This episode explains why podiatrists are often the first clinicians to detect peripheral arterial disease in diabetic patients, describing common signs—shiny skin, hair loss, delayed capillary refill, painful ulcers and nondetectable pulses—and the pathophysiology behind early ischemia.

It outlines the importance of prompt vascular referral, diagnostic tests (ABI, toe pressures, duplex), and early interventions to improve limb salvage and reduce major amputations, advocating annual vascular evaluation for people with diabetes.