Inclusion Criteria:

1. Men and women, 18 years of age or older at the time of consent;
2. Clinical diagnosis of Diabetes Mellitus type 1 or type 2;
3. At least one recently healed plantar foot ulcer (>1 week but <12 weeks since heeling);
4. Loss of Protective Sensation
5. Community ambulatory or better by patient report?;
6. Ability to give consent;
7. In the opinion of the investigator the subject is willing and able to comply with the scheduled visits, treatment plan, and other trial procedures for the duration of the study.

Exclusion Criteria:

1. The subject has a current ulcer below the malleoli;
2. The subject has partial amputation
3. The subject has an active Charcot process;
4. The subject has barefoot plantar pressure in the area of the previously healed ulcer <450 kPa (<300 kPa for toe ulcers);
5. The subject has need for more complex intervention, i.e. the local decision that patient needs a rigid outsole;
6. The subject has had a prior ulcer on the plantar aspect of the heel