Is swelling of the feet due to diabetes curable?
Question: – I have a type 2 diabetes related diseases question. My father has had diabetes for 28 years and he is now 58 years old. I have heard that diabetes affects different body organs. My father has a diabetic foot. His liver, heart, kidneys, eyesight and digestive tract are normal. He used to hurt his toe, generating pus forces him to bed for a week or 10 days. He is not aware when his foot got hurt. Why does he have swelling on his feet (from toe to ankle)? Is this due to the medicines? How can he take care of his feet effectively?
Answer: – First of all, note that he may not feel the injury which causes the problem and if this is the only case it probably means that he has lost some of the sensations in his feet from sensory neuropathy which can affect some long-standing diabetic patients. This is serious hazard which states that he must take exceptional care of both his feet to avoid injury. His good foot is preserve at any cost.
Some measures of protection
Measures of protection include good hygiene with regular washing and drying of the feet every day; ensuring that his shoes fit his feet properly; that he should inspect the inside of his shoes fit his feet properly; that he should inspect the inside of his shoes for nails or stones; and that he should not walk around barefoot. Clearly, if his toe becomes infected then he needs rest and antibiotics and it sounds as if he has had such treatment. If the infection re-occurs without further injury then he needs further investigation by a specialist including X-rays of the foot. I am afraid that I cannot elucidate the cause of swelling in the foot without examination of the patient which obviously cannot be done by e-mail. I do hope this advice will be of some help to him. Type 2 diabetes related diseases can be healed with proper natural medication.
How to manage infection in a diabetic?
Question: – I have a diabetes related question. I am a 61-year-old diabetic man on insulin. I had the big toe of my left foot removed 3 years back. The small wound took almost 2 years to heal. The doctor prescribed ceftum (500 mg) twice in a day for 20 days and it showed an excellent healing effect. The wound heal and the formation of dead skin also stopped. Now, he used to have prescribed zospar (200 mg) daily for 12 days and there is a visible improvement. Should I need to continue with ceftum 200 or zospar 200 and for how many days?
Answer: – Controlling infection is always a challenge in persons with diabetes even after surgery. Due to inadequate blood control healing is slow. If your blood sugar levels (both fasting and after food) are within the normal range. There is no need to take any antibacterial since you have taken ceftum for a very long time. However, if the blood sugar control is not satisfactory to you, then you may need zospar (sparfloxacin) for about 5-7 days. But please first you need to ensure that your diabetes is under control.Type 2 diabetes related diseases and diabetic infection should never be neglected.
How to control microalbuminuria?
Question: – I have a diabetes related question. How to control microalbuminuria in a diabetic patient? What is the value of alert and symptoms of microalbuminuria, the normal values of microalbuminuria for an adult which is above 50 years of age along with the major causes which contribute to atherosclerosis and by the help of which we can detect it?
Answer: – The presence of microalbuminuria does not cause any symptom. It is important to keep your blood pressure under control. It should be beyond 120/80 mmHg as there is no specific treatment. As you rightly observed, it is a risk factor for vascular disease. The chief risk factors otherwise include smoking high blood pressure and high blood cholesterol or other lipid fractions.
Microalbuminuria is defined as either a urinary albumin > 20 mg/L or an albumin/creatinine ratio of >3.5. The values for microalbuminuria are 20µg/min and 200µg/min or between 20-200 mg/24 hours. Urine should be screened for microalbuminuria annually. If abnormal, it should be confirmed by retesting 3 times – at least 2 of the 3 samples need to be elevated for the diagnosis to be made. Microalbuminuria is the most important test which is used to detect diabetic kidney disease at an early and treatable stage.Type 2 diabetes related diseases can be fatal to the patients of people with high sugar level.
How to reduce creatinine with meditation?
Question: – I have a diabetes related question. My father’s creatinine level has risen from 4.1 mg/dl to 4.9 mg/dl within 6 months. During this period, he used to take medication to control the same in addition to his regular diabetes and blood pressure drugs. In the past 6 months, he has restricted his diet and stopped eating non-vegetarian food. He is taking very little salt in his food and has even reduced his protein intake as advised by the doctor. However, in the test results, the creatinine level was 4.9 mg/dl.
Is there any medication available to reduce the creatinine level? Due to his age (64 years) and diabetes since the past 28 years, it is hard to go back to the normal creatinine level, but it possible to maintain the current level with the help of drugs? For the past 6-7 years, he is using insulin injections, before that he was on diabetic drugs.
Answer: – There is no medicine to reduce the blood creatinine level, which is an indirect marker of kidney function. The type 2 diabetes related diseases question, uncontrolled diabetes and blood pressure cause deterioration in kidney function. Controlling these factors might help to slow down the deterioration.
Type 2 diabetes related diseases
Am I losing erection due to high sugar levels?
Question: – I have a diabetes related question. I am 30 years old and have been suffering from diabetes for the past 6 years. Recently started taking Glyciphage twice in a day. Earlier I took ayurvedic medicines, still, the sugar level is high around >250 mg/dl. My marriage was last year and my sexual organs do not arouse. Is it because of the high sugar level?
Answer: – You have type 2 diabetes mellitus with poor glycaemic control. Sexual dysfunction may be because of two reasons, i.e. bad glycaemic control or autonomic dysfunction. To achieve good glycaemic control you need to take glimepiride (Amaryl) 1 mg, 30 minutes before breakfast along with glycogen SR 500 mg twice a day. Titrate the doses to achieve a fasting blood glucose levels <110 mg/dl and 2-hour level <140 mg/dl. After achieving these levels if you still don’t get erectile function then get your autonomic functions done which include a battery of clinic and laboratory tests. In this question, you know about Type 2 diabetes related diseases.