August 22, 2013
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Diabetes affects 26 million people in the US and more than 366 million people worldwide.
Diabetesatlas.org/American Diabetes Association

The top 10 diabetes nations 
International Diabetes Federation / Diabetesatlas.org
 
Diabetes kills more people annually than breast cancer and AIDS combined.
American Diabetes Association, 2009

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.

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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 , In Press
 
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 79M people with pre-diabetes in the USA
That is the equivalent of the total population of 30 states. 
American Diabetes Association, 2012
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

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

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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.
 
Up to 25% of those with diabetes will develop a foot ulcer.
Singh, Armstrong, Lipsky.  J Amer Med Assoc 2005
 

The yearly incidence of diabetic foot ulcers ranges rom 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
 
The relative 5-year mortality rate after limb amputation is 68%. When compared with cancer – it is second only to lung cancer (86%).  (Colorectal cancer 39%, Breast cancer 23%, Hodgkin's disease 18%, Prostate cancer 8%)
Armstrong, et al, International Wound Journal, 2007
Amer Cancer Society; Facts & Figures 2000
Singh, Armstrong, Lipsky et al. J Amer Med Assoc 2005
Icks, et al, Diabetes Care, 2011
 

Median time to healing for diabetic foot wounds: 147,188, and 237 days for toe, midfoot and heel ulcers.
Pickwell, et al, Diabetes Metab Res Rev, 2013 

 
People with a history of a diabetic foot ulcer have a 40% greater 10 year mortality than people with diabetes alone.
Iversen, et al, Diabetes Care, 2009
 
Every 30 minutes a limb is lost due to a landmine.
Every 30 seconds, a limb is lost due to diabetes.
Bharara, Mills, Suresh, Armstrong, Int Wound J, 2009
 
  1. Having a wound immediately doubles one's chances of dying at 10 years compared with someone without diabetes.
  2. Iversen, et al, Diabetes Care2009
     
    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%
    Ndip, et al, 2012, Diabetes

    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

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