Doctor insights on:
Wagner Scale For Diabetic Foot Ulcers
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
What alternative surgeries exist for non diabetic ulcer on sole of the foot vs skin graft. I'm offloading in cam Walker daily for 5 years. need help?
Depend: it is really depend on the size of the ulcer, and the depth and the staging of the ulcer, and last if the ulcer is necrotic,or infected. Debridment of the necrotic and infected tissues is essential for the ulcer to heal. Skin coverage could varies to many options including skin graft. You can discuss the different options with your surgeon,general,vascular,foot,or orthopedist ...Read moreSee 2 more doctor answers
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 moreSee 7 more doctor answers
Diabetic Foot Ulcer: Well, what you mean i suppose is a wagner stage 3 ulceration since using the term 'stage" to describe an ulcer is reserved for pressure ulcers. A wagner staging is one of several, and probably the most common, ways of describing a certain stage of a diabetic foot ulcer. It means that there is an ulcer, tendon and or bone is exposed, and that there is evidence of either tendon or bone infection. ...Read moreSee 4 more doctor answers
Diabetic foot ulcer: You need to see a specialist as soon as possible. Some suggestions include wound specialists, podiatrists, primary care physicians, etc. An ulceration in a diabetic in the foot requires attention. I am puzzled by your description of a 'stage 2' as this is not the way to classify these types of ulcerations -- that descriptor is reserved for pressure ulcer classification. ...Read moreSee 4 more doctor answers
Signs of Infection: Redness extending around the wound and either going up in a streaking pattern or circumferential around the wound, hot in the same area of the redness, swollen foot/limb, loss of function, severe pain (when normally you shouldn't feel pain b/c of the neuropathy) malodor and water or pus type of drainage. Seek attention immediately. ...Read moreSee 4 more doctor answers
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
For Type 2 Diabetes, is the change from non diabetic to diabetic instant? At what point are diabetics confirmed diabetics?
Pre-Diabetes: "PRE-Diabetes" or Impaired Fasting Glucose (IFG) is the precursor to Diabetes. Normal Fasting BG levels are 70-99. 100-125 is the Pre DM or IFG range,... and 2 fasting specimens (No calories for at least 10 hours before lab work) over 126 is diagnostic of TYPE 2 Diabetes. A 3 month Average test (A1C) can also be sued to help confirm and follow treatment for the diagnosis of Type 2 DM. Stay Well ...Read moreSee 1 more doctor answer
No way, dude!: There is no medical indication for the use of marijuana in diabetic retinopathy nor type 2 diabetes - although i get this request a few times a week practicing in a state that has no legal medical marijuana. The effects of marijuana: increased appetite, mellow feeling, and slowing down are the opposite of what you need. You need to be dieting and exercising to lose weight. ...Read moreSee 2 more doctor answers
A1c 5.7 glucose 120 insulin 122.1 , do I need any meds, am i diabetic or pre diabetic. Family history type 1 diabetes.
Pre-diabetes: Impaired faisting glucose is used to describe fasting glucose btw 100 and 125. Your Insulin level is also quite high suggesting that your body does not respond to Insulin normall (insulin resistance). Losing weight will help your body improve its responsiveness to Insulin and keep sugars in a normal range. Many people w/ Insulin resistance do well w/ diet with minimal sugar & white flour. ...Read moreSee 1 more doctor answer
Many options.: Topical capsaicin may be helpful for some, while others may benefit with oral medication such as Pregabalin (lyrica), Amitriptyline (elavil), duloxetine (cymbalta), Gabapentin (neurontin), Carbamazepine (tegretol), or valproate (depakote) to reduce the painful symptoms in the feet due to neuropathy. Watch you sugar intake, and have your vitamin b levels checked and supplemented as necessary. ...Read moreSee 3 more doctor answers
Yes: Diabetic foot care is very important. Being diabetic puts you at risk for many issues that can affect the feet. Having a specialist inspect your feet on a quarterly basis can prevent devastating effects diabetes can have including ulcers, infections and possibly loss of limb. So it is very important to have a relationship with a podiatrist who can perform this care. ...Read moreSee 8 more doctor answers
Yes they can: But it otc stuff doesn't work see your doctor. ...Read more
Abnormal nerve: Neuropathy is a condition resulting from abnormal nerve function. Neuropathy can be due to certain vitamin deficiencies, nerve damage due to trauma, alcohol consumption, radiation, side effects of certain medications, or due to certain medical conditions such as diabetes. Treatment varies depending on the cause of the problem. Have it evaluated and appropriately treated. ...Read moreSee 1 more doctor answer
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