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amputations

The sole cause really is lack of control of high blood sugar. This is often due to ignorance, lack of discipline, bad diet advice and inadequate medication if needed. The NHS itself has offered a lot of poor advice assuming progression to long-term complications. With good blood sugar control, amputations or other long-term problems should be non-existent
 
Poor glucose levels lead to loss of nerve function which means that injuries to the foot may not be recognised but the other factor is poor circulation in the legs: periperal arterial disease. The risk factor for that are diabtetes (ie poor control of glucose) high blood pressure, high total and LDL cholesterol, smoking and obesity.
http://www.patient.co.uk/doctor/peripheral-arterial-disease
Smoking is a huge risk factor, (just google smoking and amputations)
 
With good blood sugar control, amputations or other long-term problems should be non-existent
Sadly reality does not agree with what you want it to be, and rates of complications remain higher in diabetes with good control than the healthy population.
 
Sadly reality does not agree with what you want it to be, and rates of complications remain higher in diabetes with good control than the healthy population.

Could you please define 'good control'?

I'm not disagreeing with you, I'm just curious to know what guidelines you are using.
 
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