WIREDUP: Wearable Insoles for Recurrent Diabetic Ulcer Prevention

Inclusion Criteria: * Diagnosed Type 1 or 2 diabetes * Clinically diagnosed neuropathy via Neuropathy Monofilament Test * 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 (V0 and V1) * 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 * Ability to understand all study requirements and have a life expectancy greater than the study duration * Vascular assessment (i.e., ABI, segmental pressure) that demonstrates the participant has adequate lower extremity perfusion * 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 * Compatibility of the device with the participant's footwear * Most recent HbA1c level of \< 12.0% (in the last 12 months) * Amputations, if present, are compatible with the use of insoles Exclusion Criteria: * Active ulcer or presence of other open chro…