PAD in Diabetics: Early Detection Can Save Limbs

Diabetes and PAD: A Dangerous Duo

Why People with Diabetes Are at Higher Risk for PAD

Diabetes damages large and small blood vessels, accelerates plaque formation, and slows wound healing. When arteries in the legs narrow or block, blood flow plummets—creating the perfect storm for Peripheral Arterial Disease (PAD). Combined with diabetic neuropathy, even small foot injuries can spiral into chronic ulcers, infection, and, in extreme cases, amputation.

Common Signs of PAD in People with Diabetes

  • Leg pain or fatigue while walking (relieved by rest)
  • Cold feet or numbness
  • Skin discoloration or shiny, hair-free legs
  • Wounds or sores that don’t heal
  • Weak or absent pulse in the feet or ankles

Do not dismiss these symptoms as “normal aging.” They are early warnings of restricted blood flow.

How Is PAD Diagnosed in Diabetics?

At HOPE Vascular & Podiatry in Houston, we rely on fast, painless tests to catch PAD before permanent damage occurs:

  • ABI Test (Ankle-Brachial Index): Compares blood pressure in the ankle and arm to reveal circulation problems.
  • Doppler Ultrasound: Generates real-time images that pinpoint blockages or reduced arterial flow.

Tips for Diabetics to Lower PAD Risk

1. Get regular vascular screenings

An annual evaluation can uncover hidden circulation issues—especially after many years with diabetes.

2. Inspect your feet daily

Look for cuts, color changes, or swelling. Early detection prevents minor problems from becoming major.

3. Keep blood sugar levels managed

Tight glucose control slows arterial damage and supports wound healing.

4. Wear proper footwear

Cushioned, well-fitting shoes reduce pressure points and protect fragile skin.

5. Stay active

Even light walking boosts leg circulation and overall cardiovascular health.

6. Don’t ignore pain or numbness

Report new sensations immediately—early treatment is key to limb preservation.

Why Choose HOPE Vascular & Podiatry?

Our specialists unite cutting-edge vascular procedures, podiatric expertise, and advanced wound care to safeguard mobility and independence for diabetic patients. We tailor every treatment plan with empathy and a steadfast focus on limb preservation.

Take the First Step Toward Limb Preservation

If you have diabetes and haven’t had a vascular evaluation, schedule one today—your legs will thank you.

HOPE Vascular & Podiatry
Houston, TX
Call us: 346-400-4673
Learn more: www.hcic.io

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Hope - Vascular and Podiatry

Dr. Miguel F. Montero
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    Hope - Vascular and Podiatry

    Dr. Brian D. Lepow
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            HOPE Vascular and Podiatry

            Consent Form

            1. I hereby authorize, Dr Brian D. Lepow and/or Dr. Miguel F. Montero, and Anner Jimenez, NP to perform upon the named patient the following wound care and/or other treatment: Debride wound, removal of dead tissue, x-ray, labs/drawing blood, respiratory treatment and tests and the use of growth factors or other advanced technologies, as applicable. Dr Brian D. Lepow and/or Dr. Miguel F. Montero, and Anner Jimenez, NP has fully explained to me the expected benefits and complications (from known and unknown causes), attendant discomforts and risks that may arise, as well as possible alternatives to the proposed treatment and the anticipated results if the treatment is not performed. The treatment may include application of wound healing growth factors to improve healing. I have been given an opportunity to ask questions and all of my questions have been answered fully and satisfactorily.

            2. Any specimens/tissues removed may be examined and retained by the testing laboratory and its authorized affiliate for medical, scientific or educational purposes and such specimens/tissues or parts may be disposed of in accordance with accustomed practice.

            3. I acknowledge that no guarantees or assurances have been made to me considering the results intended from the wound care and/or other treatment.

            4. I hereby consent that photographs, tape recordings, videotape and/or movies may be taken of the patient named in connection with the medical and/or other services the patient is receiving. I further consent that a history of my/the patient’s social and medical problems may be taken by HOPE Clinical Innovation Center. Videotapes are used for educational purposes only. Recorded video tapes are not part of my medical record. Such photographs, tape recordings, videotapes, videos and/or histories may be published, shown, exhibited or otherwise used by the provider and its authorized affiliate may deem proper. I understand that neither myself/the patient nor members of my/the patient’s family will be identified by name in connection with any use of this material.

            5. I consent to the use of the information obtained during the course of my wound care treatment and stored in the HOPE Clinical Innovation Center’s database for the purpose of conducting research, and quality management activities. I understand that my identity will not be protected in any displays of this information at any time. I further agree that there are no restrictions placed on you or anyone related to the for the use of this information in the manner described above.

            6. I request that payment to authorized Medicare benefits be made either to me or on my behalf for services furnished to me by the provider. I authorize any holder of medical information about me to be released to the Center for Medicare and Medicaid Services and its agents any information needed to determine these benefits or the benefits payable to related services. I understand that I am responsible for any amount not covered by insurance.

            7. I agree to allow HOPE Clinical Innovation Clinic to send me automated text messages to the number I have provided for appointment reminders and discharge instructions.