02/10/2021
Peripheral Artery Disease(PAD) is a disease that affects the flowing blood by narrowing blood vessels often in the lower extremities. Blockages are caused by the buildup of fatty plaque affected by many factors like smoking, high blood pressure or cholesterol, and diabetes. Looking closer at the relationship between those with diabetes and PAD the risk of developing an infection that requires an amputation is greatly increased as decreased blood flow can lead to ulcerations on the feet that are slow to heal and at high risk for infection. Even worse many of the amputees who have PAD and diabetes could have avoided the amputation altogether had their Doctors screened them for the disease. The lack of awareness in the health community leaves many with unnecessary pain and trauma. A letter sent to our board by a limb salvage specialist Dr. Foluso Fakorede, co-chair of the PAD Initiative for the Association of Black Cardiologists and CEO of Cardiovascular Solutions of Central Mississippi, highlights the extreme disconnect in the medical field surrounding diabetes and PAD, “Tragically, even though PAD is as serious as cancer, more than 90% of the amputees I have met have never had a diagnostic test for PAD or an appropriate vascular evaluation to salvage their limbs. Most have never even heard of PAD until it is too late.” He states that we need comprehensive changes in the field to make amputation the last option instead of the first. Options like revascularization, the bypassing of affected blood vessels to treat PAD, need to be looked into. On top of all this, diabetes-related amputations reveal the disparities in our healthcare system when treating whites and minorities. Blacks and Latinos are 2x as likely to undergo amputations for diabetic-related conditions compared to whites according to Kaiser Health News, a nonprofit news organization dedicated to in-depth coverage of health care policy and politics. But it's not all bad, there are steps to avoid developing PAD. The CDC recommends not smoking to***co, eating healthily, exercising, and closely monitoring blood glucose levels are ways to prevent developing PAD and the serious health complications associated with it.