HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

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?
Sat, 6 Apr 2013
Report Abuse
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.
I find this answer helpful
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Recent questions on Ace inhibitor


Loading Online Doctors....
Poor Circulation, Vascular Disease, Diabetes. Having Ulcers On Skin Which Heal And Resurface. Recommendations?

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.