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Poor footwear ups diabetes-related amputation risk
Poor footwear ups diabetes-related amputation risk -- Posted by Gumbo on 12-05-04 21:53
Poor footwear ups diabetes-related amputation risk
Nov 09 (Reuters Health) - Among people with diabetes, wearing inadequate
footwear triples the risk of lower-leg amputation, according to a report
from Barbados.
Prompted by anecdotal reports of high rates of diabetes- related amputation
rates in the Caribbean, Dr. Anselm J. M. Hennis from University of the West
Indies in Bridgetown, Barbados, and colleagues investigated the situation
there.
The overall rate of lower-extremity amputation among people with diabetes
was 936 per 10,000 patients, the authors report in the medical journal
Diabetes Care. That rate is three times higher than for similar Caribbean
migrants to the UK.
Amputation risk was higher among men and single persons, the report
indicates, and was influenced by the duration of known diabetes and how well
blood glucose levels were controlled.
The risk of undergoing a lower-leg amputation risk was nearly tripled by
going barefoot (in men), doubled by wearing sneakers regularly to work (in
women), increased fourfold by wearing sneakers to town, and doubled by
wearing rubber thong sandals, the investigators report.
Wearing fashion shoes was also linked to a fourfold increased risk of
amputation.
"Given that the majority of amputees were known to the hospital system and
many had previously been admitted with foot problems, targeted interventions
may be a valuable strategy to reduce the burden of lower-extremity
amputation in the Caribbean," the team suggests.
"Such a strategy would aim to improve footwear, particularly in those with
diabetic foot disease, foot care through podiatric and surgical services,
and promotion of early health care-seeking behavior," the investigators add.
SOURCE: Diabetes Care, November 2004
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