More than 100,000 Americans with diabetes undergo limb amputations each year, revealing stark racial and economic health disparities. African Americans are four times more likely to suffer amputations than white Americans, while less affluent diabetics face a four-fold higher risk compared to their wealthier counterparts.
Dr. Dean Schillinger, founder of the UCSF Center for Vulnerable Populations, calls this a “mega-disparity” in healthcare delivery, describing it as “perhaps the most stark disparity in black versus white health in America.”
The crisis stems from poor circulation caused by diabetes, leading to foot ulcers that, when left untreated, can result in life-threatening infections and eventual amputation. Factors contributing to the disparity include limited access to preventive care, working conditions that prevent proper wound healing, and cultural barriers to seeking medical attention.
Dr. David G. Armstrong, a leading diabetic foot researcher, believes most amputations are preventable with early intervention and proper nutrition. However, the American Diabetes Association has been criticized for partnerships with food companies that may contribute to diabetes risk.
Some doctors, like Dr. Ravi Kamepalli, are finding success by incorporating low-carbohydrate diets into their treatment plans. Patient Jemia Keshwani avoided amputation by following this approach, stating, “I didn’t understand you could change things around if you eat the right foods.”
Addressing this crisis requires a multifaceted approach, including improved access to care, culturally sensitive education, and dietary interventions to combat the root causes of diabetes-related complications.
See “More than 100,000 Americans with diabetes have limbs amputated each year. This is a crisis” (July 25, 2024)
