Patient's Query
Hi doctor,
My dad, who is 56 years old, has white spots on his skin. He has a history of diabetes, and I would like to ask some questions about that. I have a signed authorization to speak to a doctor on his behalf since he struggles a lot with technology. The first question would be to know what that spot on his leg is, if there are any tests he needs to do and whether this may be linked to his diabetes. The spots appeared about a month ago. It was red in the beginning and itchy. He did get some medication for it, they are Etavone cream, Tacrolimus ointment, and Vitellus lotion, which helped with the redness and itching, but the white spot is still there. It is on his foot. I can provide pictures if needed. Further, he has a history of diabetes type 2. He has been experiencing joint pain, lower abdominal pain, lower back pain, insomnia, and puffy eyes. Five months ago, he did a blood panel and HbA1c, where it was noted that his iron levels were high. Another important thing is that he quit taking medication for diabetes about a year ago. He was prescribed a tablet of Glucophage-GP 1, Vitamin B12, and Vitamin D supplements most recently about one year ago and tablet Glycomet SR 500 for the first two years, before all these medications he was taking tablet Glucophage for about two years which did not help with symptoms as much as it should. His lifestyle is mostly sedentary. Please help.
Hi,
Welcome to icliniq.com.
I understand your concern.
Skin lesion looks like psoriasis, and it is not linked with diabetes, but uncontrolled diabetes may worsen it. I would suggest that a skin specialist give you a better explanation of this. If he is not on any medication, I suggest he needs to check his HbA1c (glycated hemoglobin) and his blood sugar levels. His sugar level, which you mentioned, is very high. His symptoms might be due to his uncontrolled sugars. His puffiness around the eyes may be due to kidney issues. Before restarting his medications, I suggest he needs to do some blood tests like CBC (complete blood count), urea, creatinine, electrolytes, HbA1c (glycated hemoglobin), and lipid profile. Also, check his blood pressure. Please let me know these results, and we will restart medications depending upon these results, maybe with some modifications.
I hope this helps.
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Answered byDr. Zulfiqar Ahmed
Medically reviewed byiCliniq medical review team
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