In Chile, diabetes continues to generate serious public health complications, with diabetic foot being one of the most concerning. According to information released in 2025 and clinical studies published in 2024 (analyzing hospital discharges up to 2020), approximately 15% of people with diabetes will develop this complication during their lifetime. The magnitude of the problem is reflected in amputation figures: nearly 68% of lower limb amputations in Chile are performed on people with diabetes, and around 80% of these cases are preceded by a diabetic foot ulcer.
Hospital studies published in 2024 also indicate that more than half of the patients hospitalized for this reason require a minor amputation. In these cases, the average glycosylated hemoglobin (HbA1c) was 9. 3%, indicating insufficient metabolic control.
For Carolina Saravia, head nurse at Clínica Cath and a wound treatment expert, the key lies in early detection and timely management. “Diabetic foot does not appear overnight. In most cases, there is prior neuropathy and small lesions that are not detected in time.
When the patient consults, we are often already facing an advanced infection,” explains Saravia. The expert emphasizes that most amputations can be prevented with proper care. “We know that nearly 80% of amputations are preceded by an ulcer.
This means that with early screening, adequate glycemic control, and timely treatment of wounds, a large part of these c…
Daily foot inspection, including between the toes and on the sole, to detect small injuries, color or temperature changes, wearing seamless socks and light-colored footwear. Gentle hygiene with warm water and careful drying, avoiding excessive friction. Do not apply home remedies or irritating antiseptics without professional guidance.
Use appropriate dressings according to the type of wound, which maintain a controlled moist environment to promote healing. Pressure offloading through special footwear or devices that prevent direct pressure on the injured area. Immediate consultation upon signs of alarm, such as redness, increased pain, discharge, foul odor, or fever.
“A small wound can quickly turn into a deep infection if the patient does not feel pain and continues to put weight on the foot. Pressure offloading and early specialized treatment are crucial to save the limb,” she emphasizes. In a country where the prevalence of diabetes among adults hovers around 12%, the health impact of diabetic foot remains significant.
Specialists agree that reinforcing education in primary care, promoting regular check-ups, and strengthening advanced wound management units are key measures to reduce amputations in the coming years. “Checking your feet every day should be as habitual as measuring your blood sugar. Prevention is the most powerful tool we have to avoid amputation,” concludes Saravia.
Experts agree that most amputations due to diabetic foot can be prevented with adequate metabolic control, daily foot inspections, and timely medical attention for any injury. Strengthening education for diabetes patients and improving access to specialized treatment are key measures to reduce a complication that continues to have a high impact on public health in Chile.