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Dr. Andrew Rynne
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Dr. Andrew Rynne

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Suggest medication for blisters and wounds on a diabetic patient

Answered by
Dr.
Dr. Mirjeta Guni

Endocrinologist

Practicing since :2006

Answered : 2280 Questions

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Posted on Tue, 3 Oct 2017 in Diabetes
Question: I have diabetes. 2 months ago I scraped the second toe on my rt foot. I got a blister and then a terrible wound that will not go away. Have had Drs and nurses work on it to no avail. What medication should I use.
doctor
Answered by Dr. Mirjeta Guni 1 hour later
Brief Answer:
About diabetic wounds treatment;

Detailed Answer:
Hello and thank you for asking!
Diabetic wounds are very difficult to heal especially when the blood circulation is decreased ( hope the surgeon managed to improve it without stent).
Optimal management requires aggressive surgical detriment and wound management, effective antibiotics therapy and corrections of metabolic abnormalities (mainly blood glucose and arterial insuficiency).
Treatment with antibiotics is not required in non infected ulcers but if there is mild soft tissue infection oral antibiotics are recommended ( usually dicloxacilin, cefalexin and clindamycin).
While severe soft tissue infection require iv antibiotics.
Of course osteomyelitis should be excluded.
Treatment with antibiotics can last from 1 to 12 weeks depending on severity of infection.
So, Diabetic wounds need a multidisciplinary team that should cooperate with each other. It is impossible to recommend a treatment virtually without evaluating the situation.

You should be seen by a physician if the wound is getting worse with local treatment.
Best wishes,
Dr.Mirjeta


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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