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Diabetic foot care - the facts
A Global Epidemic
- Diabetes currently affects 246 million people worldwide and is expected to affect 380 million by 2025 but these, unfortunately are conservative figures.
- In 2007, the five countries with the largest numbers of people with diabetes are India (40.9 million), China (39.8 million), the United States (19.2 million), Russia (9.6 million) and Germany (7.4 million).
- In 2007, the five countries with the highest diabetes prevalence in the adult population are Nauru (30.7%), United Arab Emirates (19.5%) (40% of Healthcare Budget in UAE goes on Diabetes), Saudi Arabia (16.7%), Bahrain (15.2%), and Kuwait (14.4%).
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By 2025, the largest increases in diabetes prevalence will take place in developing countries.
- Each year a further 7 million people develop diabetes.
- Each year 3.8 million deaths are attributable to diabetes. An even greater number die from cardiovascular disease made worse by diabetes related lipid disorders and hypertension.
- Every 10 seconds a person dies from diabetes-related causes.
- Every 10 seconds two people develop diabetes.
- Diabetes is the fourth leading cause of global death by disease.
- At least 50% of all people with diabetes are unaware of their condition. In some countries this figure may reach 80%.
- Up to 80% of type 2 diabetes is preventable by adopting a healthy diet and increasing physical activity.
A Global Clinical Challenge
- 30% of all Diabetic will have foot problems due to diabetes – 73m today and 114m by 2025 – conservative figures.
- Approximately 15% of all people with diabetes will be affected by a foot ulcer during their lifetime – 36.9m today and 57m by 2025 – conservative figures.
- Five-year recurrence rates of foot ulcers are 70%.
- Up to 85% of all amputations in relation to people with diabetes are preceded by a foot ulcer.
- People with diabetes with one lower limb amputation have a 50% risk of developing a serious lesion in the second limb within 2 years.
- People with diabetes have a 50% mortality rate in the 5 years following the initial amputation.
- People with diabetes are 25 times more likely to lose a leg than people without the condition.
- Globally, up to 70% of all leg amputations happen to people with diabetes.
- 49-85% of all diabetic foot related problems are preventable.
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