What Does it Cost to Save a Leg and Prevent a Diabetic Foot Amputation?

Whenever a person with diabetes discovers that the problems leading to diabetic amputations are preventable, the first question is...what does it cost? In this video, the Director of the American Limb Preservation Society discusses the cost of limb preservation as well as the cost of having a diabetic amputation.





Dr. Christopher Segler is an author, inventor and award winning diabetic foot doctor. After discovering how amputations resulted from a failing health care system, it became his passion to teach strategies to stop diabetic amputation. If you have diabetes, you can learn more by requesting your FREE report “No Leg Left To Stand On: The Secrets Insurance Companies Don’t Want You To Know About Diabetic Foot Amputation” at http://www.ineedmyfeet.com.

High Rate of Diabetes and Diabetic Related Foot Amputations

Monday, December 29, 2008: the Pittsburgh Post-Gazette reports on the high rate of diabetes and diabetic related foot amputations.

It has been reported that between 2003 and 2006, the national average diabetic amputations is 1.1 amputations per 1,000 per Medicare beneficiaries. By contrast, Pennsylvania has 1.23 lower-limb amputations per 1,000 Medicare beneficiaries. That is a rate that is about 38% higher than nearby state of Rhode Island and Michigan.

The newspaper article highlights a 77-year-old type 2 diabetic who ended up with partial foot amputation. The story explains that the gentleman had a bone spur and persistent diabetic foot ulcerations, which lead to an infection. Because of the spread of the infection, it was necessary to perform a partial foot amputation in an attempt to save his leg. He had been borderline diabetic for about 10 years prior to the amputation. Amputation was followed by a stay in a nursing home, where he received powerful antibiotics.

Unfortunately many Southern states actually have even worse rates of amputations than Pennsylvania. Geography is the not the only contributing factor. It was also reported that African-Americans nationwide have a risk that is about four times the amputation rate for Caucasians. The rate is actually nearly 7 times as bad if they live in Louisiana, South Carolina or Mississippi.

Poor diet and lack of exercise are all contributing factors to these sorts of complications related to diabetes. Patterns of diet and exercise appeared to have geographic correlation.

The Dartmouth Atlas also reveals that African-Americans nationwide have four times the amputation rate of whites, with nearly seven times the national average in portions of Louisiana, South Carolina and Mississippi. Texas actually has some of the highest rates of amputation with McAllen, Corpus Christi and Harlingon being the worst areas. These areas have imputation rates that are nearly twice the national average.

The diabetic foot partial amputee highlighted in this story credits his podiatrist with saving his legs so that he can still walk. Early detection with these sorts of complications is essential to preventing a worse amputation.

Is absolutely necessary for your doctor to check your at your visit, if you are a diabetic, any new open sore or concerning area on the foot must be checked immediately. We know that early intervention can prevent open sores, infections, and amputation related diabetes. It’s hard to believe, but true, that something as simple as ingrown toenail can lead to the sort of infection results in a diabetic amputation.

Lower limb amputations related to diabetes, are often the result of poor blood sugar control, diabetic foot neuropathy, and a compromised immune system. Unfortunately, these are not the only problems and develop diabetes. Many diabetics also develop heart disease, kidney disease and blindness.

Of all of these complications, diabetic foot ulcers, wounds, and other problems that can lead to gangrene and amputation may be the most preventable. Although there has been increasing awareness of the problems related to diabetic orders, it seems to be very slow progress in the area of actual prevention of these problems. Many new technologies do exist which can aid in the detection and early prevention of the open sores that the heat infections in amputations among diabetics.

The more traditional methods of preventing these problems include seeing a podiatrist to check the pulses in the feet in order to assess blood flow. If there is any compromise of the circulation referral to a vascular surgeon may be arranged. Often times blood flow to the feet and legs can be restored through stent placement or angioplasty. Sometimes a bypasses performed in order to restore blood flow to defeat. Checking for neuropathy, or diabetic nerve damage, is also important. Diabetic shoes are also helpful in reducing friction and shear forces to the feet that can lead to open sores.

Unfortunately, even these well-documented interventions are not available to everybody. It is well known that poverty and a lack of access to podiatrists and other healthcare practitioners can increase the rates of complications leading to diabetic foot amputation.

The worst part about all of this is that we know that once in amputation does occur, life expectancy and dropped to only about 18 months. This is often because of decreased mobility, increase risk of developing pneumonia and other health-related problems.

Source: http://www.post-gazette.com/pg/08364/938218-114.stm


Dr. Christopher Segler is an author, inventor and award winning diabetic foot specialist. He is the founder of a private consulting firm specializing in the prevention of diabetic foot amputations. If you or someone you care about has diabetes, you can learn more by simply requesting your FREE report “No Leg Left To Stand On: The Secrets Insurance Companies Don’t Want You To Know About Diabetic Foot Amputation” at http://www.ineedmyfeet.com.

One Fourth of Diabetic Amputees Wish They Saw a Podiatrist Sooner

A 2008 study conducted by an an independent research firm for the American Podiatric Medical Association found 25 percent of 600 diabetics who were surveyed and had suffered an amputation related to their diabetes said they should have seen a diabetic foot specialist like a podiatrist. Thirty percent of amputees believed that watching closer and heeding known early warning signs, such as “hot spots” and diabetic foot ulcers, might have prompted them to visit their doctor before things worsened.

In total, 75 percent of the survey participants were type-2 diabetic. The remaining 25 percent were considered at high risk for developing the disease, sometime called "per-diabetic" or "bordeline." The study results showed also found that Hispanics were the least likely ethnic group to be tested for diabetes, compared to African-American and Caucasians. Surveye participants said the reason for not getting tested for diabetes was primarily due to normal blood sugar levels or not having noticeable symptoms.

“This survey shows just how immensely important it is for those diagnosed with diabetes, and those at risk, to have their feet examined by a physician during their annual checkup” the APMA president said. “Regardless of one’s ethnic background, taking a proactive approach to your health in asking your physician to check your feet can save both your limbs and your life.”


Dr. Christopher Segler believes diabetic amputations are preventable. He teaches strategies that help his clients avoid amputation. He is also and award-winning diabetic foot surgeon, inventor and author. If you have diabetes, you can learn how to avoid amputation by more by requesting your FREE reportt “No Leg Left To Stand On: The Secrets Insurance Companies Don’t Want You To Know About Diabetic Foot Amputation” at http://www.ineedmyfeet.com.

American Limb Preservation Society Site is Up!

The new website for the ALPS is now up. It will be full of diabetes facts and information about diabetic foot sores (diabetic foot ulcers), foot infections, and diabetic amputation prevention. Go to www.ineedmyfeet.com to learn more about staying healthy and active, in spite of your diabetes.


Dr. Christopher Segler is an author, inventor and award winning diabetic foot doctor. After discovering how amputations resulted from a failing health care system, it became his passion to teach strategies to stop diabetic amputation. If you have diabetes, you can learn more by requesting your FREE report “No Leg Left To Stand On: The Secrets Insurance Companies Don’t Want You To Know About Diabetic Foot Amputation” at http://www.ineedmyfeet.com.

Diabetic Former Pro Baseball Player. No Legs and No Hall of Fame.

Ron Santo is true icon in baseball. And he has seen some tough times. If nothing else, he knows how to persevere.

If you don’t know him, he has too many records to list. Here are a few. Santo played third base for the Chicago Cubs from 1960 to 1973. During his career, he was a 9-time All Star, won 5 consecutive Golden Glove Awards, and is the only third baseman in history to go 8 straight seasons with 90 runs batted in. In addition he is true team player as evidenced by the fact that from 1966 to 1974 he held the NL record for assists in a single season.

By any measure he should be a Hall-of-Famer. But again this year its not in the cards. "Everybody felt this was my year," Santo told the Chicago Tribune paper on Monday, in his typical gracious manner, even though the years are slipping away.

He is already 68 years old. No spring chicken for a double amputee with diabetes. "To me, two years, because of what I have with the diabetes and [getting] older, it's like eternity," he recently said. He is not alone, because every 30 seconds, another leg is cut off due to diabetes related complications. Statistically, most people who have diabetes are dead within 5 years of having amputations of both legs.

Santos has fought with diabetes for decades, but kept it a secret for most of his career with Cubs. In the late 1960’s he started having trouble. The pro baseball player ended up with the common diabetic sores that led to more than 24 surgeries and partial amputation of both legs. But he still roots for the Cubs from the bench.

"I don't know how he does it; his spirits are always up," said his friend Savelli. "I'm sure he's taking it like a man. Ronnie's a hard-core guy. He has to be to take all he's taken. I'd have been dead a long time ago."

Santos is one of those lemons-from-lemonade types. Whenever he is not working as a member of the Cubs broadcasting team, he is fighting diabetes through community involvement and fundraising. He started the Ron Santo Walk to Cure Diabetes about 30 years ago. Through that effort he has raised $60 million for juvenile diabetes research. He keep high hopes both about a cure for diabetes, as well as his chances for induction into the Hall of Fame.

Personally, I hope he gets both.


Dr. Christopher Segler is an award winning diabetic foot surgeon, author and inventor located in Chattanooga. He is the founder of a groundbreaking private consulting firm that specializes in diabetic amputation prevention. If you or someone you care about has diabetes, you can learn more by simply requesting your FREE report “No Leg Left To Stand On: The Secrets Insurance Companies Don’t Want You To Know About Diabetic Foot Amputation” at http://www.ineedmyfeet.com.

How Can Becoming an Athlete Prevent a Diabetic Foot Amputation?

One of the very best ways to treat diabetes is with exercise. We know that when a patient has diabetes, diet and exercise can significantly change the course of the disease. In fact, we know that after 45 minutes of aerobic exercise, such as running, a diabetic patient’s insulin sensitivity may increase for up to 48 hours. This is extremely beneficial for type 2 diabetics.

Not only can exercise such as running help a diabetic patient by changing the way that the body can use insulin, it also can help a number of other conditions.

We know that in all people, exercise can dramatically affect cholesterol levels. Hyperlipidemia or high cholesterol is one common condition affecting diabetic patients. We know that the VLDL and LDL (bad cholesterol) is lowered with exercise, while HDL (good cholesterol) is increased.

In addition, regular exercise can significantly affect a person’s blood pressure. Hypertension or high blood pressure is a common complication of diabetes. We know that regular exercise can typically reduce blood pressure by an average of 10 mm/Hg.

Obesity is another problem that is commonly associated with diabetes. Obesity alone is a major cardiovascular risk factor. It also leads to insulin resistance, further complicating diabetes. When a diabetic patient loses at least 15 to 20 pounds, fasting insulin levels can drop by 30 to 50%. As a result, there is much better blood glucose control.

Heart attacks and strokes are very common in type 2 diabetic patients. Regular aerobic activity such as walking and running have been shown to reverse the effects of increased levels of an enzyme called plasminogen activator inhibitor-1, which can in turn significantly reduce the risk of heart attack and stroke.

All of the disease processes mentioned can help clog the arteries and decrease blood flow to the legs. When this happens, you can get an open sore... it doesn't heal... it gets infected... and then you get gangrene. Once you get a diabetic foot infection with gangrene of the foot you will either get an amputation or you will die. But not to worry... it is all preventable!

With all of these possible benefits of exercise, it is understandable why any diabetic patient would (and should) embark on a program of exercise. The whole emphasis with diabetes is preventing long-term complications. Train Smart...Live Long!



Dr. Christopher Segler is an award winning diabetic foot surgeon, author and inventor. He is the founder of a groundbreaking private consulting firm that specializes in diabetic amputation prevention. If you or someone you care about has diabetes, you can learn more by simply requesting your FREE report “No Leg Left To Stand On: The Secrets Insurance Companies Don’t Want You To Know About Diabetic Foot Amputation” at http://ineedmyfeet.com.

39-Year-Old Woman's Diabetic Foot Amputation: an Illustration in Real Life

Most people think that amputations are for crusty old pirates.  Well think again. Rebecca is a 39-year-old woman who recently lost her right foot and lower leg to a diabetic foot amputation. Following the amputation she had to spend five months in a nursing home. She felt out of place there, as most of the other residents were twice her age. But she had no choice as she simply could not fully recover from the tragic operation at home.  Now that her surgical wound (at the stump where her foot and ankle used to be) is healed she is back home with her husband David and her dog Rusty.If you have ever been to a nursing home, you can understand why she would be grateful to be back home. 

“It's a huge responsibility to move someone out of a nursing home,” Rebecca said. “The process of moving out really tests them.”  Most people don't even realize that their home will need expensive structural modifications, such as widening doors, reconfiguring bathrooms, and installing wheelchair ramps.  They also usually need remote controls for ceiling fans and light switches that are impossible to reach from a wheelchair. In can be financially destructive. 

All of this started when two sores (known as diabetic foot ulcers) started to appear on Rebecca's right foot. Eventually gangrene set in and the leg had to be cut off. “Once gangrene sets in, (amputation) is pretty inevitable,” she said. Gangrene is basically the death of a persons living tissue. The dying tissue becomes a breeding ground for bacteria which quickly spreads through the body. Without quickly removing the infected limb through amputation or limb salvage. If not, the person can die. 

Even though the sores that typically start these sorts of episodes are largely preventable, insurance companies don't pay for preventative care.  As a result, many patients like Rebecca can wind up missing a leg and feeling stranded in a nursing home. Most people don't realize the amount of care that is required when someone has this type of surgery. They need to be in a bed 24/7. If not cared for properly, they can get bed sores. 

Given the huge cost associated with this sort of preventable amputation, you would think that more would be done to stop the amputations. But insurance companies refuse to pay for the care and monitoring to prevent diabetic sores and diabetic foot amputations. Rebecca was able to get government assistance, but not everyone can qualify.

The thing to keep in mind is that even if you or someone you love has diabetes, these sorts of episodes are preventable. Doctor's today have the capabilities to prevent most diabetic foot amputations. With intense monitoring, patient education, and access to the latest technologies, diabetic foot amputations are preventable. Don't let the insurance companies tell you otherwise.

Dr. Christopher Segler is an author, inventor and award winning diabetic foot doctor. After discovering how amputations resulted from a failing health care system, it became his passion to teach strategies to stop diabetic amputation. If you have diabetes, you can learn more by requesting your FREE report “No Leg Left To Stand On: The Secrets Insurance Companies Don’t Want You To Know About Diabetic Foot Amputation” at http://ineedmyfeet.com.

Diabetes and Feet...What’s the Big Deal?

Whenever I have a new diabetic patient in my practice, I always ask them if they have know anyone who had a diabetic amputation. Almost all say yes. Then I ask if they know what happened to the friend, relative or co-worker that led to them losing the leg. In most cases there is some vague mumbling about an open sore or some kind of infection, but never any details. No real clear understanding of what transpired.

Shouldn’t every diabetic know the details so this could be prevented?

With each and every new patient with diabetes, they either fully comprehend the risks of diabetes to their feet (very rare) or they have no clue (very common). With every one of these folks I feel that the one goal is to get them to understand that diabetic foot problems are optional. 

Diabetes can be a tough disease to deal with.  Your doctor starts telling you what to eat, telling you to exercise, lecturing about heart attacks. Then you are at home learning about blood sugar monitoring, taking medicine, pricking your finger every day. Now I gotta  think about my feet too?  Seems like such a hassle.

And it is.

But the good news in all of this is that everything bad that can happen to you because of diabetes is preventable. Everything. All it takes is the right learning, a little lifestyle change, and  little daily effort. The goal of this article is to get you to understand the basics of how diabetes can affect your feet...so you can do something about it.

When you have diabetes you have three main problems, all working together and conspiring against you, that can lead to a diabetic foot amputation. It involves your nerves, blood flow and immune system.

When your blood sugar is high, there is a chemical reaction that directly damages the ends of the longest nerves in your body.  The longest ones start in your back (where they exit the spine) and head all the way down to the toes in one long piece. Because the ends get damaged first, any nerve damage starts in the toes and gradually creeps up the foot toward the ankles. 

It is always damaged at the same level in both feet. For example, if you have nerve damage (neuropathy) at the ball of the foot, the nerve damage is only in the toes. In this case the arches and heels might be fine. 

Neuropathy makes it hard for you to tell if you are getting a blister or an open sore, and puts you at risk for problems. It is deceptive because you might be able to feel other things like the position of your feet, shoes and socks squeezing, but not a blister, cut or sore. 

The second problem is blood flow or circulation in the feet and legs.  The arteries get clogged faster when you have diabetes. If you take two people who are identical except one is diabetic, the one who is diabetic is four times more likely to have a heart attack. That is because of the increased rate of clogging up those arteries through the process called atherosclerosis.  But this process happens everywhere, not just the heart. The blood vessels to the legs get plugged up too. Then when you get a sore it takes longer to heal. It is also harder for your infection fighting white blood cells to get down there. 

The last problem is your immune system. When your blood sugar is high, the white blood cells (called macrophages) have a hard to time fighting off those nasty bacteria. The white macrophages find bacteria through a process called chemotaxis. It is like following a trail of chemicals to its source. This is not very effective when the blood sugar is elevated. In effect, they are lost in the dark, simply bumping around hoping stumble into some bacteria to kill. Very inefficient and not very effective.

Once they do find the bacteria they have a bigger problem. The high blood sugar prevents them from eating the bacteria. The process where the white blood cells engulf the bacteria (called phagocytosis) is essentially disabled. So they bump up against they bacteria, but can’t do anything. Imaging a great white shark with his mouth wired shut trying to eat a smaller fish for dinner. Because of all of the this, the immune system is ineffective, the bacteria continue to grow and the infection quickly gets out of hand.

So an amputation goes something like this.  You get a little nerve damage, can’t feel a blister starting, and it pops.  Just like that, you have an open sore. Your blood flow is a little sluggish and takes a long time to heal. Then it gets infected while it is trying to heal. If you blood sugar is high, all of those sharks are wandering around in the dark, mouths wired shut, and the infection spreads. 

If it spread enough, one of the bones gets infected. And a bone infection is the kiss of death for the diabetic foot. The only reliable way to heal a bone infection in an adult diabetic is to remove the infected bone.  And that is where the amputation begins.

The moral of the story is watch your blood sugar, and your nerve damage will never get any worse. If you walk 30 minutes a day, fives days a week, your blood flow will never get any worse. If you have any nerve damage, you need close monitoring by a diabetic foot expert. If you ever get an any open sore, blister or ingrown toenail it is an emergency...no joke. Get that foot checked out or it might chopped off!

Dr. Christopher Segler is an award winning diabetic foot surgeon, author and inventor. He is the founder of a groundbreaking private consulting firm that specializes in diabetic amputation prevention. If you or someone you care about has diabetes, you can learn more by simply requesting your FREE report “No Leg Left To Stand On: The Secrets Insurance Companies Don’t Want You To Know About Diabetic Foot Amputation” at http://www.ineedmyfeet.com.

Harvard Study Shows Diabetic Testing Is Not Great

A new study published by the New England Journal of Medicine today says that genetic testing is not much better than the low cost method of looking at traditional risk factors when trying to determine if a person will develop type-2 diabetes. 

Doctors and scientists already know that a person's risk of developing diabetes increases significantly if they have diabetic relatives. The researches said that they have always thought inherited genes might be responsible, but acknowledged that family associations and learned behaviors such as a poor diet and sedentary lifestyle might also play a role.

One of the Harvard investigators who conducted the research explained "With the current state of knowledge, the genotype score doesn't help us sort out who is at elevated risk any better than measures like weight. We may eventually find out that those individuals without known risk factors who still develop type 2 diabetes have more diabetes-risk genes, once we know what more of those genes are," he added.

One new possibility is to study genetic markers in those people who make lifestyle changes to reduce risk, and then see of genetic testing becomes more reliable.  Based on the study, it would appear that at present the standard prevention and lifestyle strategies are still most effective in determining who will be at risk from diabetes.

Dr. Christopher Segler

Diabetic Clinical Researcher

Award Winning Foot Surgeon

Dr. Christopher Segler is an author, inventor and award winning diabetic foot doctor. After discovering how amputations resulted from a failing health care system, it became his passion to teach strategies to stop diabetic amputation. If you have diabetes, you can learn more by requesting your FREE report “No Leg Left To Stand On: The Secrets Insurance Companies Don’t Want You To Know About Diabetic Foot Amputation” 

at http://www.ineedmyfeet.com.

$218 Billion: The Cost of Diabetes Care in the U.S.

On November 18, 2008 the Associated Press released a new study that shoes the totl cost for diabetes in America to be $218 billion. This is the first time a comprehensive estimate of the total financial cost diabetes takes, according to Danish pharmaceutical company Novo Nordisk A/S, which paid for the study.

The $218 Billion figure includes direct medical care costs, including amputations, hospitalization, medicines including insulin and pills for controlling patients' blood sugar, plus indirect costs such as disability due to amputation, lost productivity, disability, and forced early retirement.

The study, conducted by the Lewin Group consultants conducted the study, estimated that it costs to society society for people known to have Type 1 or Type 2 diabetes are estimated at $174.4 billion.

The firm explain that part of that $174 billion included an estimated $10.5 billion in medical costs and $4.4 billion in indirect costs, or a total of $14.9 billion, for people with Type 1 diabetes. This is the type of diabetes, which begins much earlier in life and was previously called childhood or juvenile diabetes. It’s been estimated that about 6 percent of the 17.5 million Americans diagnosed with diabetes actually have Type 1.

The study demonstrated that the vast majority of cost, which was estimated at $105.7 billion in direct costs and another $53.8 billion in indirect costs, for a whopping total of $159.5 billion, for people with Type 2 diabetes. This shows that Nearly 10 times the amount of health care dollars are spent on type 2 diabetes as opposed to type 1 diabetes. Type 2 diabetes has previously been referred to as adult-onset diabetes because of the average age at diagnosis is typically much later in life. This type of diabetes is also directly correlated with obesity and sedentary lifestyles.

This study does also add in estimates for people who have not yet been diagnosed ($18 billion), women who develop , gestational diabetes (diabetes which is only temporary and occurs during pregnancy) ($636 million), and those who exhibit characteristics of diabetes, and maybe in the process of developing the condition which is now frequently referred to as pre-diabetes ($25 billion).

These findings were recently presented at a healthcare conference for corporate executives. The firm that produced and funded the study does plan to publish a full report in a medical journal soon. These figures were produced based on numbers from sources including databases on treatment of people with Medicare, Medicaid, private and commercial insurance, federally funded public health surveys, and other sources.

Dr. Christopher Segler

Diabetic Clinical Researcher

Award Winning Foot Surgeon

Dr. Christopher Segler is an author, inventor and award winning diabetic foot specialist. He is the founder of a private consulting firm specializing in the prevention of diabetic foot amputations. If you or someone you care about has diabetes, you can learn more by simply requesting your FREE report “No Leg Left To Stand On: The Secrets Insurance Companies Don’t Want You To Know About Diabetic Foot Amputation” at http://www.ineedmyfeet.com.

"I Need My Feet!"

Today I saw one of my favorite patients. He is a true success story. He has diabetes. He has neuropathy. He cannot feel pain in his feet. He cannot feel a new sore starting. He has had Charcot Foot (where the bones get weak, the whole foot breaks down and collapses). He has been hospitalized. He had surgery for this that healed in a position that actually puts him at risk for more problems.

But he still does great!

Today he said that since we met, he has had several episodes where a little sore started to appear, yet he hasn't been able to tell in 50% of cases if it is serious or not. He comes in, gets treated and all is well. Last week he just noticed a "red spot" on the big toe. He came in and we saw he actually had a nasty infection.

We treated him and he is again on his way to recovery. He always seems to bounce back.

It isn't just that he checks his feet, or watches his blood sugar, or calls when he gets a problem. It seems that he has a real appreciation for life, a positive outlook, and gratitude for what he has. Today he said "I need my feet!" What a remarkable statement. It so clearly defines the obvious challenge faced by diabetics that others take for granted.

I will continue to enjoy being his foot doctor. He will continue to enjoy his feet.

Dr. Christopher Segler

Diabetic Clinical Researcher

Award Winning Foot Surgeon

Dr. Christopher Segler is an author, inventor and award winning diabetic foot specialist. He is the founder of a private consulting firm specializing in the prevention of diabetic foot amputations. If you or someone you care about has diabetes, you can learn more by simply requesting your FREE report:

“No Leg Left To Stand On: The Secrets Insurance Companies Don’t Want You To Know About Diabetic Foot Amputation” at http://www.ineedmyfeet.com.

Amputation is Preventable

It seems fitting that the official launch of the Diabetes Amputation Prevention Blog should fall in line with Diabetes Awareness Month and World Diabetes Day. 

As a foot surgeon who has a particular interest in diabetes, I have amputated many toes, feet and legs. 

This is preventable. 

My wife's grandfather actually had several amputations related to diabetes, but died anyway.

This is preventable.

All of the information about diabetes you find here will help to educate, inform and prevent one of the worst, yet most preventable complications of diabetes...amputation.

Take the right steps, and you too can stay on your feet for the rest of your life.

Don't let diabetes get you down. I have seen how it happens. It is my mission to spread the word about healthy hopeful strategies that will keep diabetics out enjoying their favorite activities. 

Stay active, Live long.

All the Best! 

Dr. Christopher Segler

Diabetic Clinical Researcher

Award Winning Foot Surgeon

Dr. Christopher Segler is an author, inventor and award winning diabetic foot specialist. He is the founder of a private consulting firm specializing in the prevention of diabetic foot amputations. If you or someone you care about has diabetes, you can learn more by simply requesting your FREE report:

     “No Leg Left To Stand On: 

      The Secrets Insurance Companies Don’t Want You To Know 

      About Diabetic Foot Amputation” at http://www.ineedmyfeet.com.