Approximately 1.53 million Ontarians are living with diabetes and between 16,600 and 27,600 may develop a diabetic foot ulcer (DFU).1 The direct healthcare costs for DFU are between $320 to $400 million and indirect costs are between $35 to $60 million.1 Offloading devices (devices that relieve pressure) have demonstrated substantial cost savings. An offloading device can cost between $100 (removable cast walker) to $1,500 (total contact casting), as opposed to $70,000 per amputation. The estimated cost savings for Ontario is between $48 to $75 million per year due to saved limbs.