Diabetic vascular disease: characteristics of vascular disease unique to the diabetic patient

Semin Vasc Surg. 2012 Jun;25(2):89-92. doi: 10.1053/j.semvascsurg.2012.04.005.


Diabetes is a cardiovascular disease affecting almost every arterial vascular bed with significant consequences. Vascular disease is one part of a triopathy of complications that singularly but most commonly in combination makes the diabetic patient uniquely susceptible to lower extremity complications. The other two conditions are neuropathy and an altered response to infection. Diabetic peripheral arterial disease has a predilection for the smaller below knee tibial/peroneal arteries and there is no microvascular occlusive arterial disease affecting the diabetic foot. Microvascular dysfunction is not an occlusive phenomenon and supports an aggressive approach to treating existing macrovascular atherogenic occlusive disease complicating diabetic wounds of all extremities. Individualized, patient-centered treatment utilizing all available endovascular and open revascularization options best ensures the highest quality outcomes at a cost our healthcare system can afford.

Publication types

  • Review

MeSH terms

  • Diabetic Angiopathies* / diagnosis
  • Diabetic Angiopathies* / physiopathology
  • Diabetic Angiopathies* / therapy
  • Endovascular Procedures
  • Humans
  • Lower Extremity / blood supply*
  • Microcirculation
  • Peripheral Arterial Disease* / diagnosis
  • Peripheral Arterial Disease* / physiopathology
  • Peripheral Arterial Disease* / therapy
  • Regional Blood Flow
  • Treatment Outcome
  • Vascular Surgical Procedures