Medicaton and prediabetes

That's hardly keeping an open mind is it Jen?

Thanks for the CV and family history. I won't bore you with mine

Incidentally I doubt very much that having a toe nicked would result in gangrene two years later but I'm sorry your sister lost her friend.

Anyway if you aren't open to new ideas and can't be bothered to do your own research I'm not going to spoon feed you. I accept you are an expert of T2D as well as T1 and all things political and on that note

Sadly, people with diabetes can have real problems with their feet, and a small injury can fester and become a huge problem, slowly leading to gangrene and amputation. One of my friends here had both legs amputated due to his diabetes- but he lived for several years. This is a well-known fact, and denying this is the case shows poor knowledge of diabetes and complications.

I'd rather you did not call me a liar, Anya. The woman in question had to sit with her foot up after that happened for two years until they decided what to do, and they just watched as it got worse.

Do you really know as much as you say you do about diabetes?
It is well known that gangrene is a problem with diabetics, as granjura says. That's why they are supposed to have their feet inspected annually for any sign of foot problems. You do not expect the podiatrist to cause the problem.

"watched as it got worse"

Is there no treatment for gangrene in its early stages?

Yes, they could have amputated her foot instead of the whole leg, but they were expecting it to get better or something. Lots of antibiotics, etc. I do not know all the ins and outs of it, as we live in different parts of the country, but basically, that's what happened, just wait and see.

This woman knew what the outcome could be, as well, because she had a brother who had had both legs amputated because he was type one diabetic, and did not look after himself, not caring about diet, and drinking too much. He was in a wheelchair for much of his life.

Anya I'm afraid that very small cuts or even pressure from shoes can and do lead to amputation, many years later.

The initial cut/pressure causes a small ulcer which, because of circulation problems due to diabetes, never heals and gradually increases in size, often down to the bone, until the only cure is amputation.

Sorry, that should have said ..... often leads to amputation, because some ulcers are successfully treated but by no means all.

I didn't call you a liar Jen did I? What I said is that I doubt that the nicked toe was the cause of gangrene two years later. But I do find it incredible that she sat with her leg up for two years and just watched it grow worse

In fact it's much more likely that the gangrene was the result of poorly managed blood sugar.

Gangrene usually affects diabetics with high and uncontrolled blood sugar levels. High blood sugar damages the nerves of the foot causing peripheral neuropathy and also hardens the walls of the arteries leading to narrowing and obstructed blood supply. These are the main causative factors of a raised risk of gangrene in diabetics.

So while there is an outside chance that this nick led to gangrene two years later there are far more likely explanations. But it's always good to blame another person rather than face the fact that it might have been preventable had the diabetes been under control.

Perhaps you could take a leaf out of Riverwalk's book and present your argument in a logical, reasoned and informative way as she has done, rather than using emotive language and a complete lack of logical thought.

Sorry, I should not feel emotional about someone I know who died after she had had her leg amputated from getting her toe cut by a podiatrist?

I find it hard to be logical about that!!!

By the way, her diabetes was under control. The diabetic clinic accepted responsibility.

My point being, Jen that if you want to make a believable case, you must try to marshal your facts and present them clearly, logically and without undue emotive language.

Yes, you are sad that your sister's friend suffered and died, that I understand. I lost a close friend to diabetes and I was there for her through the retinopathy, the amputation, the kidney failure and her death from a heart attack at 42.

I was with her when her first child was diagnosed with sacral agenisis.

I injected her when she was went into her hypoglycaemic comas and carted her off to hospital when her blood sugar levels went through the roof.

So you don't have the monopoly on compassion. But I do know that my friend made no effort at all to control her diabetes, though she told the doctors etc she did, but her A1c tests told a different story.

I'm a bit puzzled dj, why did the Diabetic clinic accept responsibility if her diabetes was under control?

I'm with Anya in that I suspect her diabetes probably wasn't well controlled or the situation would never have escalated to amputation over the two years.

I've nursed dozens of people with diabetes type 1&2 as a DN and only one ever had an amputation (big toe) following a DIY attempt at removing hard skil with a scalpel.

They accepted responsibility for her amputation because of gangrene. Her diabetes was under control. She did not have hypos. She got gangrene because a podiatrist nicked her toe when cutting her nails.
I do not care whether you believe me or not.
I cannot be bothered any more.