Suggest treatment for open wounds in feet of type 1 diabetic patient
Now, the open wounds are left and I am 1) looking for recommendations on the best treatment possible as well as 2) looking to understand the severaty of the current status and risk for amputation. If the risk of amputation is high I would like to understand better what the options are and weather it would be wiser to wait and see progress or seeking for treatment sooner than later asap.
I am sorry to learn about your mother's foot status.
From the pictures it does not look good at all. In fact, it seems like a medical emergency to have her feet looked at by a team comprising:
It entails a thorough physical examination of the feet, and in general too.
Blood tests, and X rays of the feet may be helpful with further testing such as MRI/ MR Angiograms, will guide the next best step.
This will be a complex medical situation that demands intensive care.
Please take her to the nearest emergency room
Problem is this has already been done. She was released from the hospital yesterday. I am very critical to such decision and are now looking for second opinions.
The suggested care for her right now is to be careful and to get her bandages changed every other day starting om Monday.
I understand your need for a second opinion.
Upon studying the photographs it appears to need close care, such as daily examinations to see if it is healing well.
Foot care is going to be critical. Controlling her blood glucoses is another very important task. Aim to keep her diabetes stable, avoiding fluctuations in sugar levels from low to high.
Keeping blood pressure and cholesterol in check is also helpful. If she smokes, she must stop.
There are some medications to help improve blood flow and circulation. Check with her doctor if she is a candidate for these type of medications.
Finally seek a professional opinion from a surgeon experienced in dealing with 'diabetic feet'. Online forums like these will have the limitation of not being able to physically examine the patient. Having the opportunity to assess the nerve function in the feet along with blood-flow is crucial in the decision making process.
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