Since the seminal publication that established Barbados as the amputation capitol of the world, there has been no follow-up to the amputation rates on the Island. Here, we show a 10-year change in the lower extremity amputation rates.

This study estimated the prevalence of diabetic foot complications among patients of a specialist diabetes clinic in Jamaica and evaluated factors associated with foot complications. Approximately one of every eight patients had a major foot complication (amputation, ulcer or infection). Associated factors were neuropathy, high blood pressure and longer duration of diabetes.