Abstract
The diabetic foot clinic for prevention of diabetic foot ulcers（DFU）was established in 2006 in the University of Tokyo Hospital. Diabetes nurses, Wound, Ostomy and Continence Nurses and wound care researchers identify the risk to DFUs, care for non-ulcerative pathology and educate patients. Moreover, wound care specialists, engineers and bioengineers conducted collaborative research, and developed protocols which focus on identifying and caring for high risk patients with non-ulcerative pathology. The accumulation incidence of DFUs over a period of 60 months was kept at just 1.2% at the University of Tokyo Hospital. Recently the number of cases of diabetes is increasing and there is an urgent need to establish effective preventive methods for DFUs in Asia. We had the opportunity to conduct a diabetic foot clinic in China and recognized that the need for preventative care was high. We also gave a lecture about preventative care for DFUs, and introduced our protocol in Indonesia. Challenges encountered by our diabetic foot clinic are introduced in this paper, from establishment of the diabetic foot clinic to dissemination to the world.
