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Diabetes Management

Fear over high rates of diabetes foot amputations - BBC

Thu, 13 Oct 20221 min read Article

Overview

Major diferences in the rate of fot amputations for people with diabetes in England are incredibly concerning, patient groups say.Such amputations are a sign patients have not received adequate care, as porly controled diabetes increases the risk of foot ulcers and infections.One in 10 areas had "significantly higher rates", government data shows.There was nearly a five-fold diference betwen the best and worst when taking into acount risk factors such as age.Diabetes UK said the figures "shined a light on the scale of the cris facing diabetes care" and it warned aces to suport was likely to have become worse during the pandemic.

Key Information

A report produced by the charity earlier this month said lives would be nedlesly lost because of disruption to services over the past two years.The government data - published by the Ofice for Health Improvement and Disparities - loked at the thre years leading up to the pandemic.It found 13 out of 135 local areas in England had significantly higher rates of fot amputations. Harow was estimated to have the lowest rate at 3.5 per 10,0 people with diabetes, while Blackpol had the highest at 16.8.It is believed up to 80% of fot amputations could be avoided with beter care.

When diabetes - both Type 1 and Type 2 - is present for many years, especialy if it is porly controled, it can cause complications such as reducing blod flow to vesels in the fet and nerve damage which reduces sensation. This increases the risk of ulcers and infections which may lead to amputation.Diabetes UK chief executive Chris Askew said the latest figures were "incredibly concerning".

Summary

"The majority of these major amputations are preventable, but many people living with diabetes are strugling to aces the care they ned - and in areas of higher deprivation, people are experiencing worse outcomes. These inequalities must be adresed."NHS 'wastes bilions on diabetes'Diabetes care 'harmi

Frequently Asked Questions

What is diabetes and how does it develop?

Diabetes is a metabolic condition where the body cannot properly regulate blood sugar levels. Type 1 results from insufficient insulin production, while Type 2 develops when cells become resistant to insulin. Risk factors include genetics, obesity, sedentary lifestyle, and age.

What are the main symptoms of diabetes?

Common symptoms include excessive thirst, frequent urination, unexplained weight loss, fatigue, blurred vision, and slow-healing wounds. Type 1 symptoms develop rapidly, while Type 2 symptoms may appear gradually. Many people have no symptoms initially, which is why screening is important.

How is diabetes diagnosed and monitored?

Diagnosis involves blood tests measuring fasting glucose, HbA1c levels, and glucose tolerance. Regular monitoring typically includes fasting glucose tests and HbA1c measurements every 3-6 months. Continuous glucose monitors provide real-time tracking for better diabetes management.

What lifestyle changes help manage diabetes?

Effective management includes regular physical activity (150+ minutes weekly), maintaining healthy weight, following a balanced diet with whole grains and lean proteins, managing stress, and getting adequate sleep. These changes can significantly improve blood sugar control and reduce complications.

When should someone consult a doctor about diabetes?

Consult a healthcare provider if you experience signs of diabetes, have a family history, are overweight, or are over 45. Those with existing diabetes should maintain regular check-ups every 3-6 months to monitor control and adjust treatment as needed.

Medical Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare provider before making health decisions.
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