Hi and pleased to answer you You have diabetes, very poorly managed. Your blood pressure is perfect but your lipid balance is quite high. You are not dieting and your weight and age and sex are missing from the information you provided in your question. So, your situation boils down to that. You have to know that diabetes can cause serious foot problems. These conditions include diabetic neuropathy (loss of normal nerve function) and peripheral vascular disease (loss of normal circulation). In addition, your bad lipid balance involvement increases peripheral vascular disease. These two conditions can lead to, diabetic foot ulcers (wounds that do not heal or become infected), infections (skin infections like cellulitis), bone infections (osteomyelitis) and pus collections (abscesses), gangrene (dead tissue resulting from complete loss of circulation), charcot arthropathy (fractures and dislocations that may result in severe deformities) and amputation (partial foot, whole foot or below-knee amputation). I think about an infection of your right foot toe. The drug treatment for diabetes, Metformin, do not stabilize hypertension. Gout may be present, but it must be checked in blood. You are invited to consult urgently an endocrinologist and a dietician to stabilize your diabetic disease and to manage your right foot complication. May this information’s help you and best wishes.