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Doctor insights on: Application Insulin Diabetic Ulcers

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Ulceration (Definition)

Exact synonym so far as this pathologist is concerned. An ulcer is a lesion on a body surface (outer or inner) in which the epithelium and at least some of the underlying connective tissue has been lost specifically to necrosis (cell death) rather than just mechanical or chemical injury. All ulcer craters ...Read more


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A1c 5.8 is this diabetic or prediabetic?

A1c 5.8 is this diabetic or prediabetic?

HbA1c DM or not?: 51F: A1c 5.8 is this diabetic or prediabetic? ANS: ADA says A1C level ?6.5 percent ( done 2 x) can be used to diagnose diabetes, &, identified 5.7 to 6.4 percent, confirmed with a repeat A1C measurement, as increased risk for developing diabetes. So repeat & check with your Dr who knows you best. Some conditions can lead to false test results. ...Read more

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Hi, diabetic, hypertens, on lantus (insulin glargine) and amaryl 2x3 glucophage5oox4, novonorm2x3 , A1c 9.7 cannot do more excercise due to arthralgia and oa chages ?

Hi, diabetic, hypertens, on lantus (insulin glargine) and amaryl 2x3 glucophage5oox4, novonorm2x3      , A1c 9.7    cannot do more excercise due to arthralgia and oa chages ?

WEIGHT LOSS CRUCIAL: WEIGHT LOSS IS CRUCIAL : I recommend a gluten free diet &WHOLEAPPROACH.COM/GUTBLISS.COM. If you have any sleep issues I would recommend as sleep study, there is a high overlap of sleep apnea and diabetes. Also I use Topamax (topiramate) in the evening for my diabetic patients it help with sleep/weight loss & improves insulin receptor sensitivity. ...Read more

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I need a prescription for diabetic insulin pump im type 1diabetic with uncontrolled diabetes and diabetes resistance in the stomach.Covered byMedicaid?

I need a prescription for diabetic insulin pump im type 1diabetic with uncontrolled diabetes and diabetes resistance in the stomach.Covered byMedicaid?

Insulin pump: At age 40 you should not need an Insulin pump. Please see your doctor about this. At age 40 it is unlikely that you need an insulin pump. What you do need is a nurse to help you gradually lose your blood sugar level until you no longer have diabetes Will take some time but quite necessary! ...Read more

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Type 1 diabetic actively exercising & healthy eating looking for right lantus (insulin glargine) dose.

Type 1 diabetic actively exercising & healthy eating  looking for right lantus (insulin glargine) dose.

Lantus (insulin glargine) dose: Hi. I applaud you for your healthy lifestyle and dedication to tight diabetes control. Finding the right Lantus (insulin glargine) dose can be trickier than people think, especially for an active type 1. I was on Lantus (insulin glargine) for about 6 years before going on CGM in 2006. CGM is THE perfect way to find the right Lantus (insulin glargine) dose, but not everyone uses CGM yet. Do you? My guess is no, or you'd have dialed in the right Lant dose ...Read more

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Glimepride or metformin sustained release? Which anti diabetic tablet is safer for stage 2 renal disease (diabetic nephropathy)

Glimepride or metformin sustained release? Which anti diabetic tablet is safer for stage 2 renal disease (diabetic nephropathy)

Caution: Metformin is contraindicated as renal function declines. Glimepiride is ok, but all such agents are more potent as renal function falls since Insulin is metabolized by the kidney and Insulin levels may persist at a higher level with renal disease. Night time hypoglycemia is more common w/renal disease so monitor carefully. ...Read more

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Newly diagnosed type 1 diabetic. Lantus (insulin glargine) nighttime insulin only. Sugar pre dinner 184. Post 311. Do I need to go to ER?

Diabetes: Do you have a sliding scale of regular insulin for coverage of high blood sugars? This is not a critical number, I would first contact the doctor who prescribed the lantus (insulin glargine) and ask for advice. If you can not reach them, then the ER may be prudent. ...Read more

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Are diabetic foot ulcers contagious?

Are diabetic foot ulcers contagious?

They are not...: Hello, Diabetic foot ulcers are not contagious and not everyone with diabetes will obtain one. With proper glucose control and timely/monitored footcare they can be avoided. The vascular and nerve status in the lower extremity are also important to prevent their formation. Shoe gear is also important for prevention. Be sure to be vigilant with any callus, cut, blister, or bruises in the feet. ...Read more

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Diabetes insulin.Any alternative for the needles insulin?

Diabetes insulin.Any alternative for the needles insulin?

Insulin: If you have type 1 diabetes, you need insulin, which can be from injections or the pump that is placed inside you. Type 2 diabetes is from Insulin resistance and can be treated with oral medication and as that fails, you will need diabetes. The pump is an option, pancreatic transplants in certain candidates is another option. ...Read more

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What about actos (pioglitazone) as oral anti diabetic ?

What about actos (pioglitazone) as oral anti diabetic ?

I'm not a fan: Hi. The TZD era came and went for me. They're not bad drugs in most cases, but they can cause serious weight gain and fluid retention, and we have such better drugs now. I haven't prescribed pioglitazone in years. So, yes, it helps treat diabetes, but other drug choices may have better overall profiles. ...Read more

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Insulin resistance? fasting insulin 76pmol/l after 75gOral glucose- 1hr-insulin-849pmol/l . 2 hr-864pmol/l glucose fast 5.4mmol/l 1hr10.4 2hr7.5

Insulin resistance? 
fasting insulin 76pmol/l 
after 75gOral glucose- 
1hr-insulin-849pmol/l . 2 hr-864pmol/l

glucose fast 5.4mmol/l
1hr10.4
2hr7.5

Time to get serious: You have normal glucose tolerance. Your fasting and 2 hr glu is not quite at the level of "impaired". Your insulin levels are on the high side, suggesting insulin resistance. Now is the time to start getting your weight under control, proper diet, and physical activity. Talk to your doctor about your particular situation. ...Read more

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How are diabetic foot ulcers treated?

How are diabetic foot ulcers treated?

Multiple remedies: Wound care requires multi-discipline input for proper wound healing. There are multiple modalities and multiple strategies to get a wound closed but it takes a knowledgeable well trained specialist to know when to implement the appropriate treatment during the course of wound healing similar to a conductor leading an orchestra. ...Read more

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Which blood pressure pill can a insulin dependent diabetic take ?

Which blood pressure pill can a insulin dependent diabetic take ?

Blood pressure: We usually recommend an ace inhibitor for renal protection and calcium blockers are also good for diabetics. ...Read more

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Latest on ginger (zingiber officinalis) concerning diabetes (diabetes - 1), insulin dependant.?

Latest on ginger (zingiber officinalis) concerning diabetes (diabetes - 1), insulin dependant.?

Antinausea effects: Mild effect of stimulating peristalsis and decreasing nausea. It has minimal place in any standard therapy for any form of diabetes. ...Read more

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Any complications from taking janumet (sitagliptin and metformin) for type 2 diabetes?

Minor: You can have GI problems from the metformin, and uncommon other problems from either component of the drug -- just like any and all medicine. Otherwise, it's one of the safest medications ever. ...Read more

Dr. Scott Bolhack
145 doctors shared insights

Diabetic Ulcers (Definition)

Wound on lower extremity in a patient with diabetes as the skin integrity is lacking May be associated with vascular disease If concerned about bacteria in wound usually there are more than one bacteria at play Often cuts as a result of the walking surface of the foot doesn't ...Read more


Dr. Scott Bolhack
2,108 doctors shared insights

Ulcer (Definition)

An ulcer is a discontinuity or a break in a body membrane that impedes the normal functioning of the organ of which that membrane is a part. Ulcers are further classified by their location. Ulcers are usually caused by infections, excessive acid production, stress, ...Read more