The diabetic patient's feet should be examined and the risk category recorded annually. Patients in the risk categories 2 and 3 are actively treated and particularly followed up. Also a podiatrist takes part in the treatment of the diabetic patient's feet and patient education. Skin infections should be treated early and effectively. Pressure offloading devices like total contact casts, removable cast walkers and therapeutic shoes help in chronic wounds . Critical ischaemia should be recognized and treated with vascular surgery. Charcot's neuroarthropathy should be recognized and treated quickly.