Amputation Prevention Alliance

• Updated on: 2023-06-12
• Read original article here

Amputation Prevention Alliance
Every 3 minutes and 30 seconds in the United States,
a limb is amputated due to diabetes.
I’m looking for information about:
Learn More
Amputations are on the rise in the United States. There were over 154,000 diabetes-related amputations that took place in the United States last year—a 75% increase in just a decade. Diabetes is the single greatest factor in amputations—more than 60% of non-traumatic lower limb amputations happen in the diabetes population. An individual who has had an amputation has a worse chance of five-year survival than someone with coronary artery disease, breast cancer, and colorectal cancer. 
Amputations in the United States are also substantially more prevalent among people of color. Quite simply, whether or not you have a limb amputated can come down to the color of your skin, how much money you make, and where you live.
Amputation Prevention Alliance
To address this crisis, the American Diabetes Association (ADA) has established the Amputation Prevention Alliance in partnership with innovators, clinical experts, leading health foundations, leaders in the diabetes community, policymakers, and provider groups. Our mission is to disrupt the curve of amputations among low-income and minority individuals with diabetes.  
OUR MISSION
The Amputation Prevention Alliance is focused on saving limbs and lives, including among communities facing disproportionately high rates of amputations and amputated-related mortality. This work will include advancing needed policy changes, driving clinician awareness of opportunities to prevent amputations, and empowering patients to advocate for their best care.
More amputation-related information
What is Peripheral Artery Disease?
People with diabetes can develop many different foot problems. Even ordinary problems can get worse and lead to serious complications. People with diabetes are far more likely to have a foot or leg amputated than people without diabetes. Foot problems most often happen when there is nerve damage, also called neuropathy. This can cause tingling, pain (burning or stinging), or weakness in the foot. It can also cause loss of feeling in the foot, so you can injure it and not know it. Poor blood flow or changes in the shape of your feet or toes may also cause problems. Many people with diabetes have peripheral artery disease (PAD) (which reduces blood flow to the feet) and neuropathy. Together, these problems make it easy to get ulcers and infections that may lead to amputation. 
Diabetes and Your Feet
Most amputations are preventable by checking your feet daily, going to regular visits with your doctor, and wearing proper footwear.
The connection between diabetes and your feet is important because diabetes can cause nerve damage and reduced circulation, ultimately leading to limb loss and other complications. The good news is, you can lower your chances of complications by managing your blood glucose (blood sugar) levels and taking care of your feet.
For these reasons, take good care of your feet and see your doctor right away if you see any signs of foot problems. Ask about prescription shoes that are covered by Medicare and other insurance. Always follow your doctor’s advice when caring for ulcers or other foot problems.
Foot Check Tips and Techniques
Wash your feet thoroughly everyday
Dry them thoroughly, and don’t forget to dry between your toes
Moisturize your feet, but avoid moisturizing between your toes 
Keep your toenails trim and use an emery board to file down sharp edges
Check your feet for sores, cuts, blisters, corns, or redness daily. Let your doctor know if you find any of these. 
Wear moisture-wicking socks 
Before putting your shoes on, check for sharp objects (i.e., small rocks) 
Wear shoes that fit well and don’t rub your feet
While you’re at it, avoid these:
Walking around barefoot
Therapies for Foot Wounds and Foot-Related Abbreviations
Read the ADA Clinical Compendia Series: New Evidence-Based Therapies for Complex Diabetic Foot Wounds
Below is a list of abbreviations used in the compendia:
ADA American Diabetes Association
CDO Continuous delivery of oxygen
COVID-19 Coronavirus disease 2019
FDA U.S. Food and Drug Administration
HBOT Hyperbaric oxygen therapy
IWGDF International Working Group of the Diabetic Foot
M Month
NPWT Negative pressure wound therapy
OR Odds ratio
PO2 Partial pressure of oxygen
RCT Randomized controlled trial
UTAUT Unified Theory of Acceptance and Use of Technology
VEGF Vascular endothelial growth factor
W Week