Background Peripheral arterial disease (PAD) is vast challenge in the community of diabetes patients. The prevalence of PAD in diabetes patients exceeds that of non-diabetic individuals and is estimated to be about 26% in diabetes patients over 65 years of age and 71% in patients over 70 years . PAD is the major cause of foot ulcers and lower extremity amputations, which has great socioeconomic implications . The main treatment option for the complication is operative revascularisation which in diabetes patient is associated with increased rates of complication and mortality compared to non-diabetes patients . Pharmacological treatment with e.g. anti-platelet drugs in patients with PAD has shown effect on walking distance has not been indorsed as standard treatment.