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Recommendations for foot care in patients with diabetes are summarized in four slides Slide 4 of 4 Initial screening for peripheral arterial disease (PAD) should include a history for claudication and an assessment of the pedal pulses; consider obtaining an ankle-brachial index (ABI), as many patients with PAD are asymptomatic (C) Refer patients with significant claudication or a positive ABI for further vascular assessment and consider exercise, medications, and surgical options (C) Initial screening for PAD should include a history for claudication and an assessment of the pedal pulses A diagnostic ABI should be performed in any patient with symptoms of PAD Due to the high estimated prevalence of PAD in patients with diabetes and the fact that many patients with PAD are asymptomatic, an ADA consensus statement on PAD (386) suggested that a screening ABI be performed in patients over 50 years of age and be considered in patients under 50 years of age who have other PAD risk factors (e.g., smoking, hypertension, hyperlipidemia, or duration of diabetes >10 years) Refer patients with significant symptoms or a positive ABI for further vascular assessment and consider exercise, medications, and surgical options (386)108Reference American Diabetes Association. Standards of medical care in diabetes—2013. Diabetes Care 2013;36(suppl 1):S38.