doyoudig
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1.) 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 6 months. 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
Is the Most Effective Measure to prevent Serious Foot Infection in a Pt who has developed Sensory Neuropathy
-> Glycemic Control as his Glucose levels have been high for 6 mo or
-> Well Fiited shoes to prevent minor trauma
I am still getting confused about thus point as I know that Glycemic Control is the Most Effective Way to Prevent DM Complications, but what do you do once it has happened. What would be impt 1st???
I mean once developed, does glucose control help here?
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| kpmle2
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B) Use of well-fitted shoes
the Q is asking about prevent serious foot infections so will go with B.
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| Justice
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B) Use of well-fitted shoes, once the neuropathy has developed
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| doyoudig
Forum Guru
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can U guys provide me with any sources pls that explains that once sesory neuropathy develops why well fiited shoes are most effective in this Pt and why not Glucose control as his Blood Glucose levels have been high over the Last 6 months?
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| khorshid
Forum Guru
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diabetic neuropathy has occured to some extent and pulses are decreased already, so damage is done to a big extent, the first step in process of diabetic foot is trauma, so it's better to prevent the first step rather than improving bodies already damaged mechanisms.
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| doyoudig
Forum Guru
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thx 
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