fbpx
Monday, September 28, 2020

Amputations in Diabetics Decline Dramatically

Diabetes can lead to numerous serious complications. It is a major risk factor for stroke and heart attack. Diabetes can damage the retina and is the leading cause of new cases of blindness in the US. It can damage the kidneys and is the greatest cause of need for dialysis. It can also cause nerve damage leading to numb or painful feet.

But few potential complications evoke as much fear in my patients as foot amputations. Though many injuries and accidents lead to amputations, diabetes is the most frequent cause of nontraumatic foot amputation. Diabetes leads to limb loss through multiple mechanisms. It leads to atherosclerosis, cholesterol plaques in arteries, which limit circulation to the limbs. It leads to nerve damage which can cause wounds to go unnoticed. And it weakens the immune response so that infected wounds are very difficult to treat.

The good news this week is that amputations due to diabetes have become much less frequent. A study conducted by the ” target=”_blank”>Diabetes Care reviews nontraumatic lower extremity amputations in diabetics between 1996 and 2008. In those twelve years the frequency of amputation in diabetics declined by two thirds.

Many helpful trends are responsible for all those saved feet. Diabetes is typically diagnosed earlier and treated more aggressively now than in the mid 90s. Several of the medications used for diabetes now were unavailable then. Atherosclerosis treatment also continues to improve with recognition of the importance blood pressure control and of cholesterol lowering with statins. The importance of meticulous foot care by diabetic patients is better understood, and the management of diabetic wounds by multidisciplinary teams is becoming the standard of care.

So in a week in which the news appears monolithically depressing I thought I’d spread some good news. Chances are you know someone with diabetes. Chances are that he will continue to lace both of his shoes for his whole life.

Learn more:

” target=”_blank”>Lower-limb amputations have declined among diabetics (Los Angeles Times Booster Shots)
” target=”_blank”>Declining Rates of Hospitalization for Nontraumatic Lower-Extremity Amputation in the Diabetic Population Aged 40 Years or Older (Diabetes Care)

Tangential Miscellany

Dr. Kevin Pho, the very well known physician blogger and outspoken advocate of social media in medicine, is

Did you enjoy this article?

You'll love our roundtable.


By submitting this form, you are consenting to receive marketing emails from: Jewish Journal, 3250 Wilshire Boulevard, Los Angeles, CA, 90010, http://www.jewishjournal.com. You can revoke your consent to receive emails at any time by using the SafeUnsubscribe® link, found at the bottom of every email. Emails are serviced by Constant Contact

Enjoyed this article?

You'll love our roundtable.


By submitting this form, you are consenting to receive marketing emails from: Jewish Journal, 3250 Wilshire Boulevard, Los Angeles, CA, 90010, http://www.jewishjournal.com. You can revoke your consent to receive emails at any time by using the SafeUnsubscribe® link, found at the bottom of every email. Emails are serviced by Constant Contact

Latest Articles

Politics at Kol Nidre: Yes or No?

Once a rabbi starts to promote specific policies to address societal ills, the message becomes a source of communal division. Two people can share a concern for a problem without agreeing on the solution. Once a rabbi picks a side on solutions, we’re back to divisive partisanship.

Avoiding Politics Is a Political Act, No Matter What Rabbi Jonathan Sacks Says

Political neutrality is a form of political expression supporting those in power or those destined to remain in power without the voice of opposition.

Break the Fast with Jonah and the Whale Placemats

After reading the story of Jonah on Yom Kippur, what better way to break the fast than with a meal featuring these Jonah and the Whale placemats? 

Israel File Appendix: Numbers Under Lockdown

The weighted average below takes into account the timing of the poll (more recent, more important); the number of people surveyed (more people, more...

It’s Time to Look at Palestinian-Israeli Conflict With Fresh Eyes

How the Abraham Accords were achieved and what the “Palestinian cause” now requires.

Can We Forgive Each Other in the Midst of a Tribal Culture War?

At a time when Jews are supposed to look within and admit fault, too many of us are virtue signaling and delegitimizing our opponents. Can we stop?

150-Year-Old Time Capsule Found in a Wall of Oldest Synagogue in British City

Construction workers at the site of a former Spanish and Portuguese synagogue in Manchester, England, found a time capsule from the 1870s.

What Does it Mean to Have a Deeper Yom Kippur?

Rosh Hashanah begins the work. Yom Kippur seals it. But only if you are willing to go deep.

Lisa Edelstein Joins the Cast of ‘ 9-1-1 Lone Star’

Lisa Edelstein (“House,” “The Good Doctor”) has joined the cast of FOX’s “9-1-1 Lone Star” as the ex-wife of the fire captain played by...

AOC Withdraws From Yitzhak Rabin Memorial Event Following Pro-Palestinian Criticism

The event will be held in October by Americans for Peace Now.

Culture

Break the Fast with Jonah and the Whale Placemats

After reading the story of Jonah on Yom Kippur, what better way to break the fast than with a meal featuring these Jonah and the Whale placemats? 

Lisa Edelstein Joins the Cast of ‘ 9-1-1 Lone Star’

Lisa Edelstein (“House,” “The Good Doctor”) has joined the cast of FOX’s “9-1-1 Lone Star” as the ex-wife of the fire captain played by...

Prosecutors Drop Solicitation Charges Against Patriots Owner Robert Kraft

They said they didn't have a case when they couldn't use a video for their case.

‘RBG’ Filmmaker Julie Cohen on Justice Ginsburg’s Death: ‘I Was Stunned’

Cohen made her comments during a Zoom event with Los Angeles Jewish Film Festival Executive Director Hilary Helstein on Sept. 24. 

Dr. Mandy Cohen on Guiding North Carolina’s Pandemic Response Wearing a Chai Necklace

Throughout the coronavirus pandemic, Dr. Mandy Cohen has provided steady guidance to the people of North Carolina. As the secretary of the North Carolina...

Latest Articles
Latest

Politics at Kol Nidre: Yes or No?

Once a rabbi starts to promote specific policies to address societal ills, the message becomes a source of communal division. Two people can share a concern for a problem without agreeing on the solution. Once a rabbi picks a side on solutions, we’re back to divisive partisanship.

Avoiding Politics Is a Political Act, No Matter What Rabbi Jonathan Sacks Says

Political neutrality is a form of political expression supporting those in power or those destined to remain in power without the voice of opposition.

Break the Fast with Jonah and the Whale Placemats

After reading the story of Jonah on Yom Kippur, what better way to break the fast than with a meal featuring these Jonah and the Whale placemats? 

Israel File Appendix: Numbers Under Lockdown

The weighted average below takes into account the timing of the poll (more recent, more important); the number of people surveyed (more people, more...

It’s Time to Look at Palestinian-Israeli Conflict With Fresh Eyes

How the Abraham Accords were achieved and what the “Palestinian cause” now requires.

Hollywood

‘Dirty Dancing’ Sequel Starring Jennifer Grey Announced

It’s official: A “Dirty Dancing” sequel is coming, and it’s starring Jewish actress Jennifer Grey, who played Frances “Baby” Houseman in the 1987 original.

Roy Moore’s Lawsuit Against Sacha Baron Cohen Over Being Pranked Can Proceed, Judge Rules

By the time the episode aired, it was widely known that Cohen was punking public figures.

Podcasts

Pandemic Times Episode 90: Yom Kippur in a Pandemic Can Be Our Most Meaningful

New David Suissa Podcast Every Tuesday and Friday. Reflections from Rabbi Mordecai Finley on going deep on Judaism's holiest day. How do we manage our lives...

Pandemic Times Episode 89: Honoring Ruth Bader Ginsburg

New David Suissa Podcast Every Tuesday and Friday. Reflections on the life and legacy of a Jewish and American hero. How do we manage our lives...

More news and opinions than at a Shabbat dinner, right in your inbox.


By submitting this form, you are consenting to receive marketing emails from: Jewish Journal, 3250 Wilshire Boulevard, Los Angeles, CA, 90010, http://www.jewishjournal.com. You can revoke your consent to receive emails at any time by using the SafeUnsubscribe® link, found at the bottom of every email. Emails are serviced by Constant Contact

x