Hospitals in England amputate more members than ever because of diabetes

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The numbers revealed that more people than ever before had parts of their legs amputated because of diabetes complications.

The NHS performed over 27,000 amputations of the toe, feet and lower limbs between 2015 and 2018.

That's 3,000 more than in the previous three years and so are Type 2 Diabetes – a weight-related disease – rising sharply.

The number of patients suffering from this disease has doubled since the mid-1990s, increasing the risk of stroke and heart disease in hundreds of thousands of people.

Doctors need to amputate more toes and toes because of complications of type 2 diabetes, triggered by obesity and affecting more than 3 million Britons (stock image)

Doctors need to amputate more toes and toes because of complications of type 2 diabetes, triggered by obesity and affecting more than 3 million Britons (stock image)

Figures released by Public Health England show the scale of the "devastating" operations.

The government body has registered hospital admissions and amputations in patients with diabetic foot disease, a condition caused by nerve damage to the legs.

Diabetes causes high blood sugar levels, which can damage the nerves, and less efficient blood circulation, which reduces oxygen supply, which can harm the tissues.

Both slow the healing of wounds and allow them to lose control of their spiral to eventually cause an injury or infection so severe that only amputation can help.

The number of people with type 2 diabetes in England and Wales is close to 3.4 million, with more than 200,000 diagnosed in 2017.

In comparison, only 1.4 million people were diagnosed with diabetes in 1996, of whom about 90% had type 2 diabetes.

The figure is expected to exceed 5.5 million by 2030, Diabetes UK said. This disease is closely related to overweight, inactivity and excessive consumption of sugar.

In total, England recorded 27,465 lower limb amputations in patients with diabetic foot between 2015 and 2018.

The figure was up 24 181 in 2012-2015.

HOW CAN DIABETES DIRECT AMPUTATIONS?

People with diabetes are much more likely to need amputation of their toes or feet because their wounds do not heal normally.

High blood sugar levels can cause nerve damage, which means patients can not feel their skin as well and may not even know when they have an injury or how bad it is.

And diabetes restricts circulation in the legs, which slows healing because oxygen and nutrients are scarce.

The combination of these two factors means that people may take longer to recover from an injury and the healing time means that it is easier for her to infect or die from flesh as a result of gangrene.

If an injury becomes too infected or impossible to treat, it may be necessary to isolate the affected body part.

Source: American Association of Podiatric Medicine

Some 7,545 of those in the last three years were major, that is, above the ankle, while 19,920 were under-the-ankle minors.

Activists said measures must be taken to reduce rising diabetes rates and help people avoid radical surgery.

Statistics have confirmed that the number of amputations is increasing because more people are diagnosed with type 2 diabetes – the individual risk for a diabetic person does not increase significantly.

Nikki Joule, policy manager at Diabetes UK, said: "The number of people with lower limb amputee diabetes continues to increase as the number of people with this disease increases.

"It is essential to take steps to prevent as many people as possible from developing type 2 diabetes, so that fewer people run the risk of a devastating, and often avoidable, amputation."

The per capita rate of major amputations did not increase, but minor amputations increased slightly.

The figures show the areas most affected by these operations, which consist of removing part or all of the foot.

The areas north, east and west of Devon were the most affected, with 420 people in operation, compared with 72 only between 2012 and 2015.

Somerset, with 404 between 2015 and 2018, and Birmingham and Solihull with 395.

Dr. Jennifer Smith, Diabetes Expert for Public Health England, said, "It is tragic that so many people are suffering the unnecessary consequences of diabetes, such as amputations.

Survival rates and quality of life after such an operation can often be poor. This should not happen when the disease is preventable. & # 39;

She added, "Type 2 diabetes remains the biggest health challenge in the country and many adults are at risk of developing this life-threatening but preventable disease."

Ms Joule, from Diabetes UK, added: "People with diabetes also need to make sure to participate in their free annual check of the NHS foot. If they notice any problems with their feet, consult a health professional immediately.

& # 39;[This] could be the difference between keeping and losing a foot.

WHICH AREAS OF THE NHS HAVE THE SMALLEST AMPUTATIONS OF LOWER MEMBERS IN 2015-2018?
NHS area Minor amputations 2015-2018 Minor amputations 2012-2015 NHS area Minor amputations 2015-2018 Minor amputations 2012-2015
NHS North, East and West Devon GCC 420 72 NHS Mansfield and Ashfield 86 89
NHS Somerset GCC 404 81 NHS Canterbury And Coastal GCC 86 65
NHS Birmingham and Solihull GCC 395 66 NHS Southwark 85 89
NHS Bristol, North Somerset and South Gloucestershire GCC 384 35 NHS North Durham GCC 85 N / A
NHS Kernow GCC 353 113 NHS Newham 83 69
NHS Leeds 299 33 NHS Brent 80 69
NHS Liverpool CCG 294 25 NHS Bromley 80 88
NHS Dorset GCC 264 82 NHS North East Hampshire and Farnham GCC 80 102
NHS Gloucestershire GCC 257 103 NHS North Hampshire GCC 80 36
NHS West Hampshire GCC 235 51 NHS Thanet GCC 80 96
NHS Sheffield 224 78 NHS Ealing 78 31
NHS West Kent GCC 213 96 NHS North Derbyshire 78 189
NHS Cambridgeshire and Peterborough GCC 208 31 NHS North Lincolnshire 78 76
NHS Sandwell and West Birmingham GCC 207 79 NHS West Esbad GCC 78 102
NHS Doncaster 191 36 NHS Hartlepool and Stockton-on-Tees GCC 77 137
NHS Coastal West Susbad GCC 179 73 NHS Oldham GCC 76 107
NHS Wiltshire GCC 179 69 NHS Heywood, Middleton and Rochdale GCC 75 100
NHS Shropshire 175 62 NHS East Leicestershire And Rutland GCC 74 65
NHS North Cumbria GCC 167 49 NHS West Cheshire GCC 74 46
NHS Manchester CCG 167 24 NHS Warwickshire North GCC 74 61
NHS Nene GCC 165 69 NHS Hastings And Rother GCC 73 124
NHS Wirral GCC 158 91 NHS North Tyneside GCC 72 36
NHS Vale Of York 157 42 NHS Scarborough and Ryedale 71 87
NHS South Devon And Torbay GCC 153 62 NHS Bbadetlaw 70 65
NHS Hull 152 45 NHS South Sefton GCC 70 60
NHS East Riding Of Yorkshire 146 30 NHS Greater Preston GCC 70 175
NHS Coventry And Rugby GCC 146 74 NHS Hillingdon 69 51
NHS East Lancashire GCC 145 38 NHS Cannock Chase 69 83
NHS Buckinghamshire GCC 144 42 NHS East Staffordshire 69 103
NHS Northumberland GCC 143 28 NHS North Lincolnshire 69 54
NHS Swindon GCC 143 53 NHS Wandsworth 68 80
NHS Mid Esbad GCC 140 31 NHS Lincolnshire East GCC 68 70
NHS Oxfordshire GCC 136 46 NHS Isle Of Wight GCC 67 81
NHS Croydon 135 63 NHS Hounslow 66 32
NHS Southampton GCC 135 37 NHS Waltham Forest 66 103
NHS Walsall GCC 135 46 NHS South Cheshire GCC 66 45
NHS East and North Hertfordshire GCC 134 115 NHS Bury GCC 66 79
NHS Medway GCC 134 62 NHS Surrey Downs GCC 66 39
NHS Barnsley 133 78 NHS Tameside And Glossop GCC 65 126
NHS Durham Dales, GCC Easington and Sedgefield 133 86 NHS Harrow 63 49
NHS Newcastle and Gateshead GCC 133 107 NHS Herts Valleys GCC 62 53
NHS Stoke On Trent 129 59 NHS Halton GCC 62 N / A
NHS Nottingham City 126 23 NHS East Surrey GCC 62 33
NHS South Hampshire Hampshire GCC 126 28 NHS Milton Keynes GCC 61 N / A
NHS Bolton GCC 125 125 NHS South Tyneside GCC 60 N / A
NHS Berkshire West CCG 125 93 NHS Airedale, Wharfdale and Craven 59 N / A
NHS Telford and Wrekin 123 143 NHS West Norfolk GCC 59 99
NHS South Tees GCC 123 36 NHS High Weald Lewes GCC Havens 59 61
NHS Southend GCC 123 120 NHS Tower Hamlets 58 60
NHS Greenwich 122 90 NHS Newark & ​​Sherwood 58 82
NHS South Warwickshire GCC 120 54 NHS Kingston 57 110
NHS Bedfordshire GCC 118 76 NHS Norwich GCC 56 89
NHS Havering 117 25 NHS Guildford and Waverley GCC 56 121
NHS Castle Point and Rochford GCC 116 32 NHS Camden 54 152
NHS Ipswich and East Suffolk GCC 116 109 NHS Knowsley GCC 54 20
NHS Greater Huddersfield 115 78 NHS Eastern Cheshire GCC 53 195
NHS Wakefield 115 124 NHS Horsham and Mid Susbad GCC 53 33
NHS East Berkshire GCC 113 147 NHS Redditch and Bromsgrove GCC 53 63
NHS Calderdale 112 111 NHS Wyre Forest GCC 53 70
NHS North West Surrey GCC 110 54 NHS Hardwick 52 183
NHS Bexley 109 37 NHS London West (K & C & QPP) 51 28
NHS Herefordshire GCC 109 124 NHS Nottingham North And East 51 82
NHS South Worcestershire GCC 108 N / A NHS Stafford and surroundings 51 53
NHS Lambeth 107 54 NHS Warrington GCC 51 96
NHS Southern Derbyshire 107 40 NHS Merton 50 47
NHS Fareham and Gosport GCC 107 44 NHS Islington 49 76
NHS South Kent Coast GCC 106 99 NHS Hambleton, Richmondshire and Whitby 49 49
NHS Swale GCC 106 75 NHS Sutton 48 64
NHS Barking And Dagenham 105 205 NHS North Kirklees 48 79
NHS West Leicestershire GCC 105 153 NHS Harrogate And Rural District 46 131
NHS Salford GCC 104 92 NHS South Lincolnshire GCC 45 74
NHS Rotherham 102 106 NHS Fylde & Wyre GCC 45 50
NHS Blackpool GCC 102 17 NHS Hammersmith and Fulham 44 48
NHS Barnet 101 94 NHS Crawley GCC 44 66
NHS North East Esbad GCC 100 74 NHS North Norfolk GCC 43 207
NHS North Staffordshire 99 62 NHS Chorley and South Ribble GCC 43 43
NHS Wolverhampton GCC 99 96 NHS Southport And Formby GCC 42 N / A
NHS Lewisham 98 41 NHS Lincolnshire West GCC 41 305
NHS Morecambe Bay GCC 98 62 NHS South West Lincolnshire GCC 41 118
NHS Dartford, Gravesham and Swanley GCC 98 36 NHS South Norfolk GCC 41 146
NHS City and Hackney 97 85 NHS Bath and North East Somerset, GCC 41 207
NHS Great Yarmouth and Waveney GCC 97 133 NHS Nottingham West 39 298
NHS Portsmouth GCC 97 46 NHS Luton GCC 39 412
NHS Haringey 96 39 NHS Rushcliffe 37 300
NHS Bradford Districts 96 89 NHS Darlington GCC 37 114
NHS Leicester City GCC 96 27 NHS Richmond 35 N / A
NHS Brighton and Hove GCC 93 56 NHS Erewash 35 156
NHS Sunderland GCC 92 42 NHS Bradford City 35 79
NHS Dudley GCC 92 196 NHS Ashford GCC 34 71
NHS Enfield 91 57 NHS Vale Royal GCC 33 40
NHS South East Staffs And Seisdon Peninsular 91 63 NHS Central London (Westminster) 29 183
NHS St Helens GCC 91 32 NHS Basildon and Brentwood GCC 29 88
NHS Wigan Borough GCC 91 67 NHS Surrey Heath GCC 29 85
NHS Eastbourne, Hailsham and Seaford GCC 90 33 NHS Thurrock GCC 28 130
NHS Redbridge 88 81 NHS Trafford GCC 28 71
NHS West Suffolk GCC 87 78 NHS West Lancashire GCC 24 85
NHS Stockport GCC 87 116 NHS Corby GCC 19 50
NHS Blackburn with Darwen GCC 87 18 Source: Public Health England
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