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Screening for diabetes in lower limb amputees: a pilot study

S P Treweek1, M E Condie, D G Gilmour

  • 1National Centre for Training and Education in Prosthetics and Orthotics, University of Strathclyde, Glasgow, UK.

Journal of the Royal College of Surgeons of Edinburgh
|June 11, 1998
PubMed
Summary

A screening program found many patients needing lower limb amputation had undiagnosed diabetes. Improving participation in diabetes screening is crucial for meeting national health targets.

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Area of Science:

  • Diabetes management
  • Vascular health
  • Public health screening

Background:

  • The Saint Vincent Declaration outlines 5-year targets for improving outcomes in diabetic patients.
  • Comprehensive screening and monitoring are essential to track progress toward these targets and identify diabetic complications.
  • Lower limb amputations in diabetic patients indicate advanced disease and highlight the need for better early detection.

Purpose of the Study:

  • To assess the prevalence of undiagnosed diabetes in patients undergoing lower limb amputation.
  • To evaluate the feasibility and challenges of implementing a national diabetes screening program within this patient cohort.
  • To inform strategies for improving screening uptake and achieving national diabetes care goals.

Main Methods:

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  • A prospective screening program was conducted over three months.
  • 146 patients presenting for lower limb amputation were included in the study.
  • Data was collected on diabetes status and screening participation.

    • Main Results:

    • A significant proportion of patients undergoing lower limb amputation were found to have undiagnosed diabetes.
    • Only approximately 50% of eligible patients underwent diabetes testing, indicating low screening uptake.
    • The study identified substantial difficulties in establishing a widespread national screening program.

    Conclusions:

    • Undiagnosed diabetes is prevalent in patients with lower limb amputations, underscoring a critical gap in care.
    • Low screening participation rates pose a significant barrier to achieving national diabetes management targets.
    • Ongoing efforts are focused on enhancing patient testing rates to improve diabetes detection and outcomes.