Toe ulcer

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Toe ulcer


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Old 03-24-2016, 19:40   #1
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Default Toe ulcer

Ronnie has a tiny hole in his big toe. I admit that I bought creams and told him to use them on his feet after his shower every nivght. I did not check his feet for a long time. I had asked my son to do it when he put Ronnie to bed for the night but the son didn't. Ronnie started limping and I found this tiny hole on the tip of his toe and lots of white chalky looking flaky skin on his feet. After talking to his endo we scheduled and attended a visit with the recommended podiatrist. He was an #$%. I had to ask him for more help than a pad to elevate his hammer toe off the bottom of his shoe. He did not prescribe any medication or creams or anything. I questioned him about soaks, he said yeah, warm soaks in Epsom salts might help, I had to ask him about orthotics he said nothing about the fungus. We walked out with a prescription for orthotics but had to pay full price for the orthotics and shoes because he had not mentioned that Ronnie is type 1 diabetic with a hammer toe and a toe ulcer. Granted the ulcer is tiny and not inflamed but good grief, am I supposed to just figure out how to care for this. Granted when he mentioned surgery for the hammer toe I was not thrilled but Ronnie's last experience with surgery was not good Thanks to the suggestion on this website that a certain type of honey might five us some help. I have been taking care of this daily for 1 month now and the hole is about the size of medium size finishing nail and not tender, red or oozing. The callouses are much softer and white stuff is gone from Ronnie's feet. The heels still have a little flaky skin. I started rubbing honey into the callouses and they have become much softer. I had been afraid to put the honey on the ulcer but started that last evening and I think it is helping. I have soaked his feet in Listerine and cider vinegar, Epsom's salts with baking soda and salt. I have lavished on tea trea oil and frankinsense oil and lemongrass oil. I have rubbed his feet and legs with coconut oil. I have used CVS natural foot and wash for fungus. I havce also used DiaDerm fungus cream. Any suggestions or statements pro or con on this? He has improved but the hole is still there.

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Old 03-25-2016, 01:26   #2
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You are doing an amazing job taking care of the wound and preventing further foot problems.

How are Ronnie's blood sugar levels doing? If his blood sugar is high, it may take a long while for the wound to fully heal. That fact that it isn't red or inflamed is a good sign.

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Old 03-25-2016, 05:30   #3
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Quote:
Originally Posted by Ronnie View Post
He has improved but the hole is still there.
You seem to be chasing after this with great gusto. That's a huge factor in this. With a person who is not diabetic...it usually takes about 6 weeks to heal anything, sometimes longer. With a person who has diabetes...a little more.

Props to your attentiveness.

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Old 03-25-2016, 06:41   #4
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Ok, Ronnie's having a few more higher sugars spiking over 140 2-3 times a week but mostly within range of 70-130 though the fluctuation is maddening but right now we are managing the carbs best we can. the night time hypos keep us tired and worn out. His last 2 a1c's were 5.9. I had hoped that 1 month was enough time but apparently I was just dreaming. Is there any other antifungal cream for diabetics??/ tonight after being without DiaDerm antifungal cream for a day, I can see a return of a little of the fungus on his feet

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Last edited by Ronnie; 03-25-2016 at 06:49.
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Old 03-25-2016, 18:37   #5
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If you kill a fungus the only way to get that fungus again is from a source. There are certain skin conditions that aren't curable...but can be treated. A fungus isn't a skin condition...it's a biological attack. It's like flea bites. The way you stop flea bites it to eliminate the fleas. The same with a fungus... you eliminate the spores. Try Googling 'How to eliminate skin fungus spores' or talk to your podiatrist and see what they recommend. Shoes and socks are a good start.

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Old 03-25-2016, 20:31   #6
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Throw out any worn shoes and examine the others carefully. Socks should be washed in really hot water and it won't hurt to use clorox. (You probably thought of this but I threw in out anyway.)

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Old 04-01-2016, 23:15   #7
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Just an update, As usual we are trying our best to manage Ronnie BG. A paper the endo filled out said his A1c is above 7 but the office did not inform us of that and I never realized it till I saw a copy of the paper. I thought we were doing better. . Guess I have slipped a lot. 5.9 up to above 7. Dang!!!
OK the toe ulcer. I am spending about an hour a day working on both feet and a fungus diseased fingernail. The toe ulcer is getting a little smaller and the only sign of foot fungus is scaly skin. I am using honey on the toe ulcer and soaking and scrubbing the feet and finger 2 times a day. We alternate types of soak and if someone else wants to know I will list all the stuff we use. None of it is physician recommended except Epsom salts soaks. The podiatrist gave us little or no help. I have a question. Does anyone here use only "for diabetic use" creams on feet and body?? I finally looked for " not for diabetic use" labels and if they weren't there I used them if they seemed like a promising remedy. I read somewhere that creams salicylic acid were not good to use for diabetics. I have avoided these.

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Old 04-02-2016, 03:14   #8
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The best way I know of to get that foot healed up is to lower your blood sugars in a much more serious way. Meat, cheese, eggs, heavy cream, salad greens and that's it - if something raises you more than 25 pts at any time you just don't eat it again-until the numbers are below 120 at all times (testing 10x daily - fasting, before, 1 her and 2hr after meals). I have seen truly amazing stories from diabetics with ulcers and worse - regulating their blood sugars saved their legs (sometimes their life, by extension) and began to heal their ulcers. You can do this!

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Old 04-02-2016, 17:21   #9
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Yay, No scaley feet this morning!!! Now to get the ulcer to close up. I have a new Keto cookbook and have bought some non GMO erithrotol and will Grocery shop tomorrow. Back to healthier eating. Just didn't realize we had slipped so much. Ronnie is cared for by our sons family in the evenings and that means supper there. I told my son about the A1c being so much higher and he was shocked. Guess they didn't realize how much the diet had slipped either. They have plenty of home raised chicken eggs and bacon. Guess Ronnie will be cackling.

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Old 04-06-2016, 22:51   #10
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We saw a new podiatrist yesterday. A wonderful man who was smitten by our golden retriever service dog. He spent about 30 minutes with us total, part of the time discussing the dog, part of the time discussing and working on the toe. He said Ronnie doesn't appear to have any foot fungus, He also discussed my remedies used thus far. He felt like this place on his toe is not an ulcer but an odd sort of callus caused by the hammer toe and the pointed bone at the tip of his toe. He trimmed the callous and gave us a silicone sleeve for the toe. He mentioned other things (tendon release and or joint fusion) that might be done if the toe becomes sore and uncomfortable again. He did tell me not to use Listerine on his foot and told me Lotramin cream was ok to ward off foot fungus, using it for 14 days. He said using coconut oil was ok to keep it hydrated and foot soaks to soften the callouses was ok, being very careful if I use a pumice stone on the callouses. He said honey on the callouses to soften them was ok. When we went to dinner after the appointment Ronnie asked the blessing and said, Thank You Lord for answered prayers.

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