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Diabetic foot ulcer treatment
I am having diabetic ulcers problem to my foot fingers for both legs no doctor is curing this problem completely past 4 years. 2013 due to severe damage to middle finger right foot they removed. Die to imbalance the thumb is dislocated and creating wound every time and unable to walk long distance. I'm really feeling bad with y condition that no single doctor able to cure my condition. Please anyone help me first to get cure for this foot ulcer and later reshape the thumb to its location with plastic surgery.
Recent due to puss formed I get medicated by doctor and gave antibiotics daily twice IV and I have used it for 5 days but no use of recovery. Average sugar in day is 220. Now using ferobact 200 mg tab twice a day for 5 days told.
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Needs blood sugar control , debridement and dressing .needs evaluation for blood flow also
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Please consult an endocrinologist for sugar control
Do colour Doppler arterial and venous study of both lower limbs to assess blood supply
Send culture sensitivity of the wound to know the bug and it’s Antibiotic sensitivity
reconstructive surgery can be done until there is infection
have to wear protective footwear always to prevent new injury
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Your condition is a complication of your high diabetes. For your ulcer to heal you need to get your diabetes under good and strict control only then will the infection and ulcer reduce. The surgery and antibiotics will work in the best way if your sugars are in normal range. You need to meet a good endocrinologist and probably start insulin so that your sugar can be controlled. Diet is another modification that you need to reduce your sugar. Once you achieve that then only any other surgeon can help you with your ulcer and foot problem.
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