<p>This study assessed the level of awareness of diabetic foot-related risk factors and assessed patient foot care knowledge and practice. A cross-sectional study of 226 patients (mean age 49.9 years, mean diabetes duration 10.5 years, 89% type 2 diabetes, 5.3% smokers, 40% illiterate, 13% university educated) was conducted at the diabetic center in al-Madinah. A validated foot self-care questionnaire was used to assess patients’ behaviours; their knowledge and practice were considered “good” if their score was >73%, “satisfactory” if it was 46–72% and “poor” if it was<45%. Patients were at high risk of developing foot ulcers. Most patients had good knowledge but only half of them had good foot self-care practices. Male participants had significantly better foot care practice than female participants. Study participants seem not to be utilizing their knowledge of foot care in daily practice. We need to educate and motivate them through awareness programmes to ensure knowledge actually translates into better foot care behavior.</p>