According to American Diabetes Association about 1 in 3 people with diabetes are at high risk of heart attack and stroke. In people with diabetes, the risk of Peripheral Vascular Disease is increased with age, duration of diabetes and peripheral neuropathy.
Other risk factors for Peripheral Vascular Disease are:
- Physical inactivity
- High LDL
- Previous history of coronary heart disease
Peripheral Vascular Disease is associated with increased risk of lower extremity amputation, risk of myocardial infarction, stroke and death. Also it causes long term disability in diabetic patients.
The most common symptoms of Peripheral Vascular Disease is painful cramps in legs brought about by walking (usually relieved by rest) as a result of an inadequate blood supply. As the blockage in artery increases pain may be experienced by walking for a very short distance thereby interfering in daily life. Along with the pain the minor cuts or abrasions on feet do not heel.
Eventually this can become a serious problem as the minor non healing cuts may turn into foot ulcers and gangrene and may require amputation.
Possible risk factors for Peripheral Vascular Disease includes high levels of C reactive protein, fibrinogen, homocysteine, apolipoprotein B, lipoprotein (a) and plasma viscosity.
Peripheral Vascular Disease is managed through medicines and lifestyle transformation. Amputation may be required to prevent the infection from spreading elsewhere.
Certain steps for prevention of Peripheral Vascular Disease;
- Stop smoking immediately as smoking narrows the arteries, decreasing the blood circulation.
- Maintain blood sugars, blood pressure and lipids in normal range always
- Maintain healthy body weight and composition.
Diagnosis of Peripheral Vascular Disease;
Ankle brachial index is used to diagnose Peripheral Vascular Disease. This index involves comparison of blood pressure in the arms to blood pressure of ankle. Peripheral Vascular Disease is confirmed if blood pressure in ankle is lower than that in the arm. Other diagnostic measures include magnetic resonance angiography or a Doppler ultrasound.