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Ankle sores won't heal

Diabetes & Endocrine System | Last Active: Feb 18, 2017 | Replies (11)

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@dawn_giacabazi

Thank you @nategilbraith. Welcome to the Connect community @mookiemookie. Boy diabetic wounds are so complicated!! With our patients we always have them evaluated by the Wound Clinics because they have the most experience with wounds and are most current on the ever-changing world of treatment options available. The management of diabetic foot ulcers requires offloading the wound by using appropriate therapeutic footwear, daily saline or similar dressings to provide a moist wound environment, debridement when necessary, antibiotic therapy if osteomyelitis or cellulitis is present, optimal control of blood.

Successful diagnosis and treatment of
patients involves a holistic approach that includes:
* Optimal diabetes control
* Effective local wound care
* Infection control
* Pressure relieving strategies
* Restoring pulsatile blood flow

Recognising the importance of starting treat-
ment early may allow practitioners to prevent
progression to severe and limb-threatening
infection and potentially halt the inevitable
pathway to amputation.

You mention the doctor suggested antibiotic treatments. I assume they performed a wound culture and sensitivity which would tell them which antibiotics would be most effective for treatment. This should give her a few options to choose a drug she might tolerate.

Thanks
Dawn

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Replies to "Thank you @nategilbraith. Welcome to the Connect community @mookiemookie. Boy diabetic wounds are so complicated!! With..."

*the doctor did nothing other than say go to the wound center and prescribe<br>a anti biotic that gives mom other problems.. he was told he needed to<br>prescribe a liquid , stated he would and then prescribed pills and will not<br>change the prescription...*<br><br>*it is healing itself al be it slowly with triple anti biotic that is over<br>the counter stuff and some liquid vitamins that are being applied to the<br>wound each morning.. go figure, but i do not know if it will heal fully at<br>this point and the doctor refuses to change the prescription to liquid even<br>though mom can not take pills... so what do i do*<br><br>