The aim of this study was to determine the knowledge and practice of foot care in people with diabetes. Diabetes Mellitus (DM) foot complications are a leading cause of mortality in developing countries and the prevalence of diabetes is expected to increase in the next decades in these countries. The aim of this study was to determine the knowledge and practice of foot care among diabetes patients attending three tertiary  care  hospital in South west Punjab India. We carried out a cross-sectional study. A questionnaire was completed by 200 patients with diabetes in South west Punjab India. Knowledge score was calculated and the current practice was determined.

 The mean knowledge score was 7 (standard deviation +/-3.0) out of a possible 16.

 Illiterate patients were the least knowledgeable (P= 0.008).

 Lack of adequate knowledge includes the following: 70% not aware of the effect of smoking on the circulation to the feet,

 80% failed to inspect their feet

and 70% did not know to trim their toenails.

High risk practices including use of irritants to water (66.5%)

 and walking barefoot (62%).

The results of this study highlight the patients' inadequate knowledge of self-care about their foot and lack of optimal podiatry service in  South West Punjab India. These findings have implications for further evaluation, planning and management of patient care in diabetic foot disease