Sign-in to Ask A Doctor - 24x7
OR
Sign in with GoogleGet your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
What Causes Foot Ulcers In A Diabetic?
i have been a diabtetic for nearly 16 years and have foot ulcers
my blood sugars keep fluctuating to 270 pre.....which i want to bring down and take about 44 + 44 units of insulin [insugen 30/70 - twice - breafast and dinner.....how do i get the blood sugars down and are there oral tablets that can replace the insulin injections
my blood sugars keep fluctuating to 270 pre.....which i want to bring down and take about 44 + 44 units of insulin [insugen 30/70 - twice - breafast and dinner.....how do i get the blood sugars down and are there oral tablets that can replace the insulin injections
Fri, 20 Jun 2014
Dear sir/madam
i can understand your concern.
The main reason for foot ulcers in diabetes is due to weakening of nerves this is called diabetic neuropathy.This is a condition in which patient looses protective sensation of foot and foot always tend to feel numb.
associated with that uncontrolled diabetes will decrease wound healing abitlity of body.
i suggest you to change the regimen of insulin to basal and bolus.
this includes lantus and novorapid,kindly discuss with your treating doc for the dose adjustment
I am afraid its not possible to stop insulin completely But by using latest Drugs like Dpp 4 inhibitors and SGLT2 inhibitors you ca reduce the dose of insulin and have better control of blood sugar.
Regards
Dr vamsi
Diabetologist
Apollo Hospitals
i can understand your concern.
The main reason for foot ulcers in diabetes is due to weakening of nerves this is called diabetic neuropathy.This is a condition in which patient looses protective sensation of foot and foot always tend to feel numb.
associated with that uncontrolled diabetes will decrease wound healing abitlity of body.
i suggest you to change the regimen of insulin to basal and bolus.
this includes lantus and novorapid,kindly discuss with your treating doc for the dose adjustment
I am afraid its not possible to stop insulin completely But by using latest Drugs like Dpp 4 inhibitors and SGLT2 inhibitors you ca reduce the dose of insulin and have better control of blood sugar.
Regards
Dr vamsi
Diabetologist
Apollo Hospitals
I find this answer helpful
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]
Related questions you may be interested in
Recent questions on Insulin
Loading Online Doctors....