Diabetes is the leading cause of amputation of the lower limbs. Yet, half of these amputations might be prevented through simple but effective foot care practices. This article describes the progress made in the reduction of lower extremity amputations in people with diabetes by the Racial and Ethnic Approaches to Community Health Charleston and Georgetown Diabetes Coalition. The coalition's community action plan and interventions were based on an expanded Chronic Care Model that spawned changes in policies, health and education systems, and other community systems for people with diabetes and their support systems.
College of Nursing, Medical University of South Carolina, Charleston (Drs Jenkins and Kelechi); Office of Chronic Diseases Epidemiology and Evaluation, Bureau of Community Health and Environmental Control, South Carolina Department of Health and Environmental Control, Columbia (Dr Myers and Mr Heidari); and National Center for Chronic Disease Prevention and Health Promotion Centers for Disease Control and Prevention, Atlanta, Georgia (Dr Buckner-Brown).
Correspondence: Carolyn Jenkins, DrPH, APRN-BC-ADM, RD, LD, FAAN, College of Nursing, Medical University of South Carolina, 99 Jonathan Lucas, MSC 160, Charleston, SC 29425 (firstname.lastname@example.org).
This project was supported by the Racial and Ethnic Approaches to Community Health Charleston and Georgetown Diabetes Coalition, Centers for Disease Control and Prevention Grant/Cooperative Agreements U50/CCU422184-01 through 05 and 1U58DP001015-01 through 02 from the US Centers for Disease Control and Prevention; the South Carolina Department of Health and Environmental Control; and the Diabetes Initiative of South Carolina, the Foot Care Program, College of Nursing, and the Skin Integrity Clinic University Internal Medicine, Medical University of South Carolina.
The authors express their appreciation to the members of the community who have diabetes and the Racial and Ethnic Approaches to Community Health staff and community partners for their collaboration and contributions to this project, particularly the Racial and Ethnic Approaches to Community Health community health advisors. This work could not have been possible without their wisdom and support.
The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.