the pattern of distribution of different ABI of the pedal arteries in both legs within the diabetic population is show in Figure 1. A retrospective analysis of involvement in the deceased and alive groups showed that, compared with those still alive, a high proportion of the deceased had year 1 ABI measurements 0.9 or less in most of the pedal arteries (Figure 5). These results demonstrate that year 1 ABIs associated with subsequent death recorded in years 3 and 7.