Similarly, the AHA Scientific Statement on Cardiovascular Disease in Diabetes explains that diabetes accelerates atherosclerosis — the buildup of plaque inside arteries — increasing the risk of heart attack, stroke, and peripheral artery disease (PAD).
When blood vessels narrow or stiffen due to plaque buildup, circulation to the lower extremities decreases. The feet, being the farthest point from the heart, are particularly vulnerable.
Why the Feet Are at Higher Risk
Two major mechanisms connect diabetes, heart disease, and foot complications:
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