An individualized design method for a diabetic foot shoe pad comprises the steps that firstly, a general foot bone model is established, then key size data of the diseased foot is acquired, the general foot bone model is scaled to obtain an individualized bone model of the diseased foot, then three-dimensional data of surface appearance of the diseased foot is acquired and is coupled with the individualized bone model, and assembly is performed in CAN software to obtain an individualized three-dimensional model of the diseased foot; then, based on the three-dimensional model of the foot, a diabetic foot shoe pad base model completely fit with the foot is established according to foot bottom appearance characteristics and is imported into finite element analysis software with the three-dimensional model of the foot to perform assembly and grid partitioning, a finite element model of a foot-shoe pad is obtained, then a stress distribution result is analyzed and calculated, the modulus and structures of zones of the diabetic foot shoe pad base model are modified to form a final diabetic foot shoe pad model. The designed shoe pad meets the individualized demand, meanwhile a product design period is shortened, and the cost is reduced.