When a patient presents with a prescription for custom molded diabetic shoes, what should the fitter do?

When presented with a prescription for custom molded diabetic shoes, referring the patient to a certified pedorthist or orthotist is the most appropriate action. This is because custom molded shoes require careful assessment, and a trained specialist can ensure that the shoes are designed and fitted correctly to meet the specific needs of the patient.

A certified pedorthist or orthotist has the expertise to analyze the patient's foot structure, gait, and any relevant medical conditions. They can create molds and make adjustments to the shoes that consider the patient's unique foot characteristics. Proper fitting is crucial, as inadequate support can lead to complications for patients with diabetes, including ulcers or foot deformities.

Engaging a specialist not only enhances the quality of care provided but also aligns with the standards and best practices necessary for managing complex foot issues associated with diabetes. This referral helps ensure the patient receives appropriate footwear that maximizes comfort and therapeutic benefits, reducing the risk of injury.