Diabetic foot ulcers, caused by diabetes-related nerve and blood vessel damage, can lead to amputations. Silicone insoles help prevent ulcers but are often expensive. Affordable, customized insoles are available, making prevention more accessible. This research aims to create affordable, locally manufactured silicone insoles for diabetic foot ulcers, reducing costs and improving accessibility. A six-month study at the Pakistan Rehabilitation Center assessed the quality of life in diabetic foot ulcer patients using the Foot Health Status Questionnaire (FHSQ). After four weeks of using silicone insoles, participants experienced significant improvements in foot health, pain relief, and mobility. They reported easier daily tasks and enhanced social interaction. Over four weeks, silicone insoles greatly improved foot health, reduced pain, and enhanced daily functioning and social interaction. The degree of improvement varied according to the initial severity of participants' conditions.