The prevalence of prediabetes is increasing worldwide and it is projected that more than 470 million people will have prediabetes in 2030. Prediabetes is a condition marked by above-normal blood sugar levels that aren't high enough to be diagnosed as type 2 diabetes.

Foot problems in people with diabetes are a global problem and there is no area in the world that does not report the development of foot lesions as a consequence mainly of neuropathy and peripheral arterial disease. The diabetic foot is a major medical, social and economic problem worldwide. However,

We know that lifestyle modification can prevent the onset of type 2 diabetes. However, changing individuals’ behaviour is very difficult in environments in which unhealthy foods are cheap and more heavily promoted than healthy options, and in which predominantly sedentary lifestyles are the norm.