Facts

 

 

The number of lower extremity amputations on diabetic patients is
increasing (graph)

 

Diabetes causes 50% of all non-traumatic amputations in the US.

 

Amputation is more likely in men than in women and is more common in
African Americans.

 

Between 5 and 15% of diabetics require an amputation at some time in
their lives.

 

Almost 50% of amputations could have been prevented with proper
medical intervention.

 

Diabetes can make the skin on your feet drier and more likely to peel
or crack.

 

Diabetics are more likely to form calluses on their feet due to high-
pressure areas under the foot and, if untreated, these calluses may turn
into ulcers.

 

Diabetics are more subject to infections because elevated blood sugar
limits the effectiveness of cells that fight bacteria.

 

Ulcers most often occur on the ball of the foot or on the bottom of the
big toe. Ulcers on the side of the foot, due to poorly fitting shoes, are
also common.

 

Approximately 15% of diabetic patients have foot ulcers.

 

Diabetes frequently causes poor blood flow or circulation in the legs and
feet, which hinders the body’s ability to fight infection and heal. 

 

Most diabetics have some foot-related problems after age 40 or after
ten years with the illness, and the likelihood of these problems increases
with age.

 

Peripheral neuropathy, or loss of sensation, is the major cause of diabetic
foot ulcers and amputation.

 

Diabetic peripheral neuropathy increases the likelihood of foot ulcers.

Terminology

Charcot Foot

(pronounced sharko) is a serious foot condition of multiple small
bone factures or bone disintegration that leads to a disfigurement
of the foot. Because of neuropathy, the diabetic patient may not
feel any discomfort related to this condition despite its seriousness.

[click picture to enlarge]
 

Erythema

 

is redness of the skin caused by a congestion of the capillaries.
(picture) 

[click picture to enlarge]
 

Ischemia

 

is low oxygen supply in tissues due to an obstruction of the arterial
blood supply or inadequate blood flow.
 

Neuropathy

 

is the loss of feeling or sensation in the peripheral nervous system.
 

Osteomyelitis

 

an inflammation of the bone, producing pus.
 

Peripheral Arterial Disease (PAD)

 

is a form of atherosclerosis or hardening of the arteries leading
to the legs and feet.
  

Ulcers

are open sores that can take a long time to heal, especially in
diabetics. Neuropathetic ulcers are the most common condition
leading to amputation.

[click picture to enlarge]
 

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