Diabetic foot is a common, preventable complication of diabetes mellitus. This was a prospective study (April 2004 to October 2005) of 55 diabetic foot patients attending surgical out and in-patient departments at a rural hospital in Mahrastra, India. To determine the prevalence of diabetic foot amongst our patients with diabetes and the associated risk factors. All patients underwent medical assessment, including foot examination, those with diabetic foot answered an interviewer-administered questionnaire on foot healthcare practices. Symptoms, examination findings, glycaemic control, duration and classification of diabetes, occupation and smoking habits were cross studied with diabetic foot according to Wagner’s grading. The prevalence of diabetic foot was 11% and 84% of patients were men. The commonest presentation was Wagner’s grade 2 diabetic foot (34.5%) and most patients (69%) worked outside. The majority of patients with Wagner’s grade 2—5 had uncontrolled diabetes. Neuropathic and vasculopathic components were major predictors of diabetic foot. More than half (64.5%) of our patients were ignorant of foot healthcare practices. Patients with diabetes at this rural clinic need to be better informed on how to examine and care for their feet. They would also benefit from measures to help them improve glycaemic control.