Amputation and diabetes: How to protect your feet

Amputation is a frightening concept. And if you have diabetes, the risk of losing a toe or foot to amputation may be more real than you think. An estimated 5 percent of adults who have diabetes eventually require toe or foot amputation. Here's what you need to know about the link between amputation and diabetes — and how to keep your feet healthy.

What if amputation is the only option?

If an infection has progressed too far or becomes life-threatening, an amputation may be the only option. The surgeon will remove the damaged tissue, being careful to preserve as much healthy tissue as possible. After surgery, you'll be monitored in the hospital for a number of days. It may take four to eight weeks for your wound to heal completely. Emotional acceptance of the amputation may take time, too.

While you're recovering from surgery, your rehabilitation team — which might include a physical therapist, occupational therapist, social worker and other health professionals — will help you adjust to life after amputation. You may be fitted for an artificial limb and learn exercises to strengthen the affected area. You may learn how to use assistive devices and adapt your home, if needed, to help you resume your usual activities. If you experience pain in the amputated limb (phantom pain), you'll learn techniques to deal with the discomfort.

Even after amputation, remember that it's important to follow your diabetes treatment plan. Eating healthy foods, exercising regularly, controlling your blood sugar level and avoiding tobacco can help you prevent additional diabetes complications. If you're having trouble accepting the amputation or how it's changed your life, share your feelings with friends, loved ones or other close contacts. If necessary, contact a mental health professional for additional support.