Diabetes and its complications are rapidly becoming the world’s most significant cause of morbidity and mortality. It is predicted that by 2040 there will be over 642 million people with diabetes in the world (1) With the lifetime incidence of foot ulcers occurring in up to 25% of patients ( 2 ), we need to pay far more attention to the diabetic foot and shift our focus to preventing ulcers rather than treating them. Diabetes morbidity rates are staggeringly high and the 5-year mortality rate, after a lower extremity amputation, is only second to lung cancer.(3)