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1 .This is Scientific American 60-Second Health. I'm Dina Fine Maron. Got a minute?
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2 .Diabetics who live in poor areas in California are far more likely to suffer an amputation than are diabetics in wealthier neighborhoods.
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3 .So finds an analysis in the journal Health Affairs.
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4 .The study reveals that patients in low-income zip codes were up to 10 times more likely to lose a leg or foot than diabetic patients in more affluent zip codes.
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5 .In poor areas like Compton, as many as 10.7 out of 1,000 diabetic adults ages 45 and older wound up losing a lower limb due to diabetes complications.
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6 .In wealthier areas, including Malibu and Beverly Hills, no more than 1.5 diabetics per 1,000 lost a limb to the disease.
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7 .Fewer healthcare options for poorer patients and their providers may have contributed to the disparity, the researchers write.
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8 .The diabetes patients most at risk for amputations were male, older than 65, black and non-English speaking.
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9 .When blood sugar and other health metrics are carefully monitored and controlled, diabetes amputations are much more preventable.
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10 .Otherwise, diabetes can lead to impaired circulation in the feet and nerve damage.
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11 .Those conditions, in turn, can keep patients from noticing developing infections.
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12 .The researchers advise daily foot washing and checks for cuts to help keep patients on their feet.
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13 .And improved health care access for communities most in need is a must.
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14 .Thanks for the minute, for Scientific American 60-Second Health. I'm Dina Fine Maron.
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