DFU is the common complication in diabetic individual leading to amputation of lower extremities if untreated effectively. It accounts in 15% of people with diabetes at some point in their life and can cause gangrene if the infection is not treated properly eventually causing amputation and sometimes death (Armstrong, Boulton & Bus, 2017). The major elements of managing DFU incorporates patient education, controlling blood glucose level, debriding wound, offloading, proper dressing, surgical treatment and innovative therapies (Lim, Ng & Thomas, 2017).

Multidisciplinary team involves general practitioner, nurse, ortho specialist, educator, podiatrist, and other specialists like infectious disease specialist, as vascular surgeons and dietician, and is crucial for the optimal outcome in DFU management. Likewise, debridement of the necrotic tissues reduces the risk of amputation by minimises the bacterial growth, facilitating wound drainage and promoting wound closure. Similarly, proper wound dressing prevents infection and accelerates wound healing. Passive wound dressing is practiced for DFU as it absorbs exudates and provides protection. Nevertheless, surgical intervention for DFU has vital role in preventing and managing the ulcer. Even though surgery in diabetic individual has a risk, the selective modification of frequent DFU can enhance effects (Yazdanpanah, 2015). Similarly, proper wound dressing prevents infection and accelerates wound healing. Passive wound dressing is practiced for DFU as it absorbs exudates and provides protection. Nevertheless, surgical intervention for DFU has vital role in preventing and managing the ulcer. Even though surgery in diabetic individual has a risk, the selective modification of frequent DFU can enhance effects (Yazdanpanah, 2015).Therefore, complex wound management team, GP, nurse, podiatrist, surgeon and dietician were consulted for Mr George, and regular wound dressing twice a day was carried out to promote wound healing,