To clarify the preventive effects of low current electrical stimulation (ES) under blood flow restriction (Bfr) on diabetes-associated capillary regression in skeletal muscles, we assessed the changes in three-dimensional capillary architecture and angiogenic factors. Twenty-four Goto-Kakizaki rats were randomly divided into four groups: the sedentary diabetes mellitus (DM), Bfr (DM+Bfr), electrical stimulation (DM+ES), and Bfr plus ES (DM+Bfr+ES) groups. Six healthy Wistar rats were used as age-matched controls. Bfr was performed using pressure cuffs (80 mmHg) around the thighs of the rats, and low-current ES was applied to the calf muscles of the rats. The current intensity was set at 30% of the maximal isometric contraction (24-30 mA). The treatments were delivered three times a week for eight weeks. In the DM group, the capillary diameter and volume of the soleus muscle decreased, and, the anti-angiogenic factor level increased. Furthermore, DM caused an increase in the hypoxia-inducible factor. Individually, Bfr or ES treatments failed to inhibit the DM-associated capillary regression and increase in anti-angiogenic factor. However, combined treatment with Bfr and ES prevented DM-associated capillary regression via inhibition of the increased anti-angiogenic factor and enhancement of interleukin-15 expression, mitochondrial biogenesis factors, and a pro-angiogenic factor. Therefore, DM-associated capillary regression inhibited by the combined treatment may prevent the effects of the increased anti-angiogenic factor and enhance the pro-angiogenic factor.