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Substantial rise in diabetes-related lower limb amputations in England

New data suggest a significant increase in diabetes-related lower limb amputations in England. According to the analysis by Diabetes UK, there were 26,378 lower limb amputations in England during 2014-2017, a 19.4% rise from 2010-2013. Minor lower limb amputations (below the ankle) witnessed a substantial rise (26.5%), whereas major lower limb amputations (below the knee) witnessed a more gradual rise (4.1%).

Diabetes is the primary reason for lower limb amputations in the United Kingdom. Individuals with diabetes have a 20-fold higher likelihood of having an amputation compared with those who do not have diabetes. Diabetic foot ulcers precede >80% of amputations. The NHS is also experiencing a substantial cost burden associated with foot ulcers and amputations, with £1 in every £140 of the NHS being spent on foot care in patients with diabetes.

A £80 million investment from NHS England’s Diabetes Transformation Fund is helping to improve access to specialist footcare teams for patients with diabetes. The fund is also focussing on structured education for individuals living with diabetes to help them manage their condition better and prevent complications resulting in amputations.


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