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This is Scientific American 60-Second Health. I'm Dina Fine Maron. Got a minute?

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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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So finds an analysis in the journal Health Affairs.

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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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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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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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Fewer healthcare options for poorer patients and their providers may have contributed to the disparity, the researchers write.

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The diabetes patients most at risk for amputations were male, older than 65, black and non-English speaking.

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When blood sugar and other health metrics are carefully monitored and controlled, diabetes amputations are much more preventable.

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Otherwise, diabetes can lead to impaired circulation in the feet and nerve damage.

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Those conditions, in turn, can keep patients from noticing developing infections.

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The researchers advise daily foot washing and checks for cuts to help keep patients on their feet.

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And improved health care access for communities most in need is a must.

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Thanks for the minute, for Scientific American 60-Second Health. I'm Dina Fine Maron.

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