A large new study has found that 98% of those diabetic patients with foot ulcers had neuropathy signs. Kahn et al assessed 2052 diabetic patients with and without diabetic foot ulcers (DFU). The leading risk factor by far in the DFU group was neuropathy followed by obesity, waist circumference and dyslipidemia. Interestingly, over 17% of the total study population developed DFU. These results confirm the primacy of neuropathy among risk factors precipitating DFUs and their attendant complications.