Peripheral arterial disease also called pad occurs when blood vessels in the legs are narrowed or blocked by fatty deposits and blood flow to your feet and legs decreases if you have pad you have an increased risk for heart attack and stroke an estimated 1 out of every 3 people with diabetes . Peripheral vascular disease is 20 times more common in people with diabetes than in the general population along with diabetes other risk factors for peripheral vascular disease are smoking inactivity and high blood lipid levels cholesterol and triglycerides. A useful and broad summary of medical approaches to the management of peripheral vascular disease not specific to diabetes but often highlights where diabetic patients were particularly well represented jude eb eleftheriadou i tentolouris n peripheral arterial disease in diabetes a review diab med vol 27 2010 pp 4. Peripheral arterial disease pad is a condition characterized by atherosclerotic occlusive disease of the lower extremities while pad is a major risk factor for lower extremity amputation it is also accompanied by a high likelihood for symptomatic cardiovascular and cerebrovascular disease although much is known regarding pad in the general population the assessment and management of pad . Diabetes neuropathy and pad lower extremity diseases are the leading cause of non injury amputation and disability in the united states for people over 50 two of these diseases peripheral neuropathy and peripheral artery disease pad can be brought on by diabetes
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