I had some ultrasounds and they reported low pulses in the ankles. i also have diabetes and what looks like starting ulcers and cellulitis. what doc?

Family DOC 1st: Your family doc can help sugar and cholesterol and to decide who else is needed. Blood sugar needs top control (endocrinologist). More studies may be needed to show the seriosness & possibly stent obstructions (radiologist) a vascular surgeon might need to bypass arteries. A wound specialist for sure.A podiatrist for toe nails and special shoes.

Better control: You have serious complications of your diabetes. To avoid potentially losing your foot or parts of your legs, you need to follow your drs' recommendations. This includes eating right and increasing physical activity, as you can.

What's the cause: Cellulitis is basically a visible inflammation (itis) of the skin and soft tissues (red, hot, swollen and tender) . It can be caused by many things including sunburn (radiation), trauma (sprained ankle) or poor vein circulation (stasis dermatitis). It need not be caused by bacteria. If you have repeated episodes of this, get to a wound care or vascular specialist, the diagnoses you have is wrong.

Vascular specialist : Diabetic foot ulcers occur as a result of various factors, such as peripheral neuropathy and peripheral arterial disease. The management of this condition is complex and you should receive care from physicians who have an active interest in this complex problem. Emphasis on routine preventive podiatric care, appropriate shoes, avoidance of smoking and adequate glycemic control should be placed!

Team approach: You may need to see several specialist including: vascular surgeon, infectious disease specialist, endocrinologist, and a wound care specialist. Consult with your doctor and get the appropriate referrals.