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Saving Diabetic Limbs in Canada: Partnership Between the Public Health Agency of Canada and the Canadian Association of Wound Care

INTRODUCTION Diabetes is a complex multi-system disease (1). The World Health Organization projects diabetes to increase from 171 million in 2000 to 366 million in 2030 with most increases occurring in Third-World countries and Aboriginal populations (2). In Canada, in 2008/2009, 200 000 new cases of diabetes were diagnosed; 47.5% of these individuals were obese (3). The correlation of diabetes to obesity is significant, and there is a direct relationship between dietary and lifestyle choices, food intake and activity levels with rates of diabetes (3,4). With these increasing rates we need to be prepared to support persons with diabetes with prevention strategies and self-management support. In Canada, Type 1 and Type 2 diabetes rates are dramatically increasing in direct proportion to obesity rates and the aging population (3). In 2003, the Institute for Clinical Evaluative Sciences reported that 2 million Canadians have diabetes with a yearly estimated cost of $9 billion annually (5). The Public Health Agency of Canada (PHAC) (3) reports an even higher rate of diabetes at 2.4 million of the 34 million Canadians (6).