Abstract
Background: Uncontrolled glycemic levels can lead to significant diabetic complications. Diabetic foot is regarded as one of the most frequent complications. Hence, the knowledge of patients about their foot care as well as controlling their blood glucose levels can significantly reduce the incidence of the diabetic foot and consequent amputation in severe cases. This systematic review of the literature would assess the knowledge and awareness of diabetic patients living in developing countries towards diabetic foot.
Methods: We searched Medline, OVID, Embase, and PubMed databases for publications between January 2010 to December 2020. The included searching terms were a combination of "Knowledge" OR "Awareness" OR "attitudes" OR "perception" OR "behavior" AND "diabetes" AND "patient" AND "diabetic foot." The second stage was selecting results, such that to include only original studies examining the knowledge and awareness of diabetic patients towards the diabetic foot. Selected trials evaluated the knowledge towards diabetic foot care among diabetic patients in a developing country.
Result: A total of 89 articles resulted. following the removal of review papers and including original research solely, 14 articles showed up. Eight articles were found to be eligible for inclusion, covering 1877 patients who were questioned through cross-sectional studies about their knowledge and attitudes towards caring for their feet and diabetic foot complication. The knowledge about diabetic foot is generally inadequate, particularly among patients with low socioeconomic levels.
Conclusion: Knowledge and attitudes of diabetic patients towards diabetic foot in developing countries is considered inadequate and require improvement. Future studies should study the correlates between poor knowledge and clinical outcomes of diabetic foot.

Key words: Diabetic foot, diabetes, patients, knowledge, awareness, Developing countries.