Diabetes and Vascular Disease

MON-638 - Social Determinants of Health in Relation to Incidence of Diabetic Foot Amputations in Varying Zip Codes of the Stockton, CA Region.

Monday, June 15, 2026

9:00 AM - 2:00 PM CT

Location: ENDOExpo; Poster Floor

Abstract Poster Presenter(s)

MOJOLAOLUWA BALOGUN, D.O.

Mountain House, CA, United States

Senior Author/Primary Investigator(s)

EK

Elex Kalu, MD

ST Joseph Medical Center
Stockton, California, United States

Co-Author(s)

KA

Kwabena Adubofour, MD

St Joseph Medical Center
Stockton, California, United States
MB

Mouchumi Bhattacharyya

Disclosure(s):

MOJOLAOLUWA BALOGUN, D.O.: No financial relationships to disclose

Objective:
To allocate admitted diabetic patients within three regional categories based on zip code as North Stockton, South Stockton, and other, thereby producing a detailed analysis of diabetic patients in the Stockton, California region who underwent extremity amputation during hospitalization within that timeframe, with the aim of establishing correlation between social determinants of health and complications vis-a-̀ vis lower extremity amputation in the context of chronic uncontrolled diabetes which may follow when similar standards of care are not met.

Background:
Patients who report residence in the North Stockton region are more likely to have better or somewhat better living standards, health insurance and access to care, literacy, occupation, social support, and adherence to antidiabetic regimen, thereby decreasing complications such as lower extremity amputation due to uncontrolled diabetes. On the other hand, patients in the South Stockton region with lower social economic status are more likely to have serious complications from uncontrolled diabetes leading to lower extremity amputation.

Method:
A total of 229 diabetic patients who were admitted to St. Joseph Medical Center during COVID-19 and post-COVID era were categorized according to their zip codes. Patients reported to have a history of diabetes but whose hemoglobin A1C did not meet standards and were not previously on antidiabetic regimen were eliminated from the study. Qualified patients were then distributed into 3 categories for region: North Stockton, South Stockton, and “other” neighboring cities.
RESULT:
There were 15 (55%) amputations for North Stockton patients, 9 (37.5%) for South Stockton patients, and 3 (11%) for others. A head-to-head comparison of North and South Stockton patients admitted within the timeframe of this zip code distribution revealed that 11.5% of the total number of North Stockton patients (130) underwent lower extremity amputation versus 14.75% of total number (61) of South Stockton patients admitted within the same timeframes.
DISCUSSION/

Conclusion:
While diabetic patients from the South Stockton region are admitted at a lower rate compared to their North Stockton counterparts, patients from the South Stockton region undergo lower extremity amputation as a complication of uncontrolled diabetes at a rate at least 3% higher than North Stockton patients. It is then plausible to infer that social determinants of health have a direct impact on the downstream complications of uncontrolled diabetes.

*Unless otherwise noted, all abstracts presented at ENDO must not be released to the press or the public until the date and time of presentation. For oral presentations, the abstracts are embargoed until the session begins. The Endocrine Society reserves the right to lift the embargo on specific abstracts that are selected for promotion prior to or during ENDO.*