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Thursday, September 19, 2013

Diabetes and older men: Higher amputation risk



Despite improved diabetic treatment regimens the incidence of amputations remains high. Men diagnosed with diabetes before age 65 years and patients with diabetes-related co-morbidities are at particularly at risk of foot ulcers and amputations. Amputation is significantly more common in men than women and according to research published in Endocrine; when older males with Type II diabetes are being treated with insulin and other drugs and the well-characterised risk factors of diabetic neuropathy and peripheral arterial disease (PAD) are present their risk of ulceration and amputation increases significantly. The presence of neuro-ischemic disease in the lower limb is considered a critically important precursor to ulceration more than neuropathy or ischemic disease alone. The authors call for greater awareness in foot clinics to this group.

Reference
Moura Neto A, Zantut-Wittmann DE, Fernandes TD, Nery M, Parisi MC. 2012 Risk factors for ulceration and amputation in diabetic foot: study in a cohort of 496 patients. Endocrine. 2012 Nov 3.

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