Foot-related complications are common among people with diabetes and are important causes of hospitalization and amputation. Recommendations for persons with diabetes include wearing suitable shoes to reduce foot complications, but such shoes are generally not readily available. This study aims to improve foot comfort and prevent foot complications by modifying conventional design requirements for shoes. Traditional requirements include lightweight construction, good plantar contact, anatomical last, and good side support. However, many commercial shoes deviate from these requirements, leading to interest among occupational therapists. The study focuses on well-structured shoes with ergonomic comfort, focusing on the design of the last and shock-absorbing element. It also suggests foot orthoses and shoe dimensions that approximate the natural plantar contour to prevent ulceration in diabetic neuropathic feet. The ultimate objective is to reduce healthcare costs for hospitals, factory workers, and mountaineers by providing proper footwear. The research aims to provide better autochthonous windy footwear and address the growing diabetic population's needs. Proper footwear is represented by a specific area in the footwear field, which has as its main objective providing biomechanical support in a comfortable way for the entire biological variation of the human foot. Findings: The study illustrated a precise quantitative grid of the scientific findings in the area of diabetes-related foot complications and also in the technological advancements for creating the proper shoe. It provided an updated footwear design specifications based on the feedback obtained from expert fitting specialists. Also, a set of updated standards for classifying the established specifications, checking their relevance to these stakeholders' competence and daily work activity has been designed. A convenient criteria from the study which might significantly influence a favorable position and unique function regarding the appropriate foot presentation concerning footwear ergonomics was concluded.