“In an ideal world, surgical intervention would be a very small part of diabetes care. But the world of most people with diabetes is not ideal. The reality is one in which restricted preventive and treatment services exist. In these settings, access to surgical care and prompt surgical intervention is essential to reduce and prevent patient morbidity and mortality related to lower extremity complications.”
In this 2014 Lancet commentary, the authors use a patient case to illustrate the structural barriers restricting access to diabetes treatment in regions like sub-Saharan Africa, resulting in a need for surgical interventions to address life-threatening complications of diabetes in low and middle-income countries.