Original Article introductionDiabetes mellitus (DM) is one of the common diseases worldwide. Diabetic foot ulcer and amputation are related to increased mortality, morbidity, as well as economic and psychological burden, among diabetic patients. The global incidence of diabetic foot ulcer is 6.3%, and its incidence in Africa is 7.2%. [1] There is a 30-fold greater risk of lower limb amputation and a 10-fold greater risk for foot infection among diabetic patients in comparison to individuals without diabetes. [2,3] In one study in Libya, 1.1% of diabetic patients had lower limb amputation. [4] Risk factors of diabetic foot ulcer include peripheral neuropathy, peripheral vascular disease, foot deformity, callus, previous foot ulcer, previous lower limb amputation, end-stage renal disease, poor vision, inability to reach feet, poor glycemic control, and tobacco smoking. [5] There are several risk stratification systems for predicting the development of diabetic foot. The Scottish Intercollegiate Guideline Network system (SIGN), which has a high diagnostic accuracy, is easy to use and inexpensive. [6,7] Early detection of diabetic foot risk factors and proper intervention can prevent the development of diabetic foot ulceration and amputation. The applicability of internationally developed risk assessment schemes and clinical management guidelines to local and regional circumstances is a prerequisite for their implementation. Hence, this study examined the characteristics and risk factors of diabetic foot disease in a new location. patiEntS and mEthodS DesignWe aimed to determine the characteristics and risk factors for diabetic foot ulceration and amputation among patients with type 2 DM (T2DM) at Benghazi Medical Center (BMC) diabetic clinic in a cross-sectional observational study. This Introduction: Diabetic foot ulcer and amputation are associated with an increased incidence of morbidity and mortality. Diabetic foot ulcer can be prevented by screening for risk factors and proper interventions. Objectives: We aimed to determine the risk of diabetic foot ulcer and amputation among patients with type 2 diabetes at Benghazi Medical Center diabetic clinic. Patients and Methods: A cross-sectional study of diabetic foot status and risk factors in diabetic patients attending a specialist diabetes clinic in Benghazi, Libya. Results: Eighty-seven (84.5%) patients wear inappropriate shoes, 37 (35.9%) had Tinea pedis, 26 (25.2%) had foot deformity, 13 (12.6%) patients had bilateral hallux valgus deformity, 8 (7.8%) patients had clawing of feet, 2 (1.9%) patients had Charcot joint, and one patient (0.97%) had amputated toes. Dorsalis pedis and posterior tibial arteries pulsations were not palpable in six (5.8%) patients, there was a loss of protective sensation among 20 (19.4%) patients, vibration sense was absent in 15 (14.6%) patients, and joint position sense was lost in five (4.9%) patients. According to Scottish Intercollegiate Guideline Network system, 59 (57.3%) patients were in the low-risk category, 18 (17.5%) were i...