According to the ADA, diabetic peripheral neuropathy is one of the most common complications of diabetes. It results from long-term high blood glucose levels damaging nerves.
Symptoms may include:
Numbness
Tingling
Burning sensations
Reduced ability to feel pain or temperature
When sensation is impaired, minor injuries may go unnoticed.
2. Peripheral Artery Disease (AHA)
The AHA identifies peripheral artery disease (PAD) as a manifestation of systemic atherosclerosis. PAD reduces blood flow to the legs and feet due to narrowed arteries.
Reduced blood flow leads to:
Delayed wound healing
Increased infection risk
Higher likelihood of ulcers
In severe cases, tissue death (gangrene)
When neuropathy and PAD occur together — a common scenario in people with diabetes — the risk of serious foot complications increases dramatically.
Warning Signs in the Feet That May Reflect Cardiovascular RiskBoth the ADA and AHA emphasize that early recognition of vascular and neurological symptoms is essential.
Watch for:
• Cold feet or decreased temperature
May indicate reduced arterial blood flow.
• Swelling in ankles or feet
According to the AHA, persistent swelling (edema) can be a sign of heart failure.
• Leg pain during walking (claudication)
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