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Wschweik
Total Posts: 19
Registered on: ‎02-05-2012

First infected toe. What do I do?

Hello all. I'm needing some advice. I have posted before but it's been a little while. I was diagnosed about 5-6 weeks ago with type 2 so I am still fairly new to all of this bit of course I've read a lot and gotten great advice here, especially with type of diet to follow etc. my question is, my second toe on my right foot has been infected and getting worse for a little over a week now. I can see it is swollen, red, and I can see the actual infection near the toenail. I've read that you need to be careful with feet. What should I do? I've tried soaking it a few times and I've kept it covered with neosporin and a bandaid, but it actually got worse instead of better. Iusually something like this clears up faster for me but I have also felt I'll for the last 6 days- cold symptoms, stomach aches and upset stomach that comes and goes, and exhaustion. Any advice on what is best to do? Thanks in advance.
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xenablue
Total Posts: 1,775
Registered on: ‎11-02-2009

Re: First infected toe. What do I do?

Get to a doctor as soon as you can - don't delay!!  Foot infections are nothing to be messed with.

 

Btw - if you don't mind sharing - what are your glucose numbers like, and what was your A1C at diagnosis?  High numbers won't help infections at all.

 

Please let us know how you're doing with the toe.

 

 

Cheers, 

xena




Dx 2008 - A1C 8.6
Current A1C 5.5
alan_s
Total Posts: 15,295
Topics: 214
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Registered on: ‎10-30-2009

Re: First infected toe. What do I do?

Get to a doctor for treatment of the toe ASAP.

 

Make sure the doctor is aware that you have diabetes when he treats the toe.

 

What are your BGs like at the moment?

Cheers, Alan, Type 2, d&e metformin 2000mg, Australia.
Everything in Moderation - Except Laughter.
There is nothing I could eat I like more than my eyes.
Type 2 Diabetes - A Personal Journey(latest: Catering For Different Tastes When Cooking)
Born Under a Wandering Star (Latest: Budapest, Hungary)
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morrisolder
Total Posts: 10,646
Registered on: ‎11-28-2009

Re: First infected toe. What do I do?

Well one thing to consider is whether it is getting rubbed a lot by your shoes or socks. Rubbing can make healing a lot harder, so if you have shoes or socks that are less likely to do that, wear those for a while.Bandaging it well enough to prevent rubbing--i.e. more than a bandaid could make a difference.

 

But if you get through the weekend and it does not seem to be getting better, call the doctor and get it looked at by someone who knows what they are doing. They might say don't worry, or might prescribe an antibiotic cream or medication, but in either case you will have a better idea of how to treat it, and how serious it may or may not be...

 

What causes major problems for the feet of people with diabetes is when their feet are numb and they are unaware of, and therefore do not treat a wound or infection. You seem to be aware of yours and will treat it so it should be okay...

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 ...


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ronaka
Total Posts: 950
Registered on: ‎12-24-2011

Re: First infected toe. What do I do?

Soaking your feet is not recommended for diabetics. You cannot be too careful with foot infections. I second the recommendations of others -- see a doctor as soon as possible and get proper treatment.

Ron

Not a doctor, only another T2 diabetic with, unfortunately 11 year experience. Be cautious about accepting advice, including mine, on medical conditions from the internet. It can be a good place to get ideas, but validate them with your doctor and other medical professionals first.
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klg254
Total Posts: 91
Registered on: ‎09-30-2011

Re: First infected toe. What do I do?

What if your BG numbers aren't high?  I have an ingrown nail and my toe hurts when my shoe touches it.  But my numbers have stayed at 150 or under at my peak. Is the extreme care just for when you have numbness and/or high BG?

Kathy
Diagnosed Type 2 9/2011
A1C 7.9
FBG 166
A1C 7.1 12/11
A1C 6.0 4/12
Trusted Contributor
morrisolder
Total Posts: 10,646
Registered on: ‎11-28-2009

Re: First infected toe. What do I do?

[ Edited ]

klg254 wrote:

What if your BG numbers aren't high?  I have an ingrown nail and my toe hurts when my shoe touches it.  But my numbers have stayed at 150 or under at my peak. Is the extreme care just for when you have numbness and/or high BG?


Extreme care is warranted for two reasons--numbness, where you cannot feel that there is a problem, and poor circulation, which means slow healing, sometimes incomplete.  The combination can lead to infections that become a lot worse than they should, and might sometimes get beyond our ability to heal them. That's what leads to amputations.

 

The result is that it is simplest to recommend see a doctor, take it seriously, especially when we cannot see it over the internet. Much better to waste the co-pay on a doctor's visit for something minor than to end up with a dreadful result. But common sense applies too and you have to evaluate how much alarm is warranted in each situation.

 

With foot injuries and diabetes, common sense says to always err on the side of caution. That might not mean running to the doctor for each scrape, but probably does mean getting it seen if the healing seems at all unusual or prolonged...

 

 

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 ...


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

Re: First infected toe. What do I do?

Wschweik, I agree that you should see your doctor about this. It has been over a week and the treatment you are giving it is not working. So have your doctor look at it.

 

It is quite true that we are advised not to soak our feet. The reason for this is that the small containers we chose to soak are feet in just end up being a bacteria soup.

 

Check with your pharmacist or doctor about some sort of effective disinfectant to put in the water. Antibacterial soap will not do the trick.

 

I wound specialist I once met said that sitting on the edge of the tub and running water over your feet is the best way to soak them.

 

Another poster, Kathy asked...

What if your BG numbers aren't high?  I have an ingrown nail and my toe hurts when my shoe touches it.  But my numbers have stayed at 150 or under at my peak. Is the extreme care just for when you have numbness and/or high BG?

 

Perhaps a visit to a podiatrist would be in order to get some help with the ingrown toenail.  There are also people who do foot care, usually nurses, who might be able to help.

 

My doctor referred me to one to help me in trimming a toenail that has fungus under it. I still haven't seen her but it is nice to know that there is someone who would know when I need to see a doctor or a podiatrist.

 

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.
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Patches49
Total Posts: 8
Registered on: ‎03-09-2012

Re: First infected toe. What do I do?

Just because you are diabetic does not mean you will get necropsy.  I had asked my Diabetic Specialist about necropsy and she said it doesn't happen to all Diabetics so relax and take a deep breath.

 

I agree you should definitely have your toe examined.  Ask you Doctor for a referral to a Podiatrist who will be able to give you a better diagnosis.  It is their specialty but be sure to let them know you are diabetic so they can treat you properly.

 

Kathy ~ please go see a Podiatrist for your ingrown nails.  They won't get better.  Don't try to do it yourself as the risk of injury is far greater.  I had two ingrown toenails on both big toes that were extremely painful.  My Podiatrist had to do some major cutting as one nail actually had grown so deep into my toe.   Why did I let it happen?  Long story short ~ I hated Doctors so avoided them at all cost.  Amazing how after being diagnosed Diabetic you learn to at minimum to love Doctors.

 

I did have a big wound from the surgery but I did heal.  My bg at the time was running high and yet I did heal.  The Doctor told me it might take longer to heal but one toe healed within two weeks and the other within a month which he said was normal. 

 

As for soaking ~ never heard that Diabetics were not supposed to soak their feet.  And why not???  Because what we use becomes germ factories?  I am sorry but that makes us sound like children.  There are ways to disinfect the soaking apparatus.  After my foot surgery my Podiatrist had me soak my feet twice a day in a tub of warm water and Epsom Salts which helps promote healing.  Glad to report my nails are looking pretty good and I had my first pedicure in ages.  Talk about feeling like a new woman.  Summer sandals here I come.

alan_s
Total Posts: 15,295
Topics: 214
High Fives: 1,673
Solutions: 185
Registered on: ‎10-30-2009

Re: First infected toe. What do I do?

[ Edited ]


klg254 wrote:

What if your BG numbers aren't high?  I have an ingrown nail and my toe hurts when my shoe touches it.  But my numbers have stayed at 150 or under at my peak. Is the extreme care just for when you have numbness and/or high BG?



 

What if? You see a doctor.

 

Back in '08 my numbers were fine when I was wandering around South East Asia as a prelude to further travels. I had a small cut on my inner calf when I left Oz a little over a week earlier; just a little cut that seemed innocuous.

 

It takes a lot to convince me to put myself in the hands of an unknown doctor in a foreign country, but when it got really nasty I had to. That little cut had turned into a festering cavity that was getting rapidly worse no matter what dressings I used. Scroll down to "Later I will write a post on medical matters": Hong Kong

 

PS Specifically on ingrown toenails, I self-treated one on earlier travels with a topical solution bought while travelling. It worked and the infection cleared, but a year later I lost a quarter of the nail as a consequence. The podiatrist said the nail-bed was too scarred and it would never grow back; thankfully, over the course of three more years, it did. Things happen very quickly in damage to toes and nails and very slowly in repairing that damage.

Cheers, Alan, Type 2, d&e metformin 2000mg, Australia.
Everything in Moderation - Except Laughter.
There is nothing I could eat I like more than my eyes.
Type 2 Diabetes - A Personal Journey(latest: Catering For Different Tastes When Cooking)
Born Under a Wandering Star (Latest: Budapest, Hungary)