Background: Foot ulceration in patients with diabetes is a costly and common problem and the leading cause of non-traumatic lower extremity amputation. With the rising global burden of diabetes in industrialized and developing nations, more attention is being dedicated to this issue. Although much effort has been put toward the study of treatment of ulcers, research on the prevention of this disease is still somewhat limited. (Lavery LA, 2012). Aim: of this study was to evaluate an intensive diabetes foot education program for veterans at high risk for foot ulcer. Methods: This is a quasi pre experimental study with pre and posttest implemented to evaluated the effect of the diabetic training program for foot care promotion and ulcer prevention. We invited 100 consecutive patients with diabetes from a Department of Veterans Affairs Medical Center clinic who were insensate to the Semmes-Weinstein 5.07 monofilament to participate in a foot care education program. Two sessions were conducted by a nurse diabetes educator 3 months apart. Multiple educational approaches were used to teach patients foot self-examination, foot washing, proper footwear, and encouragement in enlisting proper physician foot care. Knowledgeand satisfaction with care was measured before and after each visit. Results: The 34 patients who attended both education sessions improved their foot care knowledge over the course of the program. After the second session, the mean improvement over baseline was 14%. These patients also reported improved satisfaction with foot care; mean improvement was 33%. Conclusions: An intensive education program improved the foot care knowledge and behavior of high-risk patients and reduces foot ulceration as well as callus formation and fungal infection especially in high-risk patients. The study recommended continuous educational program for both diabetic patient and health provider should by applied.