Vol. 9, Issue 1, Part C (2025)

Introduction: Diabetic foot is a condition that includes any foot pathology that results either directly due to diabetes or due to its complications. Ulceration and amputation affect the quality of life of diabetes. The prevalence of peripheral vascular disease (PAD) has been difficult to estimate and found to vary in different subjects. The study aimed to study the prevalence of peripheral vascular disease in patients with diabetes related foot problems presenting to our hospital.
Materials and Methods: A total of 150 patients who are satisfying the inclusion criteria are included in the study. Out of 150 patients 76 patients presented with ulcer in foot and 34 presented with gangrene of toe or foot. After recording the patient information as per proforma, all patients were subjected to lower limb arterial doppler and findings were tabulated.
Results: Peripheral vascular disease was found in 38% of patients with diabetes. Many patients remain asymptomatic, and its prevalence is higher in lower socioeconomic groups. Males have higher predilection than females. Prevalence increases with age. The most common level of arterial occlusion is femoropopliteal segment followed by tibial segment. PAD influences the outcome of diabetic foot ulcers significantly with higher rates of amputations in these patients. Coronary artery disease and cerebrovascular disease significantly increased in diabetes with PAD and hence PAD is a marker for systemic vascular disease involving coronary and cerebral vessels like myocardial infraction (MI), stroke and death.
Conclusion: Peripheral vascular disease was found only in 38% of patients with diabetes and remaining are asymptomatic, and it was more common in males and increases with age and PAD is associated with cerebrovascular disease and coronary artery disease and hence PAD is a marker for systemic vascular disease