New England Journal of Medicine. Standards of medical care in diabetes — Diabetes Care. Beaney AJ, et al. Factors determining the risk of diabetes foot amputations — A retrospective analysis of a tertiary diabetes foot care service. Diabetes Research and Clinical Practice.
Diabetes and foot problems. Accessed June 21, Today's podiatrist talks about diabetes. The American Podiatric Medical Association. Access June 21, The management of diabetic foot: A clinical practice guideline by the Society for Vascular Surgery in collaboration with the American Podiatric Medical Association and the Society for Vascular Medicine.
Chicago, Il. June 21, Weintraub AC, et al. Clinical manifestations, diagnosis, and management of diabetic infections of the lower extremities. Society for Vascular Surgery. See also Medication-free hypertension control A1C test After a flood, are food and medicines safe to use?
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L-arginine: Does it lower blood pressure? Please enter your Last Name. Please enter your email. Subscribe Now. Thank you for subscribing! All Categories. Subscribe Search Close. General Wellness. Posted: September 16, Diabetic Neuropathy Diabetic neuropathy is nerve damage that can cause you to lose feeling, feel sharp pains and or experience tingling in your legs and feet.
Peripheral Artery Disease Peripheral artery disease PAD is a narrowing of the peripheral arteries caused by a build-up of fatty deposits that supply blood to the legs and arms. How to Prevent Complications and Limb Loss The good news is amputations are preventable with proper diabetes management, foot care and wound care. How We Can Help For additional support in understanding and managing your diabetes, consider attending one our diabetes education classes.
Diabetes is a significant cause of lower limb loss. According to the American Diabetes Association , worldwide, a person loses a limb due to diabetes-related complications every 30 seconds. A study found that foot ulcers occur in 4—10 percent of people with diabetes. When foot ulcers do occur, the majority have a good outlook:. According to the National Diabetes Statistics Report , , adults had lower extremity amputations relating to diabetes in This number equates to five out of every 1, people with diabetes.
Not everyone with diabetes will need an amputation. If a person with diabetes does require this procedure, it is likely to be due to a wound or ulcer that did not heal on the foot or lower leg. Most amputations are progressive, which means that a doctor will start by removing the smallest possible amount of tissue. If either the surgery wound does not heal or blood flow does not go to the limb properly, they may recommend further surgery to remove more tissue.
People living with diabetes should pay extra attention to their feet because they have an increased risk of wounds not healing, potentially making amputation necessary. Some of the signs and symptoms that a person should look out for and see their doctor about include:. If any of these symptoms are present, a person should speak to their doctor to determine a course of action. The treatment options will depend on how severe the symptoms are and what is causing the issues. It is important that a person examines their feet regularly to identify potential problems as early as possible.
A doctor will aim to treat the issues before they become severe. There are several things that a person can do to prevent the need for limb amputation.
Two particular areas to focus on are blood sugar maintenance and proper foot care. Another important preventive step is to take good care of the feet, which a person can do by taking the following action:. These include:. People living with diabetes have an increased risk of lower limb amputation.
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