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Old 10-13-2010
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Question question help: diabetic foot related question

-A 50-year-old man with a 20-year history of type
2 diabetes mellitus has had sensory neuropathy for 2 weeks.
Pulses are decreased at the ankle. There is no peripheral edema. His serum
glucose levels have been between 150 mg/dL and 200 mg/dL over the past 6months. Which of the following is the most effective measure to prevent
serious foot infections?

A) Use of support hose

B) Use of well-fitted shoes

C) Prophylactic antibiotics

D) Daily aspirin and dipyridamole

E) Decrease in serum glucose level



Im stuck between B and E
Yet ,the question says whats the MOSt effective measure to prevent serious foot infections
since he already has sensory neuropathy im assuming it'd be better to provide the pt with well fitting shoes..?

but control of his blood glucose levels seems correct as welll..

*confused*


-thanks
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Old 10-13-2010
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Default diabetic neuropathy

well fitted shoes. if he has neuropathy he wouldnt feel pain due to wounds and high chances of infection as in high diabetics even if sugar is under control, some times the levels waver. Glucose control is partly correct but the best answer has to be rubber padded shoes.
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  #3  
Old 10-13-2010
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thanks alot !
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Old 10-14-2010
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i first thought decreasin the blood sugar level...... cuz dat is the basic problem but then .... varun has a better explaination for why rubber shoes is better ...i totally agree to well fited shoes...
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Old 10-14-2010
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as far as i know polyneuropathy of diabetes that's most common neuropathy of diabetes than others(polyradiculopathy,mononeuropathy & neuropathy of autonomous system)doesn't regress with tight glycemic control although fortunately with control of glucose level it won't progress too!
so after detection of this complication it will be more practical,more beneficial & more acceptable to use well-fitted shoes
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