Background : Diabetic foot wounds affecting either limb is seen in immense numbers on out patient basis in the department of general surgery all over India. They present tothe health care professionals in varying general conditions , ranging from a simplewound with adequate granulation tissue which can be managed on OPD basis to v those presenting in septic shock and MODS due to poorly managed wound and systemic control of diabetes mellitus , hence requiring admission. Innovations are being tried with respect to the type of dressings to hasten the formation of granulation tissue, decrease the size of the wound and reduce the foul smelling exudate in diabetic foot wounds. On similar grounds a novel dressing technique using a combination of NPWT and topical insulin has been tried on diabetic foot wounds and its results assessed using accepted criterias.