Diabetes is a syndrome in which the basic defect is an absence or shortage of the pancreatic hormone insulin. This deficiency disrupts the vascular system, affecting the eyes, kidneys, legs, and other extremities such as the feet. Diabetic foot problems arise from poor circulation that causes hyposensitivity (lack of feeling). Clinical studies have shown that footwear and doctor prescribed orthotics play an important role in diabetic foot care. Drew footwear has removable insoles that can be replaced with prescribed orthotics, which help reduce and redistribute pressure and pressure points. The footwear has a wide shank area to better accommodate the diabetic foot. Look for Drew's soft, tumbled leathers that reduce irritation, and shoes that are lined with deerskin or other soft, seamless materials which help prevent foot ulcerations.