why do diabetics die after toe amputations

The reasons for the potential mortality of diabetic patients following toe amputation surgery are multifaceted, primarily linked to the complications of diabetes, surgical risks, and postoperative care.

Firstly, diabetic patients often suffer from additional cardiovascular conditions such as hypertension and coronary heart disease, which can elevate the risks associated with surgery and potentially lead to intraoperative cardiovascular incidents. Secondly, the impaired wound healing in diabetic patients makes them more susceptible to infections. If these infections become systemic, they can result in severe sepsis, endangering life. Additionally, diabetic neuropathy can cause a reduction in foot sensation, increasing the likelihood of unnoticed injuries and exacerbating foot damage. Lastly, poor long-term glycemic control in some diabetic patients can lead to a decline in overall health and a reduced tolerance for surgery, which is a significant factor contributing to postoperative mortality.

Consequently, for diabetic patients, a thorough physical evaluation is essential before undergoing toe amputation to ensure surgical safety. Postoperatively, close monitoring of the patient's recovery is necessary to promptly identify and address any potential complications. Moreover, maintaining good glycemic control in daily life is crucial for patients to prevent condition deterioration due to extreme blood sugar fluctuations. Patients should seek medical attention promptly at the first sign of discomfort and follow the prescribed treatment under a physician's guidance, avoiding self-medication without professional advice.