As the figure above shows, the worse arterial blockage is, the higher the risk of cardiovascular events and death. This study investigated the difference in outcomes related to blood pressure control in people with diabetes and arterial disease in the legs. In patients with intensive blood pressure control to an average top number of 128 vs. 137, the risk of an event was not increased, even in patients with the worst arterial blockage, and was the same as in a patient without leg arterial disease. However, in patients with leg arterial disease, 13.6% of people with intensive blood pressure treatment had cardiovascular events versus 38.7% in the moderate blood pressure treatment arm
Nov 14, 2022·edited Nov 14, 2022Liked by William H Bestermann Jr MD
I have treated some very severe PVD cases *several hundreds" by pushing them to walk in pain and push as many steps as they can tolerate each session, ketogenic eating and intermittent fasting. They do very well. Many of them came to me with a high probability of foot ulcers risking amoutations. My methods not only saved their limbs and but also lowered their Insulin doses required! No limb needed to be amputated under my watch!
I have treated some very severe PVD cases *several hundreds" by pushing them to walk in pain and push as many steps as they can tolerate each session, ketogenic eating and intermittent fasting. They do very well. Many of them came to me with a high probability of foot ulcers risking amoutations. My methods not only saved their limbs and but also lowered their Insulin doses required! No limb needed to be amputated under my watch!