People with diabetes are at higher risk for circulation complications, which can significantly impact foot health. An ankle-brachial index (ABI) exam is a simple, non-invasive test that measures blood flow in your legs and feet. Understanding the results of this test is crucial for preventing complications like ulcers, infections, and even amputation.

What is an ABI exam?

An ABI exam compares the blood flow in your ankle arteries to the blood flow in your arms arteries. A lower ratio may indicate reduced blood flow, which can be a sign of peripheral artery disease (PAD), a common concern for those with diabetes.

Why is an ABI exam important for diabetics?

Diabetes can lead to poor circulation and nerve damage, making it harder for you to notice wounds or infections in your feet. Reduced blood flow can slow healing, increasing the risk of severe complications. An ABI exam helps detect circulation issues early, allowing for better prevention and treatment.

How often should diabetics have an ABI exam?

Having an ABI exam done at least on a yearly basis is a good idea so a trend can be detected. Comparing the results of tests can help indicate if the blood flow is improving, worsening, or staying the same. Based on the results and trends, a proper treatment plan can be made. 

What are the signs you may need an ABI exam?

If you experience any of the following symptoms, an ABI exam may be beneficial:

  • Leg pain or cramping during walking

  • Numbness or weakness in your legs or feet

  • Cold feet or toes

  • Slow-healing wounds on your feet or legs

What happens if my ABI exam shows poor circulation?

If your ABI results indicate reduced blood flow, your healthcare provider may recommend lifestyle changes, medications, or treatments to improve circulation. Early intervention can help prevent serious complications.

How can I improve circulation if I have diabetes?

In addition to regular exams, maintaining healthy blood sugar levels, staying active, and wearing appropriate footwear can all support better circulation.

For those with diabetes, ABI exams are a proactive way to stay ahead of circulation issues and protect your overall foot health.