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Dr Manish Yadav, Senior Consultant, Interventional Radiology, KIMSHEALTH Hospital, Trivandrum

When the Feet Tell a Bigger Story: Understanding Peripheral Arterial Disease in Diabetes

Nov 26, 2025

Trivandrum (Kerala) [India], November 26: Diabetes often announces itself quietly, but the damage it causes to our blood vessels can be far from silent. Among the many complications it brings, peripheral arterial disease (PAD) is one of the most overlooked--and yet one of the most revealing. While high blood sugar gradually injures blood vessels, one of the earliest and most revealing signs of this damage often appears in the legs. This is why clinicians commonly say, "the foot is the index of the heart." The blood vessels in the feet can quietly reflect the same blockages and narrowing that may be developing in the coronary arteries.

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