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Diabetic, dermatitis in legs, swelling. Taking Fruselac. Any substitute?

i am a diabetic, and is on Insulin inj. 28 & 26 units (total 54 units) per day. This apart, I take JANUVIA 100, AND GLYCOMET 1 Gm. per day. I am also hpertensive, and I take TELMA H + FRUSELAC in morning, and Telma 40 in the evening. This FRUSELAC was started 2 1/2 years ago when I had swollen feet ( edema ) and Doctor said this was for ALDO-10 (AMLODIPIN). Since then my feet were O.K. But for past 3 months, I am having Dermatitis in legs & feet, skin turning blackish as if dirty, Doctor said it is Cellulitis . Plus this swelling once again. WHAT SHOULD I DO WITH THIS FRUSELAC ? ANY SUBSTITUTE / REPLACEMENT ?
Asked On : Sun, 28 Oct 2012
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Internal Medicine Specialist 's  Response
Welcome to HCM
After going through history you are Diabetic and Hypertensive,and wel controlled on insulin and antidiabetic and antihypertensive medicines.
Initially swelling was because of side effect of amlodepin.Now you have developed it again it may be cellulitis as told by your doctor and this can be treated by medicines and it will improve.
But we should keep the possibilities open like any kidney complication and check for this by renal function test and microalbumin in the urine.
A cardiac check up and ECG should be done to see any cardiac failure developing, also one should keep a watch on Hemoglobin level along with Serum Proteins as low proteins can cause swelleing over limbs.
There is no need to change the drugs just take treatment for cellulitis and get a workup /investigation and then it can be treated accordingly.
Good Luck to you.
Answered: Sun, 28 Oct 2012
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