Diabetes and Amputation
Diabetes and other vascular disorders are the largest of all causes of amputations that we see at Finding Your Feet…
Before scrolling further, please note that some readers may find the following images distressing. These are real life examples of where people have had infections due to diabetes which lead to amputation.
Here’s why diabetes and vascular conditions are the main causes of amputation…
Diabetes affects the body’s nerve system called Neuropathy. Prolonged high blood sugar can damage nerves, particularly in the feet and lower legs. This can result in a loss of feeling, causing injury or ulcers to go unnoticed.
Diabetes can also narrow the blood vessels called Peripheral Arterial Disease. This reduces blood flow to the body’s extremities slowing healing and increasing the risk of infection.
Risk Factors which lead to amputation are:
• Foot Ulcers: Around 15% of people living with diabetes will develop foot ulcers, which may become infected if left untreated and remember, many go unnoticed due to neuropathy.
• Infections: The immune system’s poor response and reduced circulation will make it harder to fight infections. Some can be so severe that they can damage the tissue and bones resulting in amputation.
• Gangrene: Reduced blood flow can even result in tissue death called Gangrene which is also a serious condition often leading to amputation.
Here are some ideas for helping prevent amputations due to diabetes:
• Managing blood sugar levels and keeping them in a healthy range can significantly reduce the risk of complications.
• Daily foot inspections and care are vital, looking for sores, cuts, signs of infection and change of colour.
• Sensible footwear to protect and support the feet can prevent injuries and small stones getting into your shoes.
• Smoking and other addictions cause reduced circulation.
• Regular checkups at a podiatrist, diabetes nurse or physician can help early detection of ulcers or infections allowing treatment that prevent further complications.
Key Statistics of diabetes and amputation:
• People living with diabetes are 10 times more likely to need an amputation compared to those without.
• Over 85% of diabetes-related amputations begin with a foot ulcer.
At Finding Your Feet, we meet hundreds of amputees whose diabetes or poor circulation has brought them to us. All are welcome and there is life after amputation but prevention would be far better, and we hope you never need us!