Vascular Medicine

Question 1

What is the prevalence of PAD in patient with Diabete?

Answer 1

40%

Question 2

What are the risk factors for PAD in patients with Diabetes?

Answer 2

Age
Smoking
Duration of diabetes
Neuropathy

Question 3

What arteries are more commonly involved in patients with diabetes?

Answer 3

More distal arteries, popliteal and tibial.

Question 4

In what way neuropathy increases the risk of leg ulcers?

Answer 4

limited joint mobility
decreased propioception and pain sensation
decreased sweating
Foot deformities: Swan neck foot, Charcot Foot

Question 5

What is the most common cause of nontraumatic lower extremity amputation and what is the rate?

Answer 5

Diabetes
55% of all non traumatic amputations are due to diabetes.
20 fold increased risk in compare to PAD without diabetes.

Question 6

What is the moratlity rate for patient with daibetes and PAD after amputation?

Answer 6

50% in 2 years

Question 7

What are the criteria to Diabetes diagnosis?

Answer 7

A1C ≥6.5%
OR
fasting plasma glucose≥126 mg/dL x two tests.
OR
2-h plasma glucose ≥200 mg/dL during an OGTT (75g glucose load).
OR
In a patient with classic symptoms of hyperglycemia or hyperglycemic crisis, a random plasma glucose ≥200 mg/dL.