What is a common cardiovascular complication associated with poorly managed diabetes?

Peripheral artery disease (PAD) is a common cardiovascular complication associated with poorly managed diabetes because diabetes typically leads to damage in blood vessels, resulting in atherosclerosis. This condition narrows and hardens the arteries, reducing blood flow to the limbs, especially the legs. People with diabetes often have elevated levels of blood sugar, which can lead to increased insulin resistance, inflammation, and ultimately damage to the endothelial lining of blood vessels. As a result, patients with diabetes may experience symptoms such as leg pain during physical activity, numbness, or ulcerations due to poor circulation.

While coronary artery disease, congestive heart failure, and arrhythmias are also serious conditions that can arise due to diabetes, the direct association with peripheral artery disease emphasizes the impact of microvascular and macrovascular complications stemming from poor glycemic control. This makes PAD a key focus in managing patients with diabetes, as early detection and treatment can help mitigate severe complications.