New government research shows a dramatic decline in the rate of foot and leg amputations in diabetic patients. This is likely secondary to better treatments.
The rate has fallen by more than half since the mid-1990s. The Center for Disease Control reported in January 2012 that for older diabetics, amputations dropped from more than 11 to about 4 per 1,000 people.
Roughly 1 in 10 adults in the US is diabetic. Diabetes is also the 7th leading cause of death among Americans. Complications include poor circulation, nerve damage, slow healing wounds, infection and amputation.
In the CDC study, researchers checked national hospital discharge records for 1988-2008, looking for patients aged 40 and older who had lost a toe, foot or leg to diabetes. They found that although the number of people with diabetes more than tripled over 2 decades, the rate of amputations after 1996 fell.
It's not clear what started the drop in amputation rate, but experts state that contributing factors include close monitoring, annual diabetic foot exams, an increase in patient education, Medicare coverage of blood sugar monitoring, protective shoes, and other medical devices.
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Tags: wound, diabetes, CDC, amputation
