Signs That Your Heart Is in Serious Dan.ger
Similarly, the AHA Scientific Statement on Cardiovascular Disease in Diabetes explains that diabetes accelerates atherosclerosis — the buildup of plaque inside arteries — increasing the risk of heart attack, stroke, and peripheral artery disease (PAD).
When blood vessels narrow or stiffen due to plaque buildup, circulation to the lower extremities decreases. The feet, being the farthest point from the heart, are particularly vulnerable.
Warning Signs in the Feet That May Reflect Cardiovascular Risk

Both the ADA and AHA emphasize that early recognition of vascular and neurological symptoms is essential.