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Is Surgery Necessary For Diabetic Foot Ulcers?

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Posted on Thu, 19 Mar 2015
Question: Is surgery necessary for diabetic foot ulcers?
how long it takes toheal the wound is it possible to heal the wound only by medicines whether the wound leads to amputation
doctor
Answered by Dr. Niranjan G (45 minutes later)
Brief Answer:
Good glycemic control can still avoid amputatuon

Detailed Answer:
Dear Friend, welcome to HCM. I understand your concern. You still have chance to cure the ulcer medically. You need to start insulin. Adjust the dose according to the fasting and post prondial sugar levels. You need regular wound care may require the help of a surgical clinic. Regular dressing, hygeinic care till it heals. You need to avoid all junk food take more of green leafy vegetables, fiber rich diet. You need more of nuts, sprouts, millets which provides good amount of minerals to you. Not a bad idea to take mineral supplements with a prescription from your treating doctor . take very little carbohydrates and more of proteins. Avoid stress practice meditation. You will be alright and fine . take care and do contact us for more questions. Thanks a lot
Above answer was peer-reviewed by : Dr. Pradeep Vitta
doctor
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Follow up: Dr. Niranjan G (9 hours later)
Patient takes Humalogmix insulin 25/75 18 units in the morning and Lantus insulin 20 units in the night. wound opened and abscess removed a month back.Wound is now reddish all over(inner layer..not the outer skin) and remains moist.Wound doesnt look dry.Physician says it is the sign of new tissue growth and healing.Is it so?
doctor
Answered by Dr. Niranjan G (1 hour later)
Brief Answer:
yes granulation tissue

Detailed Answer:
Dear sir, that's right. Reddish indicates that it's a granulation tissue which is a sign of healing.. Take care of the wound with proper antibiotics. It will heal soon.

Thank you
Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Niranjan G

Diabetologist

Practicing since :2003

Answered : 633 Questions

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Is Surgery Necessary For Diabetic Foot Ulcers?

Brief Answer: Good glycemic control can still avoid amputatuon Detailed Answer: Dear Friend, welcome to HCM. I understand your concern. You still have chance to cure the ulcer medically. You need to start insulin. Adjust the dose according to the fasting and post prondial sugar levels. You need regular wound care may require the help of a surgical clinic. Regular dressing, hygeinic care till it heals. You need to avoid all junk food take more of green leafy vegetables, fiber rich diet. You need more of nuts, sprouts, millets which provides good amount of minerals to you. Not a bad idea to take mineral supplements with a prescription from your treating doctor . take very little carbohydrates and more of proteins. Avoid stress practice meditation. You will be alright and fine . take care and do contact us for more questions. Thanks a lot