Diabetes and varicose veins share a complex and dangerous relationship through their effects on blood circulation. High blood sugar levels can damage blood vessels and impair circulation, potentially leading to vein conditions such as venous insufficiency or varicose veins. While factors like genetics, age, and lifestyle also contribute to vein disease, understanding the connection between diabetes and varicose veins is crucial for managing both conditions effectively.
Let’s explore why diabetic patients may be at higher risk for developing varicose veins. We’ll start with an overview of varicose veins and diabetes and conclude with preventative measures and treatments that can be implemented to protect and restore vein health.
Varicose veins are swollen blood vessels that often develop close to the surface of the skin. Most commonly found on the legs and feet, their appearance is often characterized by blue, red, or purple bulges. They also have a twisting, irregular shape that makes them stand out from other veins.
Although varicose veins aren’t classified as a life-threatening medical condition, they can lead to several uncomfortable symptoms and complications if left untreated. Many individuals experience sensations of heaviness, aching, or throbbing in the affected areas — particularly after prolonged periods of standing or sitting. In some cases, untreated varicose veins can lead to more serious issues, including blood clots, skin ulcers, or chronic venous insufficiency, which can pose significant health risks.
Aside from the physical discomfort they may cause, varicose veins can also impact a person’s self-esteem and body image. Addressing varicose veins — whether through preventative lifestyle changes or medical treatment — can significantly improve one’s physical health and overall well-being.
Diabetes is a metabolic disorder that affects how your body processes glucose (blood sugar). When diabetes isn’t properly managed, blood glucose levels remain elevated, causing blood to thicken and flow less efficiently through vessels. Impaired circulation can weaken vein walls and valves, particularly in the legs, potentially contributing to varicose vein development.
There are two main types of diabetes:
Type 1: the body doesn’t produce insulin
Type 2: the body doesn’t effectively use insulin to regulate blood sugar.
Varicose veins are not necessarily a sign that you have diabetes. They’re often caused by other factors such as:
Nonetheless, if you notice the formation of varicose veins, you should schedule an appointment to have your blood sugar levels checked. Varicose veins can be a symptom of chronic venous insufficiency (CVI), which is linked to diabetes.
High blood sugar levels associated with diabetes can lead to hardened arteries and plaque buildup, both of which negatively impact blood vessels. As these affected blood vessels narrow and stiffen over time, your blood pressure increases, placing additional strain on vein walls and valves. Damaged veins work harder than normal to pump blood back to your heart, often resulting in poor circulation.
Diabetes-related inflammation can further accelerate vein damage, potentially leading to CVI and varicose veins. Perhaps most concerning is that diabetes-induced nerve damage (neuropathy) can mask the early warning signs of vein disease. This means you might not notice symptoms like leg pain or swelling until the condition has progressed significantly.
Proactive vein care is especially important for those with diabetes. Veins should be monitored regularly and blood sugar should be managed to help prevent serious complications and maintain vascular health. Without taking the proper precautions, diabetic patients may experience:
Managing varicose veins and diabetes requires a comprehensive approach to your lifestyle and healthcare routine. Here are 8 essential strategies to protect your veins while keeping your diabetes under control:
Regular physical activity improves circulation and helps maintain healthy blood sugar levels. Aim for low-impact exercises like walking, swimming, or cycling. These activities engage your calf muscles, which act as natural pumps to help move blood back to your heart.
Keeping your blood glucose within target ranges is crucial for blood vessel health. Follow your doctor’s recommendations for blood sugar testing and maintain a detailed log of your readings.
Focus on foods that support both vein and diabetic health:
Avoid prolonged sitting or standing, as this can lead to blood pooling in your legs. Take regular breaks to walk or perform simple leg exercises. If you must sit for extended periods, try ankle flexes and calf raises to promote circulation.
Properly fitted compression garments can help improve blood flow in your legs. Consult with your healthcare provider about the right compression level for your needs.
Since diabetes can affect sensation in your feet, perform daily foot inspections for any signs of swelling, discoloration, or wounds. Keep your feet clean and moisturized, and wear comfortable, supportive shoes.
Smoking damages blood vessels and impairs circulation. If you smoke, work with your healthcare provider to develop a quitting plan that’s manageable.
Proper hydration helps maintain good blood flow and prevents blood from becoming too thick. Keep track of your water intake throughout the day.
Remember: maintaining vein health is particularly important when you have diabetes. Leg swelling should monitored with regular check-ups between you and your healthcare provider. Vein specialists can also help catch and address any issues early, preventing more serious complications down the road.
At Gilvydis Vein Clinic, we start with a non-invasive examination known as Ultrasound Vein Mapping. This diagnostic test helps us determine the specific type of vein disease you have, guiding us in selecting the best treatment options for your varicose veins. We proudly offer a variety of varicose vein treatment options, including:
Sclerotherapy: This non-surgical procedure uses injections to shrink the affected blood vessel walls.
Endovenous Laser Ablation: This minimally invasive technique employs laser technology to redirect blood flow to healthier veins while closing off the problematic ones.
Gilvydis Vein Clinic is committed to getting you back on your feet. Schedule a consultation today to get started.
Medically Reviewed By:
Dr. Rimas Gilvydis, M.D, is the co-founder of Northern Illinois Vein Clinic (NIVC) in Rockford, Illinois, and the founder of Gilvydis Vein Clinic (GVC) in Naperville, Sycamore, and Geneva, Illinois. A board-certified interventionalist and diplomate of the American Board of Venous & Lymphatic Medicine, Dr. Gilvydis has been treating varicose veins with minimally invasive techniques since they were first introduced.
Genetics plays a crucial role in vein health, with family history being the most significant predictor of varicose veins. If your parents or siblings have experienced vein issues, you’re significantly more likely to develop similar conditions.
We’re proud to be one of three vein centers in Illinois with an IAC accreditation. Get back on your feet with a team of vein specialists who help you understand your vein treatment options.
We’re proud to be one of three vein centers in Illinois with an IAC accreditation. Get back on your feet with a team of vein specialists who help you understand your vein treatment options.