However, only minor beneficial metabolic effects for this patient group have been shown, indicating that the exercise intensity of normal walking might be insufficient (Karstoft et al., 2013). Furthermore, Nordic walking (NW) represents another approach for exercise in T2DM patients.
Avoid high heels, pointy toes, and heavy shoes. Look for shoes with a wide toe box. Even a 1.5-inch higher heel can increase pressure on two common sites for knee osteoarthritis damage. Choose heels that are 0.75 inch or less. Some shoes for those with flat feet are also beneficial for those with sensitive knees.
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nordic walking vs normal walking