DIABETIC FOOT AMPUTATIONS BE PREVENTED?
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1. 24 million people in the United States are affected by diabetes
2. Diabetic foot infections comprise 20% of all diabetes-related
3. Neuropathic ulcers (ulcers resulting from callus breakdown)
are the most common diabetic foot manifestation leading to a
lower extremity amputation.
4. Neuropathic ulcers are a consequence of ulcers developing
as a result of foot deformity, sensory neuropathy, and microtrauma
from everyday walking.
5. 15% of all diabetes patients will experience a neuropathic
ulcer during their disease course.
6. Lower extremity amputations are 15% more common in the diabetic
FACTORS FOR DIABETIC FOOT COMPLICATIONS
1. Duration of diabetes (>15 years)
2. Poor diabetes control (HGAIC >9)
3. Past history of foot ulcerations and amputations
4. Peripheral neuropathy (sensory loss)
5. Foot deformity (bunions, hammertoes)
6. Thick fungal nails
7. Dry callused skin
8. Limited joint mobility (rigid foot/ankle)
9. Peripheral vascular disease (poor circulation)
10. Risk factors for developing peripheral arterial disease:
high cholesterol, high blood pressure, high fatty diet, heart
disease, high triglycerides, smoking
HOW DOES ONE
PREVENT AN AMPUTATION?
1. Acknowledge that the consequences of
diabetes mellitus extend beyond poor sugar control,
that alterations in glucose metabolism cause dysfunction in many
organ systems (kidney, heart, nerve, eyes, and feet).
2. Acknowledge that among these complications, none is more common,
complex and costly than the diabetic foot infection.
3. Accept one's vulnerability to diabetes-induced complications.
4. Obtain a podiatric consultation to identify the risk factors
that preclude diabetic foot ulcers and infections.
5. Ask Dr. Cavazos to educate you on how diabetes affects your
6. Have RGV Footcare implement a comprehensive treatment plan
to address the risk factors leading to amputation.
focus of diabetes care must shift from complication management
to disease awareness, risk factor assessment, patient education,
and preventative medicine implementation.
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