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Doctor insights on: Strongest Diabetic Ulcers

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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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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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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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How common are diabetic foot ulcers?

How common are diabetic foot ulcers?

Very: This is very common especially in diabetics with neuropathy. Since they have no feeling in their feet, they are prone to break down. Proper shoe wear and seeing your podiatrist on a regular basis is a must! ...Read more

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What generally prevents diabetic ulcers from healing?

What generally prevents diabetic ulcers from healing?

Many factors: The most common reason ulcers may have trouble healing: due to uncontrolled blood glucose levels, underlying infection, poor circulation, poor nutrition, too much pressure to the area, inappropriate wound care. ...Read more

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Which products work best on diabetic foot ulcers?

Need to see it: There are too many products to suggest any without seeing your wound and knowing your health history, and the response to previous treatments. You would be best served going to a wound center that has a podiatrist. They have all the latest and best technology to treat you. Good luck! ...Read more

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What's the difference between 'diabetic nephropathy' & 'diabetic neuropathy'?

What's the difference between 'diabetic nephropathy' & 'diabetic neuropathy'?

Kidney vs nerves: "nephropathy" is damage to the kidneys, and "neuropathy" is damage to nerve cells. In addition to kidneys and sensory nerves, uncontrolled diabetes can also damage blood vessels & circulation, heart, brain, eye, stomach emptying, skin, immune system and just about any organ in the body. Best way to prevent is to control blood sugar. Once there is damage, may need specialist or more advanced care. ...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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For diabetic ulcer foot infections what's good? Zosyn (piperacillin and tazobactam)?

For diabetic ulcer foot infections what's good? Zosyn (piperacillin and tazobactam)?

Yes: Zosyn (piperacillin and tazobactam) is one of several antibiotics that is effective as empiric treatment for diabetic foot infections. Wound cultures guide definitive antibiotic treatment. You need to keep your diabetes under tight control to prevent development of peripheral vascular disease and neuropathy which predispose to serious diabetic foot infections and osteomyelitis. ...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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Can a type 1 diabetic drink over-the-counter percogesic?

Can a type 1 diabetic drink over-the-counter percogesic?

Yes: Although the manufacturer of this combination pain medicine recommends telling your doctor if you have diabetes if you have normal liver and kidney function taking it for a few days will not harm you. Discuss it with your doctor. ...Read more

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What's the difference between hyperglycemia and diabetic ketoacidosis in type 1 diabetics?

What's the difference between hyperglycemia and diabetic ketoacidosis in type 1 diabetics?

Compensation: Hyperglycemia just means that the blood sugar is high. If you have taken enough Insulin so that there is active metabolism going on, the sugar will eventually be noprmalized - even though you may have to raise the dose of Insulin to do this. If the Insulin is totally inadequate, the body begins to burn fat instead of sugar. The fat leads to ketones and then acidosis as everything gets worse. ...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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Is gluten bad for ulcer healing? (Stomach ulcer)

That depends: Upon whether or not you have a gluten sensitivity/allergy, celiac sprue or not. If you are someone who suffers with celiac sprue (gluten allergy) then yes, you need to avoid products containing gluten. If you have an ulcer due to Helicobacter pylori infection then you will need to heal up with treatment and time. Assuming you have had an endoscopy. Be sure to discuss with your gastroenterologist. ...Read more

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History of chronic oral lichen planus & peptic ulcers from h pylori starting in 2011. Can lichen planus be in stomach & am I at high risk for cancer?

History of chronic oral lichen planus & peptic ulcers from h pylori starting in 2011. Can lichen planus be in stomach & am I at high risk for cancer?

No: Lichenpkanis is a nuisance illness that does not affect the type of epithelium in the stomach. Helicobactr, however, is both unpleasant and dangerous. Thankfully it's manageable. Best wishes. ...Read more

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In diabetic ulcers is it neuropathy or macrovascular disease that causes them? Can you get ulcers withouth macrovascular complications?

In diabetic ulcers is it neuropathy or macrovascular disease that causes them? Can you get ulcers withouth macrovascular complications?

Diabetic ulcers: There are multiple concurrent causes of an ulcer in a diabetic that include: nerve problems, blood supply problems, and healing issues. With blood supply problems they can be macrovascular (large vessels) and or microvascular (microscopic vessels). Either or both can be a factor in the complications and cause of ulcers associated with diabetics. ...Read more

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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
2,092 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