HealthCareMagic is now Ask A Doctor - 24x7 |


XXXXXXX Has A Diabetic Foot Ulcer With No Cellulitis. He

Posted on Fri, 29 Jul 2022
Question: XXXXXXX has a diabetic foot ulcer with no cellulitis. He has type 2 diabetes with last A1c 12.3. he had a reading heart rate of 110-124 last 3 visits. 12 lead EKG shows heart rate 121. PR 142, QTc 473, P axis 39, QRS axis 25, T axis 87, Sinus tachycardia, probable left atrial enlargement, probable left ventricular hypertrophy. he is a lifelong nonsmoker. BMI 30. he has no chest nor shortness breath and his BP 130/72. His troponin T was 0.03 and BNP 171. family history father heart disease. XXXXXXX no known heart disease
Follow up: Dr. Ilir Sharka (0 minute later)
TSH is normal
Answered by Dr. Ilir Sharka (12 hours later)
Brief Answer:
I would explain as follows:

Detailed Answer:

Welcome to - Ask a Doctor - service!

I passed carefully through Ricky's medical history and would like to explain that urgent actions should be taken considering the fact a complicated diabetes is present.

First, diet and therapy modifications are required, in addition to body weight control. HbA1c is quite high.

Second, the foot ulcer needs to be carefully reviewed to prevent further inflammation and local tissue gangrene.

Regarding further exams, cardiac ultrasound is recommended to exclude possible cardiomyopathy.

In addition, careful blood pressure control is recommended and treatment optimisation if necessary.

You should discuss with the attending physician on the above mentioned issues.

Hope to have been helpful to you!

In case of any further questions please feel free to contact me again.

Kind regards,

Dr. Ilir Sharka
Note: For further queries related to coronary artery disease and prevention, click here.

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


Practicing since :2001

Answered : 9542 Questions


The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
XXXXXXX Has A Diabetic Foot Ulcer With No Cellulitis. He

TSH is normal