PVD in DM  can be dealt with by three methodologies. Here ,first is medical management and is being briefed. For effective medical management, the Doppler studies help to decide about the possible improvement and success rate.

If the Doppler shows minimal or moderate atherosclerotic deposits with the flow in all the arteries especially Dorsalis pedis arteries are triphasic in nature ,then the treatment will be more effective. When there is severe atherosclerotic deposits  with monophasic flow especially in Dorsalis Pedis ,still medical management is useful but not totally effective.But when there is calcification the possibility of medical management success is questionable. 1.The viscosity of the blood flowing through the narrowed vessels should be kept at optimum level.For this treating the increased lipid profile like TC, TGl, LDL, Fibrinogen, Lipoprotein A and especially increased…