Introduction: In Sudan limited data is available regarding the prevalence of diabetes mellitus (DM), its complications as well as patients´ awareness and practice patterns. This study aimed to evaluate the knowledge and practice regarding control of DM and occurrence of diabetic nephropathy (DN), among Sudanese diabetics with diabetic foot.

Methods: A cross-sectional study conducted in Khartoum State - Sudan, during the period from February to April 2013. It targeted adult diabetics admitted to hospital with diabetic foot. Data was obtained from the Hospital Medical Records as well as by direct interviewing of patients. Descriptive analysis of data was done using SPSS computer software.

Results: A total of 76 patients were included, their mean age was 58 ± 1.01 years and 59.2% were males. Diabetic retinopathy and nephropathy were seen in 56.6% and 27.6% of patients, respectively. Regular follow-up was evident in 59.2% of patient. Following hospital admission and the diagnosis of diabetic foot, 73.7% were unable to tell why they had diabetic complications. Prior screening for DN was done in 31.6% of patients mostly in the form of urine dipstick for protein, and measurement of serum creatinine; whereas 53.9% of patients were not aware of prior screening for DN.

Conclusion: A substantial proportions of Sudanese patients with diabetes remain far from achieving their glycemic goals. A multidisciplinary set-up for screening and management of diabetes, and its complications remains essential.