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Suggest Treatment For Ulcer Leg In A Diabetic Patient
hello sir,
my uncle is diabetic patient for approx 5 yrs, he is in hospital now due high sugar level aprox 500, he got an ulser in his feet. surgen says we need to control sugar level first then he can go for operation. doctors are giving insulin for one week but sugar level is not coming down. still it is 450. His age is between 50 to 60yrs. doctors but him into observation room and put oxygen also. please suggest me that proper treatment is going on or no.
my uncle is diabetic patient for approx 5 yrs, he is in hospital now due high sugar level aprox 500, he got an ulser in his feet. surgen says we need to control sugar level first then he can go for operation. doctors are giving insulin for one week but sugar level is not coming down. still it is 450. His age is between 50 to 60yrs. doctors but him into observation room and put oxygen also. please suggest me that proper treatment is going on or no.
Thu, 21 Aug 2014
Dear sir i can understand your concern
in my opinion the surgeons view is very correct and to control diabetes you need to start insulin and slowly increase the dose until sugars come down.
blood supply and sensitivity of nerve should be tested for knowing prognosis.
the test available are
1.vibration perception testing
2.ankle brachial index
its very important to check for vascularity as good vascularity will make wound to heal faster and better.
giving oxygen at site of wound is a new kind of treatment which will help in quick healing of wound.
its mandatory to be on good antibiotics and debridement as per surgeon
regards
Dr vamsi
in my opinion the surgeons view is very correct and to control diabetes you need to start insulin and slowly increase the dose until sugars come down.
blood supply and sensitivity of nerve should be tested for knowing prognosis.
the test available are
1.vibration perception testing
2.ankle brachial index
its very important to check for vascularity as good vascularity will make wound to heal faster and better.
giving oxygen at site of wound is a new kind of treatment which will help in quick healing of wound.
its mandatory to be on good antibiotics and debridement as per surgeon
regards
Dr vamsi
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