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Question: From Trail, British Columbia, Canada: Here at our geriatric center, we have an over 80 female resident with diabetes. She gets Humulin insulin twice a day and her sugars run from 5 to 13 mmol/L [90 to 243 mg/dl]. She has a black scab on her right heel that feels spongy underneath it. She is confused (dementia) and wheelchair bound. She is a DNR resident. We were given directions to treat her conservatively, per the doctor. We are presently wiping the scab with Betadine swabs twice a day. I am concerned about the treatment as Betadine kills tissue. I understand the theory behind the idea. Eventually, the scab will fall off and new tissue will present underneath. I have not experienced this before. I would like a second opinion as to what "conservative" treatment should be for this wound. It is approximately 3/4 cm wide and 1.5 cm long. Answer: I would recommend that someone familiar with foot wounds see the area on the foot from a medical perspective. It may be that there is necrotic material underneath the scab. In that case, the scab needs to be removed and the tissue debrided. This is a common issue with foot care. Not to debride the wound would be a potential reason for it never to heal. JTL DTQ-20051121234728 Original posting 23 Nov 2005 Posted to Other

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			Jump to a new section --[ Getting Around ]-- Home Page What's New Privacy Policy Search --[ People ]-- Family Support Network Adults with Diabetes Care Photos Chat Rooms Conferences Kids with Diabetes Parents Parent Humor Scholarships and Financial Aid Grandparents Humorous Tidbits Jobs Mailing Lists CWD Forums Poetry and Art Videos Polls Quilt for Life Surveys Blogs --[ Clinic ]-- Ask the Diabetes Team Alternate Site Testing Alternative Treatments Care Suggestions CWD Español Diabetes Basics Diabetes at School 504 Plans Diabetes Camps Diabetes Dictionary Insulin Pumps Nutrition Podcasts Presentations Products Product Marketplace Sports Studies Warning Signs --[ Sources ]-- News and Information Diabetes Advocacy Links to Other Web Sites Press Releases Regional Information Services Support Groups --[ Feedback ]-- About CWD Advertise Awards Contribute Your Experiences Disclaimer Letters to the Editor Logos and Linking Share our Brochures

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