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Impact: Diabetes + PAD = 10X consequences, in red. Diabetes + PAD management brings that to roughly negligible, in green. Diagnostic gap: High-income countries go from diagnosis (TBI + imaging) to management to negligible consequences. In Uganda, TBI ≈ 0 leaves the equation distorted, so it loops back to 10X consequences. Innovation: Adapting TBI for Uganda restores diagnosis, which makes management possible and leads to prolonged living for diabetic patients with PAD.