The way I see it, I am not wearing my climbing shoes for that long so I worry more about controlling my BG long term than a few hours a week with the "wrong shoes" on.Have you found you have to adapt to all the care that's asked about feet when you have diabetes? My climbing shoes are reasonably comfortable (though I'll have to try my old tighter ones again as I push my grade). But climbing is possibly hard on the feet. Of course I'm not affected by that at the moment and perhaps shouldn't worry too much about a future. (My doctor sees this as a progressive and inevitable disease, but I think I'm doing well at the moment).
I am sure they are no worse than than the stiletto heeled pointed monstrosities I used to wear for days on end as a teenager. Nowadays, my shoes are more likely to be trainers.
Plus, I keep an eye on my feet for any issues and, in 20 years, I have not spotted anything of concern.