Diabetic foot or neuropathic sores are one of many debilitating complications of long lasting uncontrolled diabetes. The prevalence is about 4-10% in developed countries. Most patients have been seen to have multi-system affection owing to which there is a combination of peripheral micro-angio(small vessels)pathy and neuropathy. The reasons lead to reduced sensation and decreased healing capacity once a sore is in place.  It starts as loss of sensation in the distal part of limbs where the skin becomes dry and cracked due to nerve dysfunction supplying the area. This is super-added with repetitive trauma to the sensation less extremity of which the patient does not come to know. This trauma while is healing, again gets injured due to heat, cold, exposure to environment or trauma. This leads to development of a deep bruise which finally shows up as skin excoriation eventually. Since healing is also impaired in these patients due to diabetes and they are also predisposed  to infections, this leads to an infected non healing wound which is typical of a diabetic sore. 

Diabetic foot once in place prevents the mobilisation of the patient and adds to the co-morbidities associated with recumbency. Deep venous thrombosis and pressure sores in back are two most important problems which start as a diabetic foot and lead to worsening condition of the patient. The best way to treat it is PREVENTION.  The most important approach to prevention remains the identification of risk factors and educate the patient regarding his own clinical condition and associated risks. 

5 tips to prevent these complications early in the disease so that it forms a routine practice later: 

1.   Use ofSoft-heel in foot ware.

2.   Thorough cleaning and wiping of both feet after bath and examining them for any sign ofa developing ulcer.

3.   Good nutrition

4.   Check on diabetes.

5.   Regular exercises 

Along with the same, patient is advised to visit their chiropodist, Physiotherapist and physician for regular follow-up and investigations. The role of patient and attendee education in preventing diabetic foot is imperative and cannot be substituted. Strict Diabetic control along with small frequent meals form an essential component of prevention.