Diabetes affects 37 million people in the US and more than 550 million people worldwide.
Diabetesatlas.org/American Diabetes Association
Diabetic Foot Ulcers (DFUs) affect 18.6 million people, worldwide and 1.6 million each year in the USA
Armstrong, Tan, Boulton, and Bus, JAMA, 2023
The big picture: Diabetes, Diabetic Foot Ulcers, Peripheral Artery Disease and Limb Loss Visualized
The top 10 diabetes nations
International Diabetes Federation / Diabetesatlas.org
Worldwide trends in diabetes from 1980 to today
Diabetes kills more people annually than breast cancer and HIV/AIDS combined.
Diabetes reduces a woman’s chances of employment by 50%
If diabetes were a country, it would be the 3rd largest in the world
International Diabetes Federation / Diabetesatlas.org
80% of people with diabetes are from low and middle income nations
International Diabetes Federation, 2012
The number of people with diabetes is increasing in every single nation
International Diabetes Federation/World Health Org 2012
Half of people with diabetes don’t know they have it.
American Diabetes Association / International Diabetes Federation, 2012
Quiet. Slow. Deadly. Expensive: Chronic Diseases Account for 75% of our Healthcare Costs.
25% of all medical care is consumed by 1% of the population and nearly 50% is consumed by 5%.
AHRQ, 2013
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1 Day with #Diabetes in USA: 5000 diagnosed, $670M, 280 lives, 200 limbs. We can do better. Today.
American Diabetes Association, 2014
Every 1.2 seconds someone develops a diabetic foot ulcer (DFU).
Armstrong, Boulton, Bus, NEJM, 2017 / Armstrong, Tan, Boulton, Bus, JAMA, 2023
Seconds Count: Every 7 seconds someone dies from diabetes. Every 20 seconds someone is amputated.
International Diabetes Federation / Diabetesatlas.org
Armstrong, et al, Diabetes Care 2013
One million dollars every 30 minutes: the cost of inpatient and outpatient care of the diabetic foot in the USA alone.
Skrepnek, Mills, Armstrong, Diabetes Care, 2015
Armstrong, Boulton, Bus, New England Journal of Medicine, 2017
The cost of diabetic foot ulcers is greater than that of the five most costly forms of cancer
Barshes, et al, Diab Foot Ankle 2013
Cavanagh, et al, Diabetes Metab Res Rev, 2012
Diabetic Foot Ulcer patients are twice as costly to US Medicare as those with diabetes alone
Rice, et al, Diabetes Care, 2014
Inpatient care constitutes nearly two thirds of insurance costs for diabetic foot ulcers
Rice, et al, Diabetes Care, 2014
The estimated annual US Burden of Diabetic Foot Ulcers is at least $15 Billion
Rice, et al, Diabetes Care, 2014
By 2030, at least 550 million people will have diabetes- approximately 10% of the world’s adult population.
International Diabetes Federation (IWGDF), 2011
There are now approximately 86M people with pre-diabetes in the USA
That’s the total population of 30 states.
American Diabetes Association, 2014
2010 United States Census
The population of diabetes in the USA is greater than the population of the nation’s 10 largest cities.
American Diabetes Association, 2012
2010 United States Census
Today with Diabetes In America: 200 Lives, 200 Limbs, 86 million at risk.
American Diabetes Association 2014
The population of Diabetes in Arizona (home of SALSA) would make it the fourth largest city in the state.
American Diabetes Association, 2012
2010 United States Census
60-70% of those with diabetes will develop peripheral neuropathy, or lose sensation in their feet.
Dyck et al. Diabetic Neuropathy 1999
More than 90% of people with diabetic peripheral neuropathy are unaware they have it.
Bongaerts, et al, Diabetes Care, 2013
Up to 34% of those with diabetes will develop a foot ulcer.
Armstrong, Boulton, Bus, New England Journal of Medicine, 2017
The yearly incidence of diabetic foot ulcers ranges from 2% to 32%, depending on ADA risk classification
Boulton, Armstrong, et al, Diabetes Care 2008
Lavery , et al, Diabetes Care 2008
Sibbald, et al, Adv Skin Wound Care, 2012
More than half of all foot ulcers (wounds) will become infected, requiring hospitalization and 20% of infections result in amputation.
Lavery, Armstrong, et al. Diabetes Care 2006
Diabetes contributes to approximately 80% of the 120,000 nontraumatic amputations performed yearly in the United States.
Armstrong et al. Amer Fam Phys 1998
“Every 20 seconds, somewhere in the world, a limb is lost as a consequence of diabetes”
DFCon11, Bakker (after Boulton), DFCon.com
Boulton, The Lancet (cover), Nov. 2005
After a major amputation, 50% of people will have their other limb amputated within 2 years.
Goldner. Diabetes 1960
Armstrong, et al, J Amer Podiatr Med Assn, 1997
More than half of people with osteomyelitis of the heel will undergo high level amputation
Faglia, et al, Foot Ankle Int, 2013
Armstrong, et al, International Wound Journal, 2007
Pickwell, et al, Diabetes Metab Res Rev, 2013
Iversen, et al, Diabetes Care, 2009
Every 30 minutes a limb is lost due to a landmine, Every 20 seconds, a limb is lost due to diabetes.
Bharara, Mills, Suresh, Armstrong, Int Wound J, 2009
Iversen, et al, Diabetes Care 2009
One third of patients seeking care for ischemic wounds die unhealed
Elgzyri, et al, Eur J Vasc Endovasc Surg, 2013
For people on dialysis receiving an amputation, 2 year mortality is 74%
Diabetic foot ulcers double mortality and heart attack risk while increasing risk for stroke by 40%
Brownrigg, et al, Diabetologia, 2012
Chronic wounds affect some 8 million Americans each year. That’s one wound every 3.8 seconds in the USA, alone.
Harsha , 2008 and Tomic-Canic 2010
Each $1 invested in care by a podiatrist for people with diabetes results in $27 to $51 of healthcare savings.
JAPMA, 101(2), 2011
Podiatry care not only reduces amputation risk, but also dramatically impacts rate of hospitalization and reulceration
Gibson, et al, Int Wound Journal, 2013
Podiatric medical care in people with history of diabetic foot ulcer can reduce high level amputation from between 65% and 80%
Gibson, et al, Int Wound Journal, 2013
Instituting a structured diabetic foot program can yield a 75% reduction in amputation rates and a near four-fold reduction in inpatient mortality
Weck, et al, Cardiovascular Diabetology, 2013
Skrepnek, Mills, Armstrong, Diabetes Care, 2014
Nice Infographic about Diabetic Foot, Definitely it is helpful.