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Question: Welcome to 'Ask a Doctor'. Please type your question here...hi sir.my father got diabetic foot ulcer 1month back.after redibriment nd VAC therapy he went for Split skin grafting 5 days back on 29th August 2019.His age is 56.Diabetic patient now the range is 170 to 230 every day.Sir how many days it takes to heal the wound.And how many days it takes to walk normally.What care he has take nd what food we have to give to recover soon.Last year he got heart stroke nd went for stuents.he has 2stuents in heart.Now whether he can use the blood dilaters like Axcer,Ecosprin,Rosuvastatin,nicorandil,cardace or he should stop that heart medicine upto the wound healing.Now his Blood pressure is Normal.plz give me suggestions sir or Mam plzz
Brief Answer:
Please give details and post actual photographs.
Detailed Answer:
Hi.
Thanks for the query about your Father.
Noted the history and understood the concerns.
Can you please post/attach the photos of hte wound/ affected foot?
What are the medications he is on at the moment? Is he taking medicines you mentioned at the moment or have been stopped by Doctors?
Is the blood sugar your mentioned: 170 -230 fasting or so?
Is he on Insulin or oral tablets for diabetes?
Any other details please.
Dr T Chandrakant.
General Surgeon.
Please give details and post actual photographs.
Detailed Answer:
Hi.
Thanks for the query about your Father.
Noted the history and understood the concerns.
Can you please post/attach the photos of hte wound/ affected foot?
What are the medications he is on at the moment? Is he taking medicines you mentioned at the moment or have been stopped by Doctors?
Is the blood sugar your mentioned: 170 -230 fasting or so?
Is he on Insulin or oral tablets for diabetes?
Any other details please.
Dr T Chandrakant.
General Surgeon.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
After food the sugar levels are 170-250 sir.Now he has stopped that heart tablets by his own knowledge.For wound he is taking Ultracet,Chymoral,Zostum,Limecee and taking Novorapid insulin mrng 10units,aftn 10,nd night 8untis.Is the grafting site will recover soon sir.Will he walk normally sir? Plz tell me.He should use the axcer,ecospirin or not sir???
Brief Answer:
As detailed below.
Detailed Answer:
Thanks for your feedback, seen the photo and report of thyroid function, mild increase in TSH may be or may not be significant.
The photos shows good granulation tissues but needs to see the recent photo with grafting.
The photo also shows good toes and seems that the recovery will be good.
The skin graft takes a few days for sticking up and be healthy and with strength with time.
Once the healing occurs a good physiotherapy allows walking.
It appears that a consultation with a Diabetologist may increase the doses of Insulin.
About the heart medications: patient should not stop or start the medications on his own and should strictly follow the prescription and advise of a Cardiologist as this is complicated by diabetes. The Specialists would decide on clinical examination, evaluation and investigations the medicines that need to be continues, dosages adjusted and new medications started.
A standard diabetic diet would be ideal and is decided by a dietitian.
If the diabetes is controlled well he will surely have more positive results in recovery.
And most importantly post the photos after skin grafting.
Multivitamins with mineral and trace elements helps recovery well.
Not to allow hanging of foot as this increases edema and delayed healing. Keep the foot above the heart level n lying down position to improve healing.
I hope this answers your query.
Please feel free to ask for further relevant questions.
Dr T Chandrakant.
As detailed below.
Detailed Answer:
Thanks for your feedback, seen the photo and report of thyroid function, mild increase in TSH may be or may not be significant.
The photos shows good granulation tissues but needs to see the recent photo with grafting.
The photo also shows good toes and seems that the recovery will be good.
The skin graft takes a few days for sticking up and be healthy and with strength with time.
Once the healing occurs a good physiotherapy allows walking.
It appears that a consultation with a Diabetologist may increase the doses of Insulin.
About the heart medications: patient should not stop or start the medications on his own and should strictly follow the prescription and advise of a Cardiologist as this is complicated by diabetes. The Specialists would decide on clinical examination, evaluation and investigations the medicines that need to be continues, dosages adjusted and new medications started.
A standard diabetic diet would be ideal and is decided by a dietitian.
If the diabetes is controlled well he will surely have more positive results in recovery.
And most importantly post the photos after skin grafting.
Multivitamins with mineral and trace elements helps recovery well.
Not to allow hanging of foot as this increases edema and delayed healing. Keep the foot above the heart level n lying down position to improve healing.
I hope this answers your query.
Please feel free to ask for further relevant questions.
Dr T Chandrakant.
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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