Can Diabetics Wear Compression Socks? Benefits and Considerations

Before we break down the benefits and precautions for compression socks and answer the burning question, “Can diabetics wear compression socks?” we first need to define what these are.

Unlike regular socks, compression socks, or compression stockings, are designed to apply gentle pressure to the lower legs, helping to improve blood circulation and reduce discomfort or swelling in the feet. The idea behind these socks is simple: they exert pressure to help the blood vessels work more efficiently. 

So, can diabetics wear compression socks? Are they the right solution for everyone with diabetes? And how do you choose the best pair? Keep reading to find out the answers to these questions and then some.

Are compression socks safe for diabetics?

While a compression stocking can offer quite a few benefits for many diabetics, it’s important to ask, 'Can diabetics wear compression socks?' as they’re not suitable for everyone. In some cases, those with certain health conditions may need to avoid them. 

People with advanced peripheral neuropathy, for instance, may have reduced sensation in their legs and feet, which could make it difficult to notice any discomfort or issues caused by the compression. 

Those with advanced arterial disease, specifically peripheral arterial disease (PAD) or ischemia, as well as uncontrolled congestive heart failure, should also be cautious, as the socks could affect blood flow in ways that aren’t safe for their condition. In addition, other factors, like being intolerant to the material of the socks or having certain skin conditions, could make compression socks uncomfortable or even harmful.

If you're unsure whether compression socks are right for you, it’s always a good idea to check with your doctor or healthcare provider. They can help you decide based on your specific health needs.

How compression socks help manage diabetic foot health

Now, it's time to answer the all-important question: 'Can diabetics wear compression socks?' Here's how these socks can help manage and improve diabetic foot care.

Improving circulation

As mentioned earlier, compression socks work by gently applying pressure to the lower leg, which helps blood vessels perform more efficiently. 

Here’s how it works:

• When pressure is applied to the veins and surrounding tissues, it prevents the veins from expanding too much.

• When the veins don’t expand excessively, it improves circulation and encourages the blood to flow upward toward the heart. 

• Better circulation means less chance of blood collecting where it shouldn't - namely, the lower legs - which can also reduce that heavy or achy feeling after a long day.

By improving circulation, compression socks help manage diabetic foot health and prevent diabetic complications from developing or worsening. 

Reducing swelling and fluid retention

For diabetics, swelling in the feet and ankles, also known as edema, is a common concern, often linked to poor circulation and fluid retention. 

Managing fluid retention is crucial for diabetic foot health, as excessive swelling can lead to discomfort, restricted movement, and even foot complications like ulcers. Proper circulation and reduced swelling can help protect the feet from these issues, ensuring you don’t experience foot pain or other complications. 

By keeping the veins narrower, compression socks improve circulation, and better circulation helps minimize the leakage of fluids from blood and lymphatic vessels. Less leakage means less fluid retention and less swelling. 

And this is backed by science. Research has shown that compression socks can help improve edema without negatively affecting circulation, making them an important tool in managing diabetic foot health [1]. 

Compression socks also have other benefits:

• Since they help improve circulation, these socks are good for people with varicose veins, pregnant women, those who stand for long periods or travel frequently, and individuals recovering from surgery.

• They can help prevent your feet from getting tired or sore.

• They may help reduce dizziness or lightheadedness when you stand up.

• They can help minimize the risk of a blood clot, which can lead to swelling, skin discoloration, and other problems.

• They can bring more oxygen to your muscles during exercise, which helps protect your tissues (that’s why many athletes wear them).

• Better blood flow can also speed up muscle recovery after physical activity.

Additionally, for those wondering how to treat swollen feet diabetes, compression socks can be an important part of managing swelling and improving circulation.

Preventing foot ulcers

Foot ulcers - often caused in diabetics by poor circulation and repetitive stress - can lead to serious complications, including amputation [2]. 

By boosting circulation and reducing swelling, compression socks help keep blood flowing properly to the feet, which also helps prevent conditions that can lead to ulcers. The gentle pressure these socks apply helps keep blood from pooling and prevents veins from over-expanding, both of which are common causes of ulcers.

Apart from the obvious reasons, preventing a foot ulcer is extremely important, as once an ulcer forms, it can be hard to heal and infections can set in quickly, leading to major complications. 

With features like fewer seams, added padding, and moisture-wicking materials, compression socks help reduce friction and keep your feet dry, lowering the risk of injury and infection [3].

When should diabetics avoid compression socks?

While compression socks offer many benefits for the diabetic patient, there are certain conditions where they may not be recommended. 

• People diagnosed with advanced peripheral neuropathy, where nerve damage affects the feet, should avoid wearing compression socks, as the pressure could worsen nerve-related issues. 

• People with severe arthritis

• ischemia (advanced arterial disease), or uncontrolled heart failure should also steer clear of these socks, as the added pressure might interfere with circulation or exacerbate their condition.

• Compression socks are also not recommended for those with open cuts or wounds,

• Compromised skin, such as untreated septic phlebitis or other skin conditions like dermatoses. 

It’s always best to consult your healthcare provider to ensure that compression socks are a safe and appropriate option for your specific needs.

If compression socks aren’t right for you, diabetic socks can be an excellent alternative. These socks are designed specifically to address the unique needs of diabetic foot health, offering a range of features that prioritize comfort, protection, and circulation:

• Moisture-wicking material: Diabetic socks are designed to pull sweat away from the skin, keeping feet dry and reducing the risk of fungal infections and blisters. This is especially helpful for those with frequently sweaty or moist feet.

• Seamless design: Similar to compression socks without seams to rub against the skin, diabetic socks help minimize friction and prevent blisters, which is especially important for those with nerve damage or chronic high blood sugar.

• Soft, odor-preventing fabrics: The special fabrics of these socks not only feel soft but also have natural antimicrobial properties, providing an extra layer of protection against bacteria, fungi and odors.

• Non-elastic binding: Unlike traditional socks, diabetic socks stay up without squeezing the calves, promoting healthy circulation without restricting blood flow.

• Padded soles: Extra cushioning protects against injuries and provides added comfort for specific activities, whether it’s standing, walking, or exercising. 

• Flexible fit: Some diabetic socks adapt to your unique foot shape while still maintaining gentle support.
  
  

How to choose the right compression socks for diabetics

Key features to look for

When you’re shopping for diabetic compression socks, make sure to focus on the following features.

• Softness. Soft materials provide comfort and help prevent irritation, especially for sensitive skin.

• Non-binding tops. To support good circulation, the top part of the socks should not dig into your skin or restrict blood flow.

• Moisture-wicking properties. Look for socks that keep feet dry throughout the day and in every weather, reducing the risk of infections, odors and irritation.

• Graduated compression. Compression that starts at the ankle and gradually decreases up the leg is best, as it helps improve circulation without feeling overly tight.

• Seamless design. Seamless socks are ideal for preventing rubbing and discomfort, especially if you have neuropathy or sensitive feet.

• Cushioning. Cushioned soles can provide extra support and reduce impact, whether you’re on your feet all day or need added protection.
  
  

We also have some tips for you:

• Identify your specific health needs. Determine whether you’re addressing neuropathy, circulation problems, or foot swelling, as different socks cater to different conditions.

• Check for proper fit. Compression socks should fit just right, so look for those that come in several foot sizes as well as several calf sizes. The size affects the pressure level: if it’s a bit too big, the pressure will be lighter, and if it's too small, the pressure will be heavier. 

• Measure your size. For mid-calf compression socks, choose your size based on your shoe size. With knee length compression socks, in addition to knowing the length of your foot (AKA your shoe size), measure your calf circumference by wrapping a tape measure around the widest part of your calf.  The tape measure should be snug around your calf, but not too tight.

• Know your compression level. Compression levels start at 8 mmHg and go all the way up to 40 mmHg, while the most common levels are 15-20 and 20-30 mmHg. The mild compression of 15-20 mmHg is the most common type, as it’s a good starting point for people who are new to wearing compression socks. The next level of compression diabetic socks, 20-30 mmHg, provides the same benefits as the first level, but can also help treat more serious leg and foot problems, including moderate to severe edema or lymphatic edema (swelling).
  
  

Taking these factors into account will help you find compression socks that meet your needs, but it’s always a good idea to consult your doctor or health provider.

Recommendations for diabetic-friendly compression socks

Finding the right compression socks for diabetics doesn’t have to be overwhelming. At Orthofeet, we’ve taken extra care to use our advanced technology and capabilities to design compression socks that help keep your feet healthy and comfortable, suitable for sensitive or diabetic feet. Here’s what sets our socks apart:

• Innovative two-piece knee-high system. This design simplifies the process of putting on and taking off knee-high compression socks. It also lets you mix and match sizes or compression levels for a personalized fit.

• Enhanced focus on comfort. Our socks offer both gradual compression and targeted padding at key areas like the heel and ball of the foot, all for the purpose of providing both support and protection where it’s needed most.

• Tailored for sensitive feet. Seam-free interiors and soft, moisture-wicking materials keep your feet dry, healthy, and comfortable while minimizing the risk of chafing or irritation.

If compression isn’t what you need, we also offer diabetic socks specifically designed for enhanced comfort and protection. These socks feature:

• seamless toes to prevent irritation,

• non-binding tops to improve circulation,

• padding that absorbs shock and provides comfort with every step,

• a flexible fit that adapts to your foot shape while maintaining gentle support,

• a relaxed fit to promote circulation without squeezing or leaving marks,

• breathable, moisture-wicking materials to keep your feet dry and fresh. 

Our diabetic socks are designed with sensitive or diabetic feet in mind, providing all-day comfort and care. 

Orthofeet: The ideal solution for diabetic foot health

At Orthofeet, we offer diabetic shoes and compression socks designed to support diabetic feet with comfort and protection. Our Ortho-Cushion™ System ensures every step feels softer and supported, while the Arch Booster provides customized arch support to relieve pressure points and enhance stability.

Discover the benefits of diabetic shoes, including improved circulation, reduced swelling, and protection against foot ulcers. With Orthofeet, you can enjoy better foot health and comfort, all while staying active and supported every step of the way.

 

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[1] Mary Ellen Ellis (medically reviewed by Deborah Weatherspoon, Ph.D.). Find the Right Diabetic Socks. Healthline. September 17, 2018. Accessed January 1, 2025.
https://www.healthline.com/health/find-right-diabetic-socks#precautions

[2] A. Perrier, N. Vuillerme, V. Luboz, M. Bucki, F. Cannard, B. Diot, D. Colin, D. Rin, J.P. Bourg, Y. Payan. Smart Diabetic Socks: Embedded Device for Diabetic Foot Prevention. Science Direct. April 2014. Accessed January 1, 2025.
https://www.sciencedirect.com/science/article/abs/pii/S1959031814000220

[3] Emily Cronkleton (medically reviewed by Gregory Minnis, DPT, Physical Therapy). How do diabetic socks and compression socks differ?. Medical News Today. August 16, 2022. Accessed January 1, 2025.
https://www.medicalnewstoday.com/articles/diabetic-socks-vs-compression-socks#differences