About Spirit X-Look good in comfort and style. Designed for women with diabetes, the Dr. Comfort Spirit X is a double depth athletic shoe that delivers support whether you're walking, at work or running errands. Built a ¼ inch deeper, the Spirit X can accommodate extra volume for severe edema, internal braces, and AFOs. Additionally, the Spirit X features double contact closures for a customizable fit--never too tight or loose--and easy on/off abilities. This sporty shoe is designed with plenty of room and high-quality material for support and comfort.Fitting tips: Although the standard measuring and fitting rules apply to these shoes, the thickness of the liner should be considered when fitting patients with these styles. The thicker liner may make these shoes feel snugger than some of the other styles.Footnotes: Please remember you should not normally want to fit your diabetic patients either shorter or narrower than measured. However, by following these instructions, you will achieve a fit comparable to the other shoes in our line. It is also important to remember that when you are fitting patients that have narrow heels, it will be easier to accommodate their needs with a lace shoe.Recommendation: 1 width wider.