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Preventing Amputation: A Doctor’s Guide for Diabetes Patients

POST NEWS GROUP — Amputation is usually the final stage of diabetic foot disease. Earlier signs often involve nerve damage. Some people experience numbness, tingling, burning, or loss of sensation in their feet.

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For many diabetes patients, amputation becomes a last-resort measure after infections, ulcers, or poor circulation worsen rapidly and leave few other treatment options.

But according to Dr. Estelle Everett, a physician and researcher specializing in endocrinology, diabetes, and metabolism at the

University of California Los Angeles (UCLA), most diabetes-related amputations can be prevented through early intervention, consistent medical care, and patient education.

For Everett, her commitment to diabetes prevention is deeply personal. Watching her younger sister navigate Type 1 diabetes exposed her early to the challenges many patients face, including barriers to advanced diabetes technologies such as continuous glucose monitors and insulin pumps due to racial disparities in patient care.

Those experiences helped shape her focus on prevention, education, and equitable access to care.

Dr. Everett spoke with California Black Media (CBM) about the warning signs of diabetic complications, prevention strategies, healthcare access, and the role of diabetes technology in improving outcomes.

What are some of the early warning signs that a person with diabetes may be developing circulation and nerve problems that could potentially lead to amputation?

Amputation is usually the final stage of diabetic foot disease. Earlier signs often involve nerve damage. Some people experience numbness, tingling, burning, or loss of sensation in their feet.

Poor circulation is another warning sign. Symptoms can include calf pain while walking, foot pain at rest, cold feet, skin color changes, or wounds that do not heal properly. Foot ulcers, thick calluses, and untreated cuts can also become serious infections that may eventually lead to amputation if they are not treated early.

Before complications reach that stage, what are some early signs of diabetes itself that people should be looking out for?

Many people are walking around with diabetes and do not even realize it. Some patients first seek medical care only after they’ve already developed complications because they’ve had diabetes for years without knowing it.

That’s why routine screenings are so important. If you have diabetes, controlling it early can significantly reduce the risk of severe complications later on.

Many Black Californians harbor a degree of distrust in the healthcare system. What message would you send to encourage people to get regular checkups?

 Distrust is real, and there are many reasons people may avoid healthcare. Some fear discrimination or worry they’ll simply be judged instead of helped.

Personally, I realized some of the care my sister received may have been influenced by racial bias. Although she had diabetes for years, she was never offered diabetes technology like insulin pumps or continuous glucose monitors. When she finally asked about them, she was told she had to jump through many hoops.

Later, I realized her experience wasn’t unique. Research shows that minority patients and people from lower-income backgrounds are less likely to be offered diabetes technology. That inspired me to focus my research on improving access for the populations that need these tools the most.

I think building trust is important. Finding the right doctor is almost like dating. If you don’t feel comfortable with your provider, it may help to find someone you connect with and feel understands your concerns. That relationship can make a major difference in getting consistent care.

Are there newer technologies or innovations in diabetes care that people should know about?

One of the biggest advances has been continuous glucose monitors, or CGMs. These small wearable devices track blood sugar levels in real time and have really changed diabetes care over the past decade.

For providers, CGMs give a much clearer picture of blood sugar patterns throughout the day. For patients, they provide immediate feedback about how food, exercise, and other daily habits affect blood sugar levels.

Someone may notice that certain foods cause major spikes while certain exercises lower their blood sugar. That real-time information helps people make healthier decisions and improve blood sugar control. Research shows these technologies can significantly improve outcomes.

What daily habits or preventative measures can reduce the risk of complications or even amputation?

The biggest thing is controlling your diabetes. A lot of people automatically think diabetes will lead to amputations, but research shows the risk is much lower when diabetes is well managed.

That means taking medications as prescribed, making dietary changes, and working to keep your A1C below 7. Managing high blood pressure and high cholesterol is also important because both contribute to circulation problems.

People should also inspect their feet every day, especially if they’ve already lost sensation. Some patients injure their feet without realizing it because they can’t feel the damage. Catching wounds early is critical. Good foot hygiene also plays a major role in prevention.

Are there any common misconceptions about diabetes that stand out to you in your clinical work with Black patients?

One major misconception is that diabetes medications cause complications like kidney failure or amputations. In reality, poorly controlled diabetes causes those complications — not the medications used to treat it.

Those misconceptions sometimes cause patients to avoid medications or stop taking them altogether. Another issue is that some people believe diet and exercise alone should always control diabetes. While lifestyle changes are important, some patients have severe diabetes that also requires medication.

Needing medication is not a personal failure. Sometimes diet and exercise alone are simply not enough, and medication is necessary to prevent serious complications.

This article is supported by the California Health Care Foundation (CHCF). Visit www.chcf.org 

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Activism

Oakland Post: Week of July 8 – 14, 2026

The printed Weekly Edition of the Oakland Post: Week of July 8 – 14, 2026

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To enlarge your view of this issue, use the slider, magnifying glass icon or full page icon in the lower right corner of the browser window.

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Black History

IN MEMORIAM: A Queen Mother’s Journey Home

BLACKPRESSUSA NEWSWIRE — She opened doors for those to come with wisdom, strength, and grace,
She challenged wrong, uplifted youth, and quickened justice’s pace.
Her scholarship and generous heart shall bloom through future years,
Transforming dreams to living hope beyond our grief and tears.

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A Memorial Tribute to Rosetta Miller-Perry, July 7, 1934 – June 26, 2026

From truth’s bright flame she lit the way, so bold and wise each day,
Her fearless voice inspired us all and never lost its sway.
A Queen Mother crowned by faith, whose love would never cease,
She sowed the seeds of justice well and harvested God’s peace.

She marched where freedom’s banners waved and answered duty’s call,
She stood with King through history’s storms, courageous through them all.
With pen and press she raised our voice for every soul unheard,
She proved that hope is strongest still when carried by the Word.

The Tennessee Tribune became a beacon shining bright,
Its pages told our stories true and championed the right.
She taught that Black lives, dreams, and truths deserved the highest place,
And every headline proudly bore the beauty of our race.

She opened doors for those to come with wisdom, strength, and grace,
She challenged wrong, uplifted youth, and quickened justice’s pace.
Her scholarship and generous heart shall bloom through future years,
Transforming dreams to living hope beyond our grief and tears.

Now Heaven’s presses joyfully proclaim her work complete,
As angels sing and saints arise our Queen Mother to greet.
Though earth now mourns her gentle voice, her light will never pass,
For Rosetta lives forevermore in truth, in love, and in the Black Press.

May Rosetta Miller-Perry’s memory continue to inspire all who believe in truth, justice, freedom, and the enduring mission of the Black Press of America. May her legacy remain a guiding light for generations to come.



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Black History

COMMENATARY: Blackfolk, Is It Past Time for an Exit Strategy?

JACKSONVILLE FREE PRESS — With federal and state governments aligning with what the article describes as an “anti-Black program,” the article questions the efficacy of traditional civil rights strategies.

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COMMENATARY: Blackfolk, Is It Past Time for an Exit Strategy?

We have arrived at a terrifyingly familiar crossroads. Over the last year and a half, the current administration has executed its Project 2025 playbook to a tee, systematically dismantling the civil rights progress and hard-won gains of the past 60-plus years.

With every branch of the federal government aligned with this anti-Black program—and a majority of state governors and state supreme courts nodding in lockstep—the illusion of permanent legal protection has shattered.

The worst thing Blackfolk can do right now is assume that everything will “automagically” improve. History is screaming a different story. If we look closely at the repeating loops of the American experiment, we must ask an uncomfortable, urgent question: Is it past time for an exit strategy?

Historically, every single time Black people have fought, bled, and successfully forced this country to pivot away from its white supremacist foundations, a radical, violent political pushback has followed.

  • The Reconstruction Precedent: After the abolition of slavery and the brief radiance of Reconstruction, the white backlash plunged Black America into Jim Crow—a violent rollback of rights that lasted roughly a century.
  • The Modern Regression: The monumental gains of the Civil Rights and Black Power movements are being erased right in front of our eyes. In truth, the efforts to dismantle these wins didn’t start recently; they began while the ink on the Voting Rights Act was still wet.

Historians and social commentators today predict that it will take anywhere from 60 to 100 years for Black people living today to fully recover the legal protections, economic ground, and civil rights being stolen from us right now. That means the bitter, unvarnished truth is that most of us living today will not see better days in our lifetime.

If that’s true, why are we still organizing, marching, and voting with the exact same playbook and goals as before? We already know how that story ends: Anti-Black forces will always meet our appeals for justice with violent, economic, and political rollbacks. We need a new approach.

A 21st-century Underground Railroad

For months, national thought leader Lurie Daniel Favors has implored Black people and organizations to stop reacting defensively and start creating the framework for a “21st-century Underground Railroad.” This wouldn’t be a literal trail through the woods, but a sophisticated, underground network designed to allow Black people to escape systemic oppression, pool resources, and find genuine freedom.

But what does a modern exit strategy even look like? The options generally split into two distinct paths: The physical exit and the systemic exit.

“If hereditary bondmen would be free, they must themselves strike the blow… use every means—moral, intellectual, and physical—that promises success,” said the illustrious and under-appreciated Black liberation theologian Henry Highland Garnet, in his Address to the Slaves of the United States, given during the National Negro Convention of 1843. Garnet called for open rebellion against slavery. His idea for an “exit strategy” failed by one vote of being endorsed by the convention.

Option 1: The expatriate route (physical exit)

For some, the answer lies in leaving the United States entirely. This is not a new impulse. In the late 19th and early 20th centuries, Black intellectuals and colonization societies led by figures like Alexander Crummell, Garnet, and Martin Delany argued that Black humanity, creativity, and intellect could never fully flourish on a soil so deeply poisoned by anti-Blackness.

Crummell actively championed emigration, believing that building up self-determining communities elsewhere was a far nobler use of Black genius than begging for citizenship from a nation that despised them.

In 2026, the expatriate route means looking toward West African countries (such as Ghana, with its continued “Year of Return” initiatives), parts of the Caribbean, or European hubs that offer a lower baseline of anti-Blackness. The goal is to relocate to societies that welcome our humanity rather than criminalize it.

But how many of us have the economic capacity to make such a move? On the flip side, how many of us can afford to stay in the U.S. with anti-Blackness rising exponentially daily?

Option 2: Economic secession (systemic exit)

For others, the best exit strategy isn’t physical relocation, but a deliberate exit from America’s economic and social systems. This means creating our own self-reliant, self-determining networks right here. It looks like building independent food supply chains, autonomous security apparatuses, private educational institutions, and closed-loop economic systems. It’s the practice of being in America without being dependent on it. Multiple Black Power Movement members back in the 1960s and 70s called that creating a “nation within a nation.”

The danger of assuming “It can’t happen here”

This is not a message of gloom and doom; it is an urgent wake-up call. Global history is littered with stories of “othered” groups whose rights were slowly, methodically eroded by the dominant society. In almost every instance—from pre-WWII Europe to various global genocides—the erosion of rights started slowly, and then accelerated so fast that it appeared to come out of nowhere.

In every single one of those historical tragedies, there was always a small, prophetic minority calling for an exit strategy. And in every instance, the vast majority of the oppressed group pushed back, insisting that conditions could never get that bad.

Until they did.

Activating the exit

We don’t need a singular, definitive answer today, but we absolutely must begin organizing around the possibilities. Blackfolk need to take concrete steps immediately:

  1. Assess and Resource: Black organizations and individuals must audit their assets, identifying who has the means, dual citizenships, or remote capabilities to pivot.
  2. Build the Infrastructure: We must fund the infrastructure for both paths—supporting those who choose to build autonomous zones of survival in the States, and establishing legal and financial pipelines for those who choose to leave.
  3. Normalize the Conversation: We must strip away the stigma of “giving up” on America. Leaving a burning house isn’t cowardice; it’s intelligence.

We can no longer afford the luxury of hope without a contingency plan. Whether we choose to exit geographically or economically, we must build the backdoor now. History has shown us the script—it’s time we finally change our ending.

Based on reporting by Jacksonville Free Press.



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