Comfortable laced up shoe for better fit in wide width. Full grain leather upper and breathable hypoallegenic lining. Designed on a specially designed last to enhance stability. Removable insole to accomodate any orthotics. Strobel construction and contoured last bottom allow for flexibility and sole comfort. Fiberglass shank supports the mid-foot arch area. Medicare/HCPCS code = A5500 Diabetic shoe. Made in USA.