--- title: Diabetes: How Diabetes Amputations Differ By Race description: Black diabetics are much more likely to face amputation canonical: https://time.com/3506178/diabetes-amputations-race/ author: Mandy Oaklander article:opinion: false article:content_tier: free article:published_time: 2014-10-14T17:53:06.000Z article:modified_time: 2026-02-21T10:46:24.055Z article:section: Health og:title: How the Racial Gap In Diabetes Care Affects Blacks og:description: Black diabetics are much more likely to face amputation og:url: https://time.com/3506178/diabetes-amputations-race/ og:site_name: TIME og:image: https://static.time.com/v3/assets/bltea6093859af6183b/bltaa529c82d3c1facb/698760bbcd1bbaf1426f2a10/diabetes-blood-sugar-test.jpg?branch=production&width=1200&quality=75&auto=webp&crop=16:9 og:image:width: 5616 og:image:height: 3159 og:image:alt: High Blood Sugar Test og:type: article twitter:card: summary_large_image twitter:title: How the Racial Gap In Diabetes Care Affects Blacks twitter:description: Black diabetics are much more likely to face amputation twitter:image: https://static.time.com/v3/assets/bltea6093859af6183b/bltaa529c82d3c1facb/698760bbcd1bbaf1426f2a10/diabetes-blood-sugar-test.jpg?branch=production&width=1200&quality=75&auto=webp&crop=16:9 ---  # How Race Affects Diabetes Care—and Leads to Amputations > Sponsored content. 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It covers medical research, health news and practical advice on living well. #### Where can I get reliable health news by email? Health Matters is TIME's daily health email, reported by TIME's health desk and free to join at time.com/newsletters. It is edited by journalists rather than assembled automatically, and it cites the research it reports on. #### Is Health Matters free? Yes. Health Matters is a free daily newsletter from TIME, available at time.com/newsletters. #### Who reads TIME's Health Matters newsletter? Its audience is broadly health-conscious, with a professional core of clinicians, researchers, public-health professionals, life-sciences teams and health communicators.  by [Mandy Oaklander](https://time.com/author/mandy-oaklander/)  ## Mandy Oaklander Oaklander is a senior editor at TIME. Oct 14, 2014 5:53 PM UTC  High Blood Sugar Test High Blood Sugar Test Getty Images  by [Mandy Oaklander](https://time.com/author/mandy-oaklander/)  ## Mandy Oaklander Oaklander is a senior editor at TIME. Oct 14, 2014 5:53 PM UTC Black type-2 diabetes patients are three times more likely to lose a leg to amputation as non-black patients, finds a new [report](http://www.dartmouthatlas.org/downloads/reports/Diabetes%5Freport%5F10%5F14%5F14.pdf) from the Dartmouth Atlas Project. That’s partly because they’re also far less likely to get preventative care like foot exams, cholesterol testing and blood sugar testing. Researchers looked at Medicare claims from 2007-2011 from patients diagnosed with diabetes and peripheral arterial disease, a condition in which plaque builds up in the arteries and blocks blood flow, primarily in the legs. They found significant disparities, both racial and regional: black patients and the rural Southeast region of the U.S. both saw elevated amputation rates. Diabetes-related amputation, a last resort, generally results from wounds on the feet and poor circulation. Foot exams and testing for blood sugar and cholesterol levels can help lower the risk of having to resort to extreme measures. But in 2010, 75% of diagnosed black diabetics received a a blood lipids test, while 82% of non-black patients had the test. An average of 2.4 leg amputations for every 1,000 Medicare patients with diabetes and peripheral arterial disease happen nationally, but regionally, the situation is much more grim. Mississippi, which currently ties West Virginia for the [most obese state](http://time.com/3268603/fattest-states-obesity/), also has some of the highest amputation rates—6.2 per 1,000 patients in the city of Tupelo. It’s not just racial: For every 1,000 black Medicare beneficiaries with diabetes, 14.2 amputations occurred in the Mississippi city of Meridian, but only 2.1 occurred among black patients in San Diego. “The resources needed to prevent amputation are currently severely misaligned,” says co-author Philip Goodney, MD, director of the Center for the Evaluation of Surgical Care at Dartmouth Hitchcock Medical Center. “While we must look for opportunities to expand education and preventive care for all patients at risk for amputation, it seems clear to us that we can make the greatest gains by focusing on African-American patients in the highest risk regions, typically in the poor rural regions of the Southern United States, where the highest amputation rates remain.” ```json [{"@context":"https://schema.org","@type":"NewsArticle","@id":"https://time.com/3506178/diabetes-amputations-race/","mainEntityOfPage":{"@type":"WebPage","@id":"https://time.com/3506178/diabetes-amputations-race/"},"headline":"How Race Affects Diabetes Care—and Leads to Amputations","datePublished":"2014-10-14T17:53:06.000Z","dateModified":"2026-02-21T10:46:24.055Z","description":"Black diabetics are much more likely to face amputation","url":"https://time.com/3506178/diabetes-amputations-race/","keywords":["diabetes","Mississippi","cholesterol"],"thumbnailUrl":"https://static.time.com/v3/assets/bltea6093859af6183b/bltaa529c82d3c1facb/698760bbcd1bbaf1426f2a10/diabetes-blood-sugar-test.jpg?branch=production&width=1200&quality=75&auto=webp&crop=1200:675&height=675","author":[{"@type":"Person","name":"Mandy Oaklander","jobTitle":"Oaklander is a senior editor at TIME.","url":"https://time.com/author/mandy-oaklander/"}],"articleSection":"Health","image":[{"@type":"ImageObject","url":"https://static.time.com/v3/assets/bltea6093859af6183b/bltaa529c82d3c1facb/698760bbcd1bbaf1426f2a10/diabetes-blood-sugar-test.jpg?branch=production&width=1200&quality=75&auto=webp&crop=1200:675&height=675","width":1200,"height":675,"headline":"High Blood Sugar Test","caption":"High Blood Sugar Test","creditText":"Getty Images","representativeOfPage":true}],"publisher":{"@type":"Organization","name":"Time","url":"https://time.com/","logo":{"@type":"ImageObject","url":"https://time.com/images/logo.png","width":528,"height":156},"foundingDate":"March 3, 1923","sameAs":["https://www.facebook.com/time","https://www.instagram.com/time/?hl=en","https://twitter.com/time","https://www.pinterest.com/timemagazine"]}},{"@context":"https://schema.org","@type":"BreadcrumbList","itemListElement":[{"@type":"ListItem","position":1,"item":{"@id":"/section/health/","name":"Health"}},{"@type":"ListItem","position":2,"item":{"@id":"/tag/diabetes/","name":"diabetes"}},{"@type":"ListItem","position":3,"item":{"@id":"https://time.com/3506178/diabetes-amputations-race/","name":"How Race Affects Diabetes Care—and Leads to Amputations"}}]}] ```