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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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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
posted on Fri, 14 Mar 2014
Twitter Fri, 20 Jun 2014 Answered on
Twitter Fri, 20 Jun 2014 Last reviewed on
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Diabetologist,  's  Response
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
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What Causes Foot Ulcers In A Diabetic?

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