A multidisciplinary expert consensus framework for diabetic foot disease management in the Gulf Cooperation Council: A modified Delphi study” is a review and consensus publication in Diabetes Research and Clinical Practice(Volume 237, 2026). The paper addresses the growing burden of diabetic foot disease (DFD) across the Gulf Cooperation Council (GCC) countries and proposes a regionally adapted framework for its prevention, assessment, and management.

The study was developed through a modified Delphi process involving 18 multidisciplinary clinical expertsrepresenting all six GCC countries: Oman, Saudi Arabia, Qatar, Bahrain, Kuwait, and the United Arab Emirates. Experts evaluated proposed clinical recommendations through anonymous voting rounds, with an 80% agreement thresholdused to establish consensus.

The framework covers major aspects of diabetic foot care, including:

• Prevention and screening of diabetic foot complications
• Risk assessment and classification
• Vascular assessment and management
• Diabetic foot ulcer and wound management
• Diagnosis and treatment of infection and osteomyelitis
• Charcot neuroarthropathy
• Offloading and limb-salvage strategies
• Follow-up and prevention of recurrence

An important contribution of the publication is its emphasis on GCC-specific considerations. The recommendations take into account regional cultural practices, climate, local microbiology, healthcare-system organization, and limitations in available resources.

Overall, the publication provides an evidence-informed, multidisciplinary, and regionally tailored framework for diabetic foot disease management in the GCC. It highlights the need for coordinated multidisciplinary care and investment in healthcare systems to reduce complications such as chronic ulcers, infection, amputation, and other consequences of diabetic foot disease.