Tuesday, March 3, 2009

Foot problems and diabetes

Q: My husband is 37 years old. He has lost a significant amount of weight lately. He refuses to go to a doctor (because he said he needs to find a good one).

He finally went to a dermatologist for his feet because he couldn’t hardly walk. They are “Really” sensitive/red dry and cracked, and can never seem to get them just right. He asked the dermatologist if it was a sign of diabetes… The doctor said NO.

He works with a lady that has had diabetes since she was 3 and tells him it is, and can be related. I also have heard it can be.

Do you think it is a sign of diabetes? She has also tested him while at work before, because she has to do hers several times, and he has scared her before with his results. Do you think you can give me a referral (recommended doctor) that takes BC/BS insurance? I am just really concerned for him. Cancer and Diabetes run in his family.

Thanks.

A: Your husband needs a primary care physician. Please call Blue Cross Blue Shield (BXBS) and get the names of physicians who are on your plan. You want to have him see someone who is trained to deal with diabetes. Problems with feet often occur as the glucose levels rise. Other symptoms are urinating more frequently (especially at night), feeling very hungry, losing weight, feeling very tired, having pain or numbness in your feet and feeling very thirsty.

Please make an appointment for him to be evaluated and tested.

If he is diagnosed with diabetes, a fasting glucose level 126 or higher, he may need to follow up with a specialist. Since he has BXBS he may want to call the University of Utah Diabetes Center. They will work with his Primary Care Physician to take care of your husband. Please have his glucose levels tested so he can determine what his next step should be.

Please do this right away, Ginny

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Who Is Ginny?

Ginny Burns is a local nurse who has worked with people who have diabetes for the last 20 years. She is credited with years of dedication to the American Diabetes Association and Utah Association of Diabetes Educators. She also brings the invaluable experience of having Type 1 diabetes for 39 years which makes her a unique resource to answer your questions.