Our mission

D-Foot International promotes the global profile of diabetic foot prevention and care through awareness, guidance, education, research and professional development.

Our aim:

To prevent and reduce the number of lower limb amputations from diabetes worldwide. With our global network of dedicated, specialised footcare representatives,

Our focus:

  • To implement the ’International Consensus on the Management and Prevention of the Diabetic Foot’ guidelines,
  • To train healthcare professionals how to effectively manage diabetic foot problems and prevent amputations,
  • To give healthcare professionals strategies to implement, develop and sustain foot services,
  • To guide healthcare professionals in training and supporting their colleagues,
  • To promote the recognition of diabetic foot specialists.

D-Foot International is the implementation group of the International Working Group on the Diabetic Foot (IWGDF).

Our governance

D-Foot International is the International Working Group on the Diabetic Foot—Implementation section, established as an international non-profit association under Belgian law.

The governing bodies are the General Assembly and the Board.

The General Assembly is composed of Delegates: the members of the Board and the Full Members. The Full Members are the country representatives, representing their respective country and all disciplines related to diabetic foot management. They have voting rights in General Assembly. Delegates vote by country. Countries may have different voting weights.

The General Assembly elects a Board and a Nominating Committee.

The Board currently consists of eight Directors: President, President-Elect, Vice-President Finance and five other Vice-Presidents.

The Nominating Committee is composed of the President-Elect, the Immediate past-President, a Regional Chair and a Vice-President.

Individuals apply to the Regional Council to become Provisional Member. The Board admits individuals to become Provisional Members. Provisional Members have not voting rights. The General Assembly admits Provisional Members as Full Members.

The Board admits individuals who make a financial contribution to the organisation as non-voting Associate Members.

The organisation also has non-voting Honorary Presidents and Honorary Members.

The Board admits non-voting Institutional Members: associations to Association Members, and companies/sponsors to Corporate Members.

The Board creates standing committees: Audit and Risk Management, Advisory Committee, Governance Committee, Ethics Committee, etc.

The organisation also creates operational committees: Guidance, Implementation/Education, Implementation Congress, etc.

Standing Committees report to the Board; operational committees to the CEO.

Our members

A global network of foot care specialists

D-Foot International enjoys a longstanding history of a global network of 190 dedicated, specialised diabetic foot care representatives from more than 170 countries.

Two regional representatives coordinate each region.

The IWGDF guidance documents form a basis for foot prevention and management programmes run by national representatives. They also constitute the General Assembly.

Our history

The International Working Group on the Diabetic Foot (IWGDF) was founded in 1996.

In 1999, the IWGDF published the first-ever International Consensus on the Diabetic Foot and Practical Guidelines on the Management and Prevention of the Diabetic Foot. This publication has been translated into 26 languages, and more than 80,000 copies have been distributed globally.

To implement the International Consensus, the IWGDF recruited national foot champions to become members of the IWGDF. Today, the organisation is represented by 188 members from 170 countries.

Workings groups of experts in specialised fields were asked every four years to revise and update the consensus chapters based upon up to date published evidence or consensus standards. The most recent IWGDF Consensus guidelines were launched in May 2015. This is an ongoing process guided by the IWGDF-Guidance Editorial Board.

Other aims of the IWGDF, now called “D-Foot International”, are to stimulate research and advise at scientific meetings.

The quadrennial International Symposium on the Diabetic Foot (ISDF) is the showcase meeting of IWGDF, which first took place in Noordwijkerhout (The Netherlands) in 1991 but now takes place in the Hague.

To implement the International Consensus guidelines, D-Foot International acts to guide programmes such as Step-by-Step (SbS), a programme to improve diabetic foot care in developing and low income countries.

Initially, Step-by-Step (SbS) was designed for developing countries. The first programme was launched in Tanzania and India in 2004. Later D-Foot International initiated Train-the-Foot-Trainer (TtFT) programmes to train leading national diabetic foot experts within the region to deliver SbS programmes. The first TtFT was organised in Brazil in 2010 (14 participating countries), followed by the Caribbean (22 countries), Europe (17 countries) and more recently the Western Pacific (13 countries).

D-Foot International works on the Diabetic Foot Care Assistant Certificate to standardize international course that any country with no podiatry service can undertake. D-Foot International also offers post-graduate courses in diabetic foot to physicians already interested in management of diabetic foot.