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Doctor insights on: Explain Why People With Poorly Controlled Diabetes Are At Risk For Amputation

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Why are people with poorly controlled diabetes at risk for amputation?

Why are people with poorly controlled diabetes at risk for amputation?

Infection and PVD: Uncobtrolled diabetes can lead to increasing numbers of infections and sores on the feet. Diabetes also causes the arteries that give blood to the feet, to become illed with plaque, leading to decreased circulation to heal ores or ulcers on the feet which can lead to amputation. ...Read more

Dr. Marlis Gonzalez fernandez
964 Doctors shared insights

Amputation (Definition)

Amputation is the removal of a body part due to disease or trauma. Most commonly it involves one of the limbs ...Read more


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Why are people with poorly controlled diabetes more at risk for amputation?

Why are people with poorly controlled diabetes more at risk for amputation?

Many reasons: Small arterial occlusive disease
large vessel occlusive disease
poor skin care
easy infectivity

(obesity and smoking are additional risks). ...Read more

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Can you tell me why people with poorly controlled diabetes at risk for amputation?

Can you tell me why people with poorly controlled diabetes at risk for amputation?

Overall health: Diabetes is a very complicated disease. It is a multi organ condition that could affect some. Amputation is caused by poor circulation, bad infection/bone infections, severe deformity known as charcot joint deformities. The other system that could get affected is the nerves of your feet (protective sensation). All or some of these can cause a higher amputation rate all caused by poor control ...Read more

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I believe I've had bad circulation in legs and feet since I was a child, would developing diabetes on top of that make amputation likely?

Definite risk factor: Diabetes is a definite risk factor for peripheral vascular disease, so there's no question that your lifetime risk for amputation will go up, with diabetes. As for whether it's "likely" or not, I'm not sure. Definitely depends on your overall health and your diabetes care. ...Read more

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I'm healthy but don't exercise much, I'm 21. I don't have diabetes/major problems. Could you need an amputation for not exercising? I exercise now.

I'm healthy but don't exercise much, I'm 21. I don't have diabetes/major problems. Could you need an amputation for not exercising? I exercise now.

Don't smoke: Pvd risks including diabetes (due most commonly from obesity), hypertension, hyperlipidemia (high serum cholesterol), and tobacco. The worst offender/promoter of vascular disease in general is tobacco. Eat a mediterranean diet, avoid tobacco, & remain lean & you'll avoid complications of vascular disease. ...Read more

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What is the probability that a person will have their leg amputated if they have diabetes?

What is the probability that a person will have their leg amputated if they have diabetes?

Uncommon: As improvement in diabetes management has occurred, the incidence of amputations has decreased. With good diabetes control, control of hypertension and cholesterol, the chance of needling amputation is very low. Smoking is a major risk factor with diabetes, and is the most important thing to avoid. ...Read more

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Relation between diabetes and foot amputation?

Relation between diabetes and foot amputation?

Vascular problems DM: Advanced diabetes leads to vascular issues that lead to tissue compromise starting at the distal extremities. When its bad enough, amputations start. The lesson is to control your diabetes as best possible and avoid any other risk factors for atherosclerosis. ...Read more

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How likely is it that I will have my foot amputated if I have diabetes?

How likely is it that I will have my foot amputated if I have diabetes?

See a physician: While a diabetic patient is more at risk for amputation than a non-diabetic, there are some general things you can do to reduce the risk. Check your feet daily for any wounds, sores, blisters or irritation and have your feet examined on an at least annual basis by a physician. Have on your healthcare team a pcp, an endocrinologist if your diabetes requires it, a foot specialist and eye specialist. ...Read more

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Is there risk of needing hand amputation from diabetes?

Is there risk of needing hand amputation from diabetes?

Yes: Diabetes is an important risk factor for amputations. These most commonly are required for problems (gangrene, infection) that develop in the toes and feet. Such problems can develop in the fingers and hand but are far less common than in the lower extremities. Good control of blood sugar and preventative foot care are very important ways of lowering the risk of amputation. ...Read more

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What are the risks of an above the knee amputation if severe hypertension and diabetes?

What are the risks of an above the knee amputation if severe hypertension and diabetes?

Slow wound: Healing but chances are if you need to have an above knee amputation then you're at greater risk of getting a blood infection and dying if you don't get the amputation. ...Read more

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I have diabetes and had a foot amputation. What can I do to take better care of myself?

I have diabetes and had a foot amputation. What can I do to take better care of myself?

Preventative care: Keep your diabetes in check (make sure your hga1c is <7) and protect your feet. Prevent pressure sores and keep an eye on your wounds. You can wear protective orthotic shoes and see a podiatrist on a regular basis. ...Read more

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Can drinking more sugar lead to worsened diabetes and increased need for leg amputation?

Can drinking more sugar lead to worsened diabetes and increased need for leg amputation?

Yes: Uncontrolled diabetes is a leading cause of amputations. It's crucial for diabetics to keep their blood sugar levels normal. Drinking soda, sports drinks, etc. Can make that very difficult. ...Read more

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Have a cut on the underside of pinky toe at bend approximately 1/4 inch deep. Have type 1 diabetes and partial toe amputation on opposite foot.

Have a cut on the underside of pinky toe at bend approximately 1/4 inch deep. Have type 1 diabetes and partial toe amputation on opposite foot.

Fire in the hole.: Type 1 type diabetes, with a history of toe amputation already, amounts to the need for you to seek immediate attention for your laceration. Do not try to "fix" this yourself as you are playing with fire. ...Read more

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How long does it take for the kidneys to fail? Patient has stage IV lung cancer, diabetes, and his right leg was just amputated.

How long does it take for the kidneys to fail? Patient has stage IV lung cancer, diabetes, and his right leg was just amputated.

It depends: Decreasing urine output and increasing blood creatinine levels are signs of worsening kidney function.
If creatinine is close to 4, hemodialysis may be considered.
Be candid with your doctor and have a serial bun, creatinine blood test.
If the urine output is still good and there are no signs of heart failure or lung congestion, maintainance of adequate water intake will delay the progression. ...Read more

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75 y.O. Woman just had toe amputated due to diabetes. Surgical wound not healing after three weeks. Can herbal supplements promote skin growth?

75 y.O. Woman just had toe amputated due to diabetes. Surgical wound not healing after three weeks. Can herbal supplements promote skin growth?

No: You won't heal without blood perfusion to the wound. Get circulation checked, make sure no infection and visit your doctor. You may be candidate for substitute skin graft if blood is good. ...Read more

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If u have diabetes is it dangerous to also have poor circulation in feet whilst also having mild nerve pain in legs and arm. Is amputation likely?

If u have diabetes is it dangerous to also have poor circulation in feet whilst also having mild nerve pain in legs and arm. Is amputation likely?

Not good combination: Think of too much sugar in your blood like maple syrup. Your blood wouldn't flow through veins and arteries as well as it should. The sugar in your blood can cause smaller blood vessels to get clogged and reduce oxygen and nutrient supply to affected areas especially small nerve endings in hands and feet. Poor circulation would only compound this problem. Tissue without oxygen will die off. ...Read more

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How bad is the pain if you get amputation from the knee down?

How bad is the pain if you get amputation from the knee down?

Post-op Pain: It is common to have post operative incisional pain which is worst immediately after surgery and subsides over several weeks. Pain medication helps to manage this. Phantom pain is perceived pain in the amputated limb. People at risk for this had a lot of pain in their limb prior to the amputation. This could last for months/years. ...Read more

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How successful is an arm amputation re-connection surgery, such as if you get into a bad accident?

How successful is an arm amputation re-connection surgery, such as if you get into a bad accident?

Low: For a major limb replantation to be successful, the limb needs to be reconnected within 6 hours before significant muscle death occurs. Even then, ultimate function will depend on nerve recovery, which may be limited based on age of the patient, smoking status, and other medical problems the patient may have. ...Read more

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I severed my Achilles in a bad accident and my recovery has gone terribly. I am a runner. Terrible foot and ankle pain. Is amputation an option?

I severed my Achilles in a bad accident and my recovery has gone terribly. I am a runner. Terrible foot and ankle pain. Is amputation an option?

Yes, it is an option: I would think one would want to save your limb if it could be saved and kept functional. If you are beyond that then amputation and prosthesis is an option for sure. I wish you a speeedy recovery josh no matter how you proceed. ...Read more

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One of my cuticles was amputated by a manicurist. The nail grew but looks bad. Is there anything I can do to heal it? Will my fingernail fall off?

One of my cuticles was amputated by a manicurist. The nail grew but looks bad. Is there anything I can do to heal it? Will my fingernail fall off?

Consider biotin.: When the matrix of the nail which lives just beneath the cuticle is injured by the physical trauma of a manicure, you can actually damage the nail before it actually grows out from the skin. Assuming no re-injury, you should expect your fingernails to take about 6 months to grow out and normalize. It is unlikely your nail will fall off as a result of this. Consider biotin for faster nail regrowth. ...Read more

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I was injured at work and my muscle and bone were exposed from it. Infection has set in. Am I at risk for an amputation?

I was injured at work and my muscle and bone were exposed from it. Infection has set in. Am I at risk for an amputation?

At risk: Patient's are told what they are at risk for. Then they are told how treatment can lower the risk. This is the basis of consent for treatment, especially surgical and interventional procedures. Patients then make their best decision. If you have already had some treatment for this bad fracture, your amputation risk is likely not the same/lower than before your treatment. Clarify with your docs. ...Read more

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What other ways that a leg can get amputated because of a knee injury besides knee dislocation and how bad does it have to get? Pinching nerves?

What other ways that a leg can get amputated because of a knee injury besides knee dislocation and how bad does it have to get? Pinching nerves?

Usually not done: There would have to be something else - not the settiin you describe. Tumors or loss of blood supply would be some that might. You can discuss these with your physician. ...Read more

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Is amputation recommended for a diabetic male patient 67yo with bad cellulitis in left foot who has suffered stroke (left part of body)? It's my dad.

Is amputation recommended for a diabetic male patient 67yo with bad cellulitis in left foot who has suffered stroke (left part of body)? It's my dad.

NOT YET, BUT.....: Are you sure it's cellulitis, and not the redness of vascular disease? Cellulitis alone is caused by Strep or Staph, and can be treated with antibiotics. But you have to make sure it's not something more. See your doctor. ...Read more

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2 months post fasciotomy r.t. ulnar arterial embolism. Partial amputation of R. 4th and 5th digits. Pain is still very bad esp. Neuropathy What to do?

2 months post fasciotomy r.t. ulnar arterial embolism. Partial amputation of R. 4th and 5th digits. Pain is still very bad esp. Neuropathy What to do?

Gabapentin: Gabapentin for pain modulation can be very helpful for this kind of pain and is best when started early. There are also compounded pain creams that can help. Make sure someone is thinking of a complication called RSD. A competent pain medicine specialist should be involved. ...Read more

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Is it necessary to get a leg amputation at the mid-calf because of a very bad ankle fracture that wouldn't heal?

It depends: It would have to be a quite severe fracture to need an amputation. These days an external fixator can be put on to allow healing of most comminuted really awful fractures then revisional surgery is done later. Only fractures that cut off the blood supply to the foot or have a nasty infection would need an amputation. ...Read more

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How long does it take to auto amputation to occur?

That depends: ...On body part, amount of blood flow, underlying comorbid medical conditions (like diabetes, vascular disease) etc. At 110 tears old, you small toe, if gangrenous and/or ischemic, may auto-amputate quicker than another digit/body part etc. No definitive time answer for you. See the dr. ...Read more

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How long would it take to heal after an amputation?

Variable: What is amputated?
Why?
As you have seen traumatic amputations in our young, military folks heal rapidly.
The older diabetic atherosclerotic ischemic person with gangrene has a more difficult time and longer. ...Read more

Dr. Quang Nguyen
3,345 Doctors shared insights

Diabetes (Definition)

A group of diseases that result in too much sugar in the ...Read more