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Poor circulation, vascular disease, diabetes. Having ulcers on skin which heal and resurface. Recommendations?

My husband has relatively poor circulation, vascular disease and diabetis. Several months ago he took the top layer of skin off his leg while working in the woods. The one scrapped sore healed into two separate sores which are now considered ulcers which heal and resurface. This has gone on since last June. What is your best recommendation?
Asked On : Thu, 28 Feb 2013
Answers:  1 Views:  35
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Diabetologist 's  Response
DEAR SIR/MADAM

PATIENT WITH HISTORY OF VASCULAR DISEASE WITH POOR CIRCULATION AND DIABETES ARE VERY WELL PRONE FOR ISCHEMIA AND GANGRENOUS CHANGES IN THE LIMBS. IT WILL BE ALSO ASSOCIATED WITH NEUROPATHY. THE BEST THING DO IN THIS PATIENT IS TO CONTROL BLOOD SUGARS VERY NEATLY WITH THE FOLLOWING PARAMETERS SUCH AS BLOOD PRESSURE AND LIPID LEVELS. TO PREVENT FURTHER COMPLICATIONS HE NEEDS TO START AN ACE INHIBITOR SUCH AS RAMIPRIL WITH MONITORING OF SERUM POTASSIUM AND CREATININE. PDE INHIBITOR SUCH AS CILASTAZOLE 100MG TABLET WILL BE HELPFUL FOR ISCHEMIC LIMB IF THERE IS NO OTHER CONTRAINDICATIONS FOR THE DRUG.
Answered: Sat, 6 Apr 2013
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