Background- The prevalence of diabetes continues to be a growing problem throughout thernworld and contributes significantly to the health care burden. One of the major complicationsrnthat diabetes carries is foot ulcer. Diabetic foot ulcer (DFU) is one of the most fearedrncomplications and a common reason for the hospitalization of diabetic patients. The ultimaternendpoint of diabetic foot disease could be amputation, which is associated with significantrnmorbidity and mortality. It also has significant social, psychological, and financial consequences.rnObjective- This study is designed to address the status of knowledge, attitude and practice ofrndiabetic foot care and barriers to foot care practice among diabetic patients on follow up atrnEndocrine clinic in Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia. rnMethodology- This is a descriptive cross-sectional study which was done on diabetic patients on rnfollow up at Endocrine clinic in Tikur Anbessa specialized hospital. The study included 378 rndiabetic patients using a convenient sampling technique. All patients whose records met therninclusion criteria were reviewed. SPSS version 25 was used for data analyses. Knowledge,rnattitude, and practice of foot care were assessed using descriptive statistics and bivariable andrnmultivariable logistic regression. rnResults- A total of 378 study diabetic patients were included in this study where the mean age ofrnthe participants was 54 years. There was comparable sex distribution. The mean knowledgernscore using questionnaires adapted from recommendations by American College of Foot and rnAnkle surgeons was 12.1 1.94 of which 47.6% and 52.4% had good and poor knowledge ofrndiabetes foot care respectively. The mean attitude score using questionnaires adapted from a rnprevious Saudi study was 3.85 0.90 of which 73.5% had good attitude and the remaining 26.5%rnhad poor attitude towards foot care. The practice score using questionnaires that were adaptedrnfrom the Nottingham Assessment of Functional Foot Care (NAFFC) was considered good if thernparticipants scored above mean. Based on that, 54.5% of the participants had good practice whilern45.5% of the participants were considered to have poor practice. With regards to barriers of footrncare nearly one third didnâ€™t know what to do, 27.5% didnâ€™t think it was important, and 6.9% ofrnthe participants mentioned poor communication between patients and HCP.rnConclusion and recommendation- Knowledge and practice of foot care among diabetesrnpatients in our study participants werenâ€™t satisfactory. The result of this study displays the gapsrnin their knowledge and practice and puts an emphasis on the need for patient education. Mostrnpatients are reported to have good attitude which can signify that patients are willing to learn andrnpractice if they get access to proper diabetes education. rnIn conclusion, it is important to focus on the role of health education to minimize diabetic footrncomplications.