Diabetic Foot and Peripheral Arterial Disease

Umair Hashmi, Fatima Zartaj, Qudsia Zafar, Khadija Nadeem


OBJECTIVE:  objective of this study is to determine the frequency of arterial disease in patients having diabetic foot.

STUDY DESIGN:  prospective descriptive study.

PLACE AND DURATION: This study was conducted at SW#4 Bahawal Victoria Hospital Bahawalpur from September 2016 to January 2017.

PATIENTS AND METHODS:  Patients with diabetes mellitus with non-healing foot ulcer were selected for the study using non-probability purposive sampling technique. Ankle brachial index (ABI) was also calculated; diagnosis of peripheral arterial disease made when ankle brachial index was less than 0.9. Peripheral arterial disease was further graded as mild, moderate and severe according to recommendations of American Diabetes Association. In different grades frequency with proportions were calculated.

RESULTS: A total of 70 diabetic foot patients were included, amongst which 50 (71.4%) were males and 20 (28.5%) were females. Peripheral arterial disease was found in 25 (35.7%) patients, among them 15 (60%) had mild, 10 (40%) had moderate and no patient had severe arterial disease

CONCLUSION: Ankle brachial index (ABI) is a cheap and simple technique for diagnosing peripheral arterial disease (PAD). The PAD can be prevented in diabetics by monitoring ABI in at risk patients as it is one of the major risk factors for diabetic foot.


Ankle brachial index, peripheral arterial disease, diabetic foot.

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