Hello
Thanks for your query.

Based on what you have posted, you are diabetic and getting itching over the tip of the penis. It is likely to be Mucocutaneous Candidiasis. You have been taking oral medication for diabetes.

Have you tested your blood Sugar levels recently to see whether your diabetes is under control?

If not tested so far get it done now and consult some Diabetologist or Physician to adjust the dosage or change the medicine that you are taking at present.

Please take Anti fungal medication Fluconazole as a single dose along with some Topical Gel for local application over the glans and foreskin twice daily.

If possible, monitor your Blood Sugar levels yourself with Glucometer during your touring and avoid skipping to take medicines.

Please feel free if you have any more questions. I shall be pleased to help you. Thanks with Regards.
Dr Patil.

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Hello,

I have suggested taking medication because whenever you take a food it has to be converted in to energy for which insulin is required to metabolise the glucose. Oral anti diabetic drugs stimulate pancreas to secrete Insulin. So better not to skip medication. However the dose and frequency of medication needs to be titrated according to your blood sugar levels. Hence my suggestion to use a glucometer.

Irregular medications may be a reason for uncontrolled sugars. The blood sugar readings on the glucometer can help your treating doctor to treat you more efficiently as use of Glucometer is helpful to know the status of diabetes on day to day basis.

Now a day’s Glucometers are available at very reasonable price and that is a one time purchase. Therefore I don't think that will burn a large hole in your pocket.

Hope this suffices. I will be available for further clarifications.

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