foot disease.

6. ╬ Diabetes damages the nerves that can occur to the foot and
not be detected which is called peripheral neuropathy.
╬ Diabetes also affects the circulation. Poor circulation can
affect the ability of the body to heal when damage occurs.
╬ Ill-fitting shoes which rub or pinch the feet excessively can
lead to ulceration and foot injury that might cause amputation
of foot or leg.
╬ Diabetes can also affect the joints, making them stiffer.
╬ Other diabetes complications that can also affect the foot, for
example, kidney disease (affects proteins that are involved in
wound healing) and eye disease (can't see the foot to check
for damage).

7.  Supple leather conforms to the contours of the foot, enhancing comfort.
 Seamless lining, made of soft fabric, and padded with foam, provides
excellent protection.
 The only diabetic prefab orthotic with rear foot support that offers an arch
filler and long lasting support.
 Cushioning sole, with a true Toe-Spring design, softens the step, and
helps propel foot forward.
 Extra-depth design offers a loose fit and freedom for toe movement.
 Two removable spacers (1/16” and 1/8” thick) allow the adjustment of the
space inside the shoe for a perfect fit.
 Hidden depth design offers the appearance of regular depth shoes.

9.  Wide Opening
 Padded collar
 Breathable Leather Upper
& Lining
 Rocker Bottom/Wedge
Sole
 Insole with cushioning
effect
 Arch Cushion
 Rigid Shank
 Reinforced Toe Box
 Deep Toe
 Seamless Construction for
Reduced Abrasion
 Lightweight

10. 1. SITRA developed 3d wrap knitted for insole/ liners in
combination of MCP.
2. Nylon for spacer materials for top layer of the insole. Silver
coated nylon was used as top layer to inbuilt anti-bacterial
property.
╬ SITRA insole satisfy the following tests:
• Cushioning Energy
• Compression Set
• Water absorption and Penetration resistance
• Shock absorbency
• Anti-bacterial property

12. 1. Lack of awareness about Diabetes mellitus among
patients.
2. Economic condition of our people is not good enough to
get proper medication and proper footwear.
3. Strict diabetes control not given adequate importance by
patients.
4. Even many doctors are not even know the importance of
Diabetic footwear.(they take it lightly).
5. Less Diabetic footwear manufacturers.
6. No proper knowledge of diabetic footwear.
7. Lack of research in diabetic footwear.
8. If diabetic shoes are available, patients would buy
medicated shoe, as they faces problems normal footwear
creates problems.
9. Some canvas made shoes are used as diabetic shoe.

13. 1. If the seamless lining are not made, seams are given always
outside of the shoe as the abrasive force is less felt in
outside.
2. Don’t use Neoprene adhesive in diabetic shoe
manufacturing as it make the seam more rigid and reduce
the breathability and rise the chances of shocking.
3. The third generation polyol adhesive, which is made from
bean can be used, it is already used in green footwear.
4. Insert disc like spindle of a microcellular into the heel to set
the shoe or feet uniformly in the rough surfaces which avoid
the trembling risk.
5. While padding, use a fabrics under the foam to trap the
produced heat above the ling layer, which reduces the heat
contact.

14. A comprehensive concept of the medical, functional
and technical requirements for this type of footwear is
still lacking till date. A proper research is really
needed today in order to control the situation. People
as well as doctors should be educated properly the
importance of this type of footwear.
As a person suffering from diabetes definitely need to
consider using Diabetic footwear, instead of normal
footwear. These types of footwear offer good feet
support and they are quite comfortable to wear. They
are good to keep your foot healthy and maintain a
good lifestyle.