Although it is not inevitable, diabetes that has not been controlled well can lead to the amputation of toes, feet or legs.
A big part is played by your race and the place that you reside in if you are diagnosed with diabetes.
How Diabetes Is Linked To Your Race And The Place You Live In
Dr. David Alper, a member of the American Diabetes Association said that there are experts that can help you live a healthy lifestyle and ensure that these amputations are not necessary.
In the ADA journal, Diabetes Care, scientists reported that minor lower extremity amputations increased between 2009 and 2017 among American adults who had been diagnosed with diabetes. It also reported that major amputations remained at the same level.
It was among Asian Americans that the increase in minor amputations was most pronounced. There was also a significant change in those who were Native American, rural residents and those living in the West.
Major amputations increased for Caucasians, Midwesterners and those who lived in rural areasand the black people were less likely to have a minor amputation, but more likely to have a major amputation.
Those amputations above the foot, or below or above the knee are considered major amputations.
Serious health issues can be caused by poor control of diabetes. This includes neuropathy, which is reduced feeling in the extreme parts of the body which could potentially lead to amputation.
The author of the study, Marvellous Akinlotan said that the ration of major-to-minor amputation reducing is good news as this means that there are very few major amputations being compared in comparison to minor ones.
She added that even though any kind of amputation is devastating, the management of diabetes is clearly paying off as the ratio is dropping.
She said that it includes earlier detection of infections and the comprehensive foot examinations that are a part of diabetes management programs.
The study found that patients in the South were more likely to have a major amputation than those in urban areas.
Other studies that have reported poorer health outcomes for people living in rural areas are consistent with the increased likeliness of receiving amputations.
Scientists said that the reason for this could be due to limited access to specialized diabetes related medical care, lower rates of health insurance coverage and fewer health care providers.
In addition to this, individuals have a lower income and limited public transit.
Akintolan said that when a person is less likely to receive a regual paycheck in addition to not having health insurance and raging blood sugar levels, the individual may not be able to get care in time.
She added that potential solutions include comprehensive ongoing care of patients with diabetes and a better understanding of the cultural factors that influence the care a person receives, especially among ethnic groups and southerners.
The findings of the study suggested policymakers and health care providers offer more targeted interventions. These interventions included telehealth and web-based diabetes care and education.
Alper said that the results are not surprising and that experts have been conscious about the rise in particular types of amputation. He said that t is concerning that they were happening in a non-uniform manner, depending on race, economic situation and location.
During the Covid pandemic, the problem has worsened due to the inability or unwillingness of some people to go to a doctor.
People who have a family history of diabetes that has not been controlled are more likely to experience these complications.
Alper said that the key to changing this situation is educating people.
This involves talking about these issues in church as well.