Diabetic foot problems are still a leading cause for major amputation. Effective therapy of diabetic foot problems includes the prevention of foot ulcerations via customised diabetic footwear that reduces the mechanical stress by re-distributing pressure to the plantar tissue. Adherence to the customised diabetic footwear is crucial for a preventive effect regarding serious diabetic foot problems. However,
adherence data often rely on self-report or cover rather short time spans. The aim of this study was to objectively assess the course of patients’ adherence with a temperature sensor. In addition, possible gender effects on adherence were analysed.