There are 415 million people aged 20–79 years with diabetes worldwide, almost 153 million of them live in the Western Pacific region (Ogurtsova et al, 2017). The number of people with diabetes is predicted to rise to 642 million worldwide by 2040 (Ogurtsova et al, 2017). Indonesia has approximately 258 million citizens, making it the world’s fourth most populated country. It is one of 21 countries and territories in the International Diabetes Federation Western Pacific region. According to the International Diabetes Federation (2017), about 10.3 million Indonesians have diabetes.

DFU is not unpreventable. Most DFU cases are preventable (Driver et al, 2014). DFU prevention is important, as recent research has revealed that >15% of DFUs will progress to amputation (Liu et al, 2018). Furthermore, after amputation, 13–40% of people will die within a year, and 39–80% within 5 years (Driver et al, 2014). This is a comparable mortality to that caused by all types of cancers (34.2%) within the same period (Driver et al, 2014).