Most Likely Causes: 1. Chronic Venous Insufficiency (CVI) • Weak or leaky veins in legs → blood pools in lower legs • Worse with standing/walking • Causes swelling, aching, heaviness, sometimes skin changes • Often progressive with age 2. Diabetic Microvascular Disease • Diabetes affects small blood vessels and nerves in the feet • Can cause swelling, burning, pain, and slow circulation 3. Sedentary Lifestyle or Muscle Weakness • Calf muscles are “pumps” for blood return • If she’s inactive, blood and fluid can pool in the legs • Walking worsens this if vascular tone is poor Supportive Management: Compression Stockings • Improves circulation • Must be worn through the day — not while sleeping Leg Elevation • Elevate legs above heart level for 20 mins, 2–3 times daily • Helps reduce swelling and pressure Mild walking / physiotherapy • Calf pumping exercises — improves venous return • Avoid sitting with legs hanging for long Also change her diet to a Diabetic Diet

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Avoid fried food and spicy food and Water intake more Green leafy vegetables and fruits Fiber meal Do connect and consult

Brisk walk 30 minutes per day. Diabetic diet.

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