In the first half of 2023, the Unified Health System (SUS) recorded 6,982 lower limb amputations caused by diabetes, an average of 28 per day. This number has been growing year by year in Brazil. In 2022, 10,168 amputations were recorded, which represents an increase of 3.9% compared to the previous year.
According to the Brazilian Diabetes Society (SBD), the disease is the main cause of non-traumatic lower limb amputation in the country. Traumatic amputations are those that occur, for example, in traffic or work accidents.
Diabetic foot
Diabetes causes a number of complications, including peripheral neuropathy, which is the loss of sensation in the nerves in the feet. This loss of sensitivity makes it difficult to perceive injuries or wounds, which can lead to infections and, consequently, amputation.
The director of the Brazilian Association of Ankle and Foot Medicine and Surgery (ABTPé), endocrinologist Jordanna Maria Pereira Bergamasco, states that foot care is essential to prevent complications from diabetes.
“The feet of people with diabetes require special care. It is important to examine your feet regularly, avoid tight or hard shoes, and cut your toenails with a professional,” says the doctor.
The Ministry of Health states that it develops strategies to promote health and prevent chronic conditions that result from diabetes. Among the actions listed are nutritional and dietary monitoring, encouraging the adoption of healthy habits, and the practice of physical activity.