"The Focus Of Diabetes Care Must Shift From Complication Management To Disease Awareness, Risk Factor Assessment, Patient Education And Preventative Medicine Implementation." -Dr. G. Javier Cavazos


Can Diabetic Foot Amputations Be Prevented?


  • 28 million people in the United States are affected by diabetes mellitus.
  • Diabetic foot infections comprise 20% of all diabetes-related hospital admissions.
  • Neuropathic ulcers (ulcers resulting from callus breakdown) are the most common diabetic foot manifestation leading to a lower extremity amputation.
  • Neuropathic ulcers are a consequence of ulcers developing as a result of foot deformity, sensory neuropathy, and microtrauma from everyday walking.
  • 15% of all diabetes patients will experience a neuropathic ulcer during their disease course.
  • Lower extremity amputations are 15% more common in the diabetic population.


  • Duration of diabetes (>15 years)
  • Poor diabetes control (HGAIC >9)
  • Past history of foot ulcerations and amputations
  • Peripheral neuropathy (sensory loss)
  • Foot deformity (bunions, hammertoes)
  • Thick fungal nails
  • Dry callused skin
  • Limited joint mobility (rigid foot/ankle)
  • Peripheral vascular disease (poor circulation)
  • Risk factors for developing peripheral arterial disease: high cholesterol, high blood pressure, high fatty diet, heart disease, high triglycerides, smoking


  • Acknowledge that the consequences of diabetes mellitus extend beyond poor sugar control and that alterations in glucose metabolism cause dysfunction in many organ systems (kidney, heart, nerve, eyes, and feet).
  • Acknowledge that among these complications, none is more common, complex and costly than the diabetic foot infection.
  • Accept one's vulnerability to diabetes-induced complications.
  • Obtain a Podiatric consultation to identify the risk factors that preclude diabetic foot ulcers and infections.
  • Ask Dr. Cavazos to educate you on how diabetes affects your feet.
  • Have RGV Footcare implement a comprehensive treatment plan to address the risk factors leading to amputation.

Learn More About Diabetic Foot Care