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Established Advisor
wvpeddler1228
Total Posts: 371
Registered on: ‎10-31-2009

Black Spot

Hello All,

While taking a shower yesterday I noticed a small black spot on my big toe. It's about a 1/4 of an inch in circumfrence. I guess I need to go see a foot doctor. Do you all think this is really serious. I thought I was doing a fairly good job managing my diabetes. I guess not. I don't have PN which I thought would come before I would get sores. I guess I'm wrong about that too. I know the board will not be busy today. I'll be sure to check back to see if anyone comments. I look forward to hearing them. God bless and take care.
Trying my best to be free of complications!

Mike

A1c 1/11/13 5.9
A1c 4/11/13 5.8
A1c 7/31/13 5.2
A1c 10/31/13 5.5
A1c 1/31/14 5.6
A1c 5/15/14 5.6
A1c 8/15/14 5.7


Regular Exercise began again January 25, 2014.



Established Contributor
fyre522
Total Posts: 1,438
Registered on: ‎10-31-2009

Black Spot

Mike,

1/4" is a bit big to be a mole or a freckle...

It could be dead plantar's wart, or necropathic skin. There's a zillion things it *could* be, so it's rather important that you go see either your Primary Care Physician or Podiatrist.

You don't always have to have neropathy or bad cuts on your feet/legs to end up with other stuff going wrong. Sometimes it's a matter of poor circulation, slow skin regeneration, and other things.

Here's an odd question for you... do you see any hair on your toes? Sounds weird, I know, but hair on your toes indicates good blood and oxygen circulation to your extremities. If you used to have hair but no longer do, that could be an indication of hematologic or circulatory problems.

Either way, I hope it all works out okay for you! Sorry I couldn't be of more help...

~Rae~ (Type 1.5, aka LADA)

 Treat every stressful situation like a dog... if you can't eat it or play with it, just pee on it and walk away...

Advair, Albuterol-Isopro mix, Bystolic, Colchicine, Combivent, Fentanyl,   Fish Oil, Furosemide,  Humulin R U-500, Hydroxazine, Iron, Klor-Con, Lipitor, L-Lysine, Magnesium,  Metolazone, Oxycodone, Spironolactone, Topamax, Trilipix, Uloric, Vitamin D 50,000,  Zoloft. 

(Hey, if you took all these meds, you'd need happy pills too!)

Established Advisor
juliam1969
Total Posts: 1,815
Registered on: ‎10-31-2009

Black Spot

wvpeddler1228 (12/25/2009)
Hello All,
While taking a shower yesterday I noticed a small black spot on my big toe. It's about a 1/4 of an inch in circumfrence. I guess I need to go see a foot doctor. Do you all think this is really serious. I thought I was doing a fairly good job managing my diabetes. I guess not. I don't have PN which I thought would come before I would get sores. I guess I'm wrong about that too. I know the board will not be busy today. I'll be sure to check back to see if anyone comments. I look forward to hearing them. God bless and take care.


I think it is really serious and you need to make an appointment as soon as possible to see your family doctor. You can get black spots and sores on your toes and feet without PN. Thats why all diabetics are told to check feet daily. You will probably need an antibiotic to start. Ask your doctor for a referal to see a diabetic foot specialist. You don't want to wait, too many people wait and think it is nothing and end up losing toes or parts of foot. I think you should try to keep any pressure off that foot until you see the doctor. wear slippers that are not tight. Do your best to get your BG to normal.
I don't mean to panic you, just want you to take it seriously. Good luck to you and I hope it turns out to be nothing serious.
Julia
Julia
I have been diabetic since my teens, type 2. I produce no insulin of my own so I take Lantus and Humalog daily.
I have several severe diabetes related complications, Gastroparesis, peripheral neuropathy of both arms and legs, autonomic neuropathy involving internal organs and blood vessels, kidney damage, HTN, vision issues. I also have COPD and severe Asthma. I am a uterine cancer survivor and had a TAH BSO at 35. I have had genetic blood work done that shows my neuropathy issues are hereditary and would of occurred even without diabetes. I also have very severe depression and anxiety. When not on my "mental health meds" I am not a very nice person and am good at alienating everyone around me including myself.
lizzylou
Total Posts: 13,930
Topics: 565
High Fives: 1,989
Solutions: 142
Registered on: ‎10-31-2009

Black Spot

Hi Mike: When in doubt, check it out.

It might just be a friction spot from shoes, but it's always best to have it seen by a doctor.

Lizzy
Knowledge is Power!





Here's some useful links, click on the titles


Testing 101
 
 All About Carbs

Resources For The Un-insured and Discount Medicine and Equipment

LizzyLou Videos



Lizzy's Blog
for lots more  


Valued Contributor
maplesyrup
Total Posts: 4,364
Registered on: ‎11-14-2009

Black Spot

Check this out as soon as possible Mike.

If there is any change at all you should consider calling your doctor's 24 hr number or an Urgent Care facility.

It never hurts to be over cautious with our feet.

I hope that tbrbeast and/or tkslaugh@aol.com read this. You might search for their recent posts. There are some where they describe their experiences and care.

note: I did include tk's screen address because this is the one he has used recently.
Once he has replied (or at anyone's suggestion) I will take it off.

Good luck Mike and enjoy your holiday.

Dianne
Dianne

Diagnosed as type 2 in 2005 with an A1c of 9.1

Started with metformin and a low dose of an ARB for blood pressure. Added a sulfonylurea (a med that helps my pancreas produce my own insulin) Also a low dose of Crestor to lower my cholesterol.
After 7 years I could no longer tolerate metformin so am doing my best to keep control with a max dose of the sulfonylurea and lots of walking, some swimming.
Established Advisor
wvpeddler1228
Total Posts: 371
Registered on: ‎10-31-2009

Black Spot

Hello All,

Thanks to everyone who responded to my post. I called the Blue's On Call nurse. I am going to see my primary care doctor as soon as I can get an appointment. I will also watch it every day for changes. The nurse said to put Neosporin on it and a bandaid. I'll post back next week when I know something more. God bless you all. Thanks again.
Trying my best to be free of complications!

Mike

A1c 1/11/13 5.9
A1c 4/11/13 5.8
A1c 7/31/13 5.2
A1c 10/31/13 5.5
A1c 1/31/14 5.6
A1c 5/15/14 5.6
A1c 8/15/14 5.7


Regular Exercise began again January 25, 2014.



Super Advisor
Talvie
Total Posts: 3,423
Registered on: ‎10-30-2009

Black Spot

Mike, glad to see you back...not glad to hear about your foot. Make that appointment for as soon as you can. Better to be safe than sorry. Take care of you!

Talvie

Talvie


"Life shrinks or expands in proportion to one's courage." Anais Nin
Type 2 Diabetes diagnosed December 13, 2000 w/A1c of 7.6. June 2014 A1c 5.6 Controlling with diet and exercise, and 500mg daily of metformin.
Long Lost Member
tkslaughte@aol.com
Total Posts: 72
Registered on: ‎11-02-2009

Black Spot

First thing I would do is relax there is a big chance it could be nothing.
My podiatrist has me put neosporin on my oowweee's untill I can get in to see him.
I'm on a first named basis with my podiatrist (withhis home and cell #)

If it gets any worst I would go to the ER, Its a long way to monday..
On Monday call your podiatrst or your doctor and let the person who answers the phone that this is urgent and you must see them today..

If you do not have a podiatrst now is a good time to get one.
Never walk bare foot and buy some nice diabetic socks.. (I have to hide them from my son everyone loves my socks)

Take Care
and take care of your feet

TK
Trusted Contributor
morrisolder
Total Posts: 10,548
Registered on: ‎11-28-2009

Black Spot

tkslaughte@aol.com (12/25/2009)
Never walk bare foot and buy some nice diabetic socks.. (I have to hide them from my son everyone loves my socks)
I have a friend whose dog loves to proudly march around the house with a sock.

Acutally she has taught this dog, (and another earlier one) to take off socks without ever biting the foot...

But I haven't heard of having to hide them from your family...



TK
Morris

Diagnosed Type 2, with an A1c of 11.4 in 2003; averaging a 5.0 A1c since then with diet, exercise and Glipizide XL + meds for blood pressure and cholesterol. 
A bit dated, but scroll down on this page if you want to know more ...


Advisor
tbrbeast
Total Posts: 145
Registered on: ‎11-02-2009

Black Spot

Black spots on feet are something I am unfortunately all too familiar with. Some questions first. How long ago did the spot appear? Did you have a wound, irritation, or other abnormality at that spot in the recent past? If you noticed the spot a few days ago, has it increased in size since? Does it look like a bruise (black and blue for example)?

The advice to see a doctor ASAP is good. It doesn't pay to fool around with abnormalities on your feet. My history illustrates the point. Just over 4 years ago, I developed a water blister in the joint area between my little toe and the main part of my left foot. The blister was located primarily on the outside and slightly on the top of the foot. i drained it, covered it, and as I was seeing my orthopaedic surgeon on a regular basis, showed it to him. He saw it a couple of times over a several week period and nothing seemed to be going on or so we both thought. One Friday morning, I was checking my feet and noticed a small (about the diameter of a small mechanical pencil eraser) what appeared to be a black and blue spot in the same location as the water blister. I was a transmet amp (TMA) having lost the toes on my right foot about 20 months prior so this obviously got my attention. I seriously considered going in to see my ortho that day but I suspected that even though I was an amp and a diabetic, it could be difficult so I made the decision to monitor it over the weekend, and if I noticed a change, to immediately go into see my ortho. By Sunday morning, the spot had about doubled in size, still small but definitely larger. I was in the doctor's office Monday afternoon seeing a different ortho (mine was in surgery) and in the hospital that night. By Thursday of that week, I was minus 5 toes; I had what the surgeon called one of the most virulent infections he had seen that year (this was the end of October). The visual signs of the infection (the black spot) essentially developed and expanded within a 72-96 hour time period. No one knows how long it may have been present but not visible as there were no other signs or symptoms. When people ask if they should see a doctor about something on their feet, my advice is always, go. Don't quibble or debate. The cost of a visit is peanuts compared to an amputation (I have over $50,000 in direct costs associated with 2 amputations and probably another $5-10,000 in other, post amp costs and those costs, like my insulin, Met, etc. continue for the rest of my life).

Let us know what you find out from the doctor. Even if it is nothing right now, continue to watch it for any changes - color, size, etc. Try to determine what the cause is/was and correct it. It could be as simple as just changing your shoes or socks. And if the spot persists despite the doctor's best efforts, get a referral to a specialist - a doctor specializing in wound care would be a good starting point.

I would add a couple of things to what TK said. When you call the doctor's office, tell them you are diabetic and that you have a potential wound issue with your foot/feet. One of the advantages of being diabetic is that, at least in my experience, you will get into see the doctor as soon as possible if there is an issue and wounds, particularly on feet, is a serious issue.

I disagree with TK and others here about diabetic socks. Most socks are perfectly adequate if you take a few basic precautions. I wear ragg wool socks every day that I buy at REI. They have smooth seams, and what my ortho likes, is that they are very good at wicking away moisture. I walk a lot, often 10-15,000 steps per day and have been doing so for almost 5 1/2 years. Unless my socks bunch up, I have never had a wound problem that can be attributed to those socks. Buy good quality socks with smooth seams, make sure that they aren't either too loose or too tight, and don't bunch up when you walk. Marry your socks to a good pair of properly fitting shoes - tall and wide toe boxes particularly. You may want to consider getting custom orthotics or having the soles wedged if you tend to walk on the outside of your feet like I do.

Hope I didn't scare you with this but this is extremely serious business. I have been an TMA for 6 years and a bilat for just over 4. Although I have adapted quite well, it is not something I recommend to anyone. Take care of your feet, baby them if you have to, once they're gone, there is no getting them back.

If you have any questions, just ask.