Intermittent claudication in the patient with diabetes

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Abstract
Intermittent claudication (IC) — pain on walking that resolves at rest — is not a trivial complaint but is the first recognisable symptom of peripheral arterial disease (PAD). Diabetes is one of the most important risk factors for PAD and in people with diabetes it tends to be more distal and severe, and more likely to result in gangrene and amputation. Early diagnosis of PAD can reduce the substantial morbidity of the condition, which can culminate in limb loss for some patients. IC in the patient with diabetes can be treated with lifestyle modification, exercise programmes, medical treatment or bypass surgery.