In California, there was a 31% increase in non-trauma amputations in patients with diabetes-related ischemia, after adjustment for population changes from 2010 to 2016. Riverside County had a 62% increase in diabetes amputations, and San Bernardino County had a 61% increase. The California Department of Public Health does not have information on possible reasons for the increase. Chief of epidemiology and statistics of the CDC, Edward Gregg, said that “the rate of amputations is a very important indicator of overall diabetes care,” and therefore, increase in amputation rates is a cause for concern. In the article, a number of possible explanations were provided by experts.