[Missouri-l] FW: Preventing lower-limb amputations from diabetes

Thu Feb 2 10:53:12 CST 2012

From: Centers for Disease Control & Prevention
[mailto:cdc at service.govdelivery.com] 
Sent: Thursday, February 02, 2012 9:49 AM
To: bmag45 at fidnet.com
Subject: Preventing lower-limb amputations from diabetes

Image removed by sender. Division of Diabetes Translation

CDC report finds large decline in lower-limb amputations among U.S. adults
with diagnosed diabetes 

The rate of leg and foot amputations among U.S. adults aged 40 years and
older with diagnosed diabetes declined by 65% between 1996 and 2008,
according to a new study by the Centers for Disease Control and Prevention
(CDC). Better blood glucose (sugar) control, foot care, and diabetes
management, along with a drop in heart disease, likely helped cut the number
of amputations, according to CDC researchers. 

Despite the decline, amputation rates were still eight times higher among
people with diabetes in 2008 than for people without diabetes. Nontraumatic
amputations are those that do not result from an injury; diabetes is the
leading cause of nontraumatic amputations of feet and legs among U.S.
adults. 

Diabetes complications such as nerve damage and poor circulation can lead to
amputation of feet or legs. People with nerve damage may not realize they
have a foot injury that needs care, because they do not feel any pain from
it. Poor circulation also slows healing, and a minor injury can become so
serious that it leads to amputation. 

*	People with diabetes should manage blood sugar to lower the risk of
complications. 

*	People with diabetes should check their feet for sores or injuries
once a day, and wear shoes that fit right and do not cause blisters. 

*	Health care providers should examine the feet of people with
diabetes at every checkup, but at least once a year. 

The age-adjusted rate of nontraumatic lower-limb amputations was 3.9 per
1,000 people with diagnosed diabetes in 2008 compared to 11.2 per 1,000 in
1996. The article, "Declining Rates of Hospitalization for Nontraumatic
Lower-Extremity Amputation in the Diabetic Population Aged 40 years or
Older: U.S., 1988-2008," is in the current online issue of Diabetes Care. It
was written by researchers based in CDC's Division of Diabetes Translation. 

For more information on foot care for people with diabetes, please visit
www.cdc.gov/Features/DiabetesFootHealth
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