WIREDUP: Wearable Insoles for Recurrent Diabetic Ulcer Prevention

Inclusion Criteria: * Diagnosed Type 1 or 2 diabetes * Clinically diagnosed neuropathy via Neuropathy Monofilament Test (Appendix A) * Qualification as a "high-risk participant," meaning a recent history (\<12 months) of a healed diabetic neuropathic ulceration on the weight-bearing surface of one or both feet (this includes the plantar distal toe surface) * Complete healing of any previous foot ulcers, as defined by complete re-epithelialization of that ulcer which is confirmed by two medical exams that occur at least two weeks apart (screening visit and baseline study visit) * Ability to walk independently (without use of wheelchair) for 30 steps. Use of a walker or cane is acceptable as long as the participant can walk for at least 30 steps. * Aged \>18 years * ABI \> 0.6 or TBI \> 0.4 or palpable pulses or evidence of healing in the last 2 months. If ABI \< 0.4, the patient's vascular lab studies (ABI, TBI, pulse volume recordings) will be reviewed by the study PI and a co-I vascular surgeon at USC. * Subject is willing and able to maintain the required offloading (as applicable for the location of the healed ulcer) * Subject is willing and able to wear the Orpyx Sensory Insoles during ambulatory activity and at home during waking hours, and for a minimum of 5 hours per day * Amputations, if present, are compatible with the use of insoles at physician discretion (e.g. Transmetatarsal Amputation (TMA) are acceptable) Exclusion Criteria: * Active ulcer or presence of oth…