Diabetic Foot: Facts and Figures
- Updated on: 2019-07-26
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Diabetes affects 30 million people in the US and more than 415 million people worldwide.
Worldwide trends in diabetes from 1980 to today
Diabetes kills more people annually than breast cancer and AIDS combined.
Two thirds of all new cases of type 2 diabetes are diagnosed in low- and middle-income countries, such as Mexico, India, China and Egypt.
If diabetes were a country, it would be the 4th largest in the world
80% of people with diabetes are from low and middle income nations
The number of people with diabetes is increasing in every single nation
Half of people with diabetes don’t know they have it.
Quiet. Slow. Deadly. Expensive: Chronic Diseases Account for 75% of our Healthcare Costs.
25% of all medical care is consumed by 1% of the population and nearly 50% is consumed by 5%. AHRQ, 2013
1 Day with #Diabetes in USA: 5000 diagnosed, $670M, 280 lives, 200 limbs. We can do better. Today. American Diabetes Association, 2014
Seconds Count: Every 7 seconds someone dies from diabetes. Every 20 seconds someone is amputated.
The cost of diabetic foot ulcers is greater than that of the five most costly forms of cancer
The cost to heal a complex diabetic foot ulcer is between 3 months and 6 years’ salary depending on nationality
Diabetic Foot Ulcer patients are twice as costly to US Medicare as those with diabetes alone
Inpatient care constitutes nearly two thirds of insurance costs for diabetic foot ulcers Rice, et al, Diabetes Care, 2014
The estimated annual US Burden of Diabetic Foot Ulcers is at least $15 Billion Rice, et al, Diabetes Care, 2014
By 2030, at least 550 million people will have diabetes- approximately 10% of the world’s adult population.
There are now approximately 86M people with pre-diabetes in the USA That’s the total population of 30 states. American Diabetes Association, 2014 2010 United States Census
The population of diabetes in the USA is greater than the population of the nation’s 10 largest cities. American Diabetes Association, 2012 2010 United States Census
Today with Diabetes In America: 200 Lives, 200 Limbs, 86 million at risk. American Diabetes Association 2014
The population of Diabetes in Arizona (home of SALSA) would make it the fourth largest city in the state. American Diabetes Association, 2012 2010 United States Census
60-70% of those with diabetes will develop peripheral neuropathy, or lose sensation in their feet.
More than 90% of people with diabetic peripheral neuropathy are unaware they have it.
Up to 25% of those with diabetes will develop a foot ulcer.
The yearly incidence of diabetic foot ulcers ranges from 2% to 32%, depending on ADA risk classification Boulton, Armstrong, et al, Diabetes Care 2008 Lavery , et al, Diabetes Care 2008 Sibbald, et al, Adv Skin Wound Care, 2012
More than half of all foot ulcers (wounds) will become infected, requiring hospitalization and 20% of infections result in amputation.
Diabetes contributes to approximately 80% of the 120,000 nontraumatic amputations performed yearly in the United States.
“Every 20 seconds, somewhere in the world, a limb is lost as a consequence of diabetes”
After a major amputation, 50% of people will have their other limb amputated within 2 years.
More than half of people with osteomyelitis of the heel will undergo high level amputation
The relative 5-year mortality rate after limb amputation is 68%. When compared with cancer – it is second only to lung cancer (86%). (Colorectal cancer 39%, Breast cancer 23%, Hodgkin’s disease 18%, Prostate cancer 8%)
Median time to healing for diabetic foot wounds: 147,188, and 237 days for toe, midfoot and heel ulcers.
People with a history of a diabetic foot ulcer have a 40% greater 10 year mortality than people with diabetes alone.
Every 30 minutes a limb is lost due to a landmine, Every 20 seconds, a limb is lost due to diabetes.
Having a wound immediately doubles one’s chances of dying at 10 years compared with someone without diabetes
One third of patients seeking care for ischemic wounds die unhealed Elgzyri, et al, Eur J Vasc Endovasc Surg, 2013
For people on dialysis receiving an amputation, 2 year mortality is 74%
Diabetic foot ulcers double mortality and heart attack risk while increasing risk for stroke by 40% Brownrigg, et al, Diabetologia, 2012
Chronic wounds affect some 8 million Americans each year. That’s one wound every 3.8 seconds in the USA, alone. Harsha , 2008 and Tomic-Canic 2010
Each $1 invested in care by a podiatrist for people with diabetes results in $27 to $51 of healthcare savings.
Podiatry care not only reduces amputation risk, but also dramatically impacts rate of hospitalization and reulceration Gibson, et al, Int Wound Journal, 2013
Podiatric medical care in people with history of diabetic foot ulcer can reduce high level amputation from between 65% and 80% Gibson, et al, Int Wound Journal, 2013
Instituting a structured diabetic foot program can yield a 75% reduction in amputation rates and a near four-fold reduction in inpatient mortality Weck, et al, Cardiovascular Diabetology, 2013
When footcare is removed from a population with diabetes, there is a 37% increase in hospital admissions for limb threatening wounds and 45% increase in individual patient charges.
