Risk factors promoting the development and progression of diabetic foot 1. duration of diabetes mellitus more than 10 years; 2. poor long-term glycemic control; 3. wearing inappropriate shoes and poor foot hygiene care; 4. past history of foot ulcers; 5. signs of neuropathy (numbness, decreased or absent sensation of touch or pain in the foot) and/or ischemic vasculopathy (exercise induced gastrocnemius pain or cold feet); 6. (hot feet, non-sweaty skin, muscle atrophy, eagle’s claw-like toes, thickening of the skin at pressure points, very good pulses, good blood reperfusion) and/or signs of peripheral vasculopathy (cold feet, thinning shiny skin, loss of pulse subcutaneous tissue atrophy); 7, other chronic complications of diabetes mellitus (severe renal failure or renal transplantation, significant retinopathy); 8, neurological and/or vascular lesions that are not 9, other risk factors (vision loss, orthopedic problems affecting foot function such as knee, hip or spinal arthritis, poor footwear; personal factors (poor socioeconomic conditions, old age or living alone, refusal of treatment and care; smoking, alcoholism, etc.);