Over the past 30 years, there have been various trends in diabetes foot care, but the overall aims and outcomes remain fundamentally unchanged. Diabetes patient numbers are increasing, and many of the new methods and products that have been developed in recent years have not proved effective enough to change regimens of care to any great extent. While new technologies are also important, working in a multidisciplinary way is crucial and needs to be a priority for practitioners. Although some progress has been made, this needs to continue and increase to meet the old and new challenges being faced.