Diabetes mellitus leads to the development of a number of concomitant diseases. One of them is onychomycosis. It represents damage to the toenails. Onychomycosis occurs more often in patients with diabetes than in healthy people.
Onychomycosis or nail fungus occurs as a result of impaired blood circulation in the lower extremities. The result is damage to the toenails. For a healthy person, this disease does not pose a great danger, as it can be easily treated. However, when diagnosed with diabetes, nails infected with fungal microorganisms can contribute to the further spread of infection to the soft tissues of the entire foot.
Signs of fungus are hard to miss. With diabetes mellitus and the development of a fungal infection on the toes, nails thicken, the nail plate splits and acquires a yellow-brown tint, and sometimes black. Often patients diagnosed with diabetes mellitus consult a doctor with this problem already at the very last stage of onychomycosis with complaints of decreased sensitivity in the legs, which is bad. Fungus requires complex treatment, but it is not always effective. At an advanced stage of the disease, the nail, as a rule, completely turns black and it becomes impossible to restore its normal structure.
Today, pharmacies offer many anti-fungal drugs. These include tablets for oral administration, and external creams, ointments, and varnishes. But you should not self-medicate, especially if you have diabetes. Treatment for onychomycosis is prescribed only by a mycologist!
When prescribing treatment for a fungus, the doctor takes into account the characteristics of the course of the disease, the nature of the infection and the depth of its penetration. Therefore, the treatment of onychomycosis in different patients may differ and be carried out in different ways.
If the nails are not seriously damaged and consult a doctor in a timely manner, it is enough to treat them with a special antifungal drug. When the nails become thick, they are treated with a drill with appropriate attachments. If the infection cannot be eliminated, the patient must undergo a course of treatment in a hospital setting.
The difficulty of treating nail fungus is that many drugs with antifungal effects negatively affect the effectiveness of glucose-lowering drugs, which is especially important for patients with diabetes. For this reason, when treating nail fungus in a diabetic, a doctor must prescribe medications that meet certain requirements:
Another complication when diagnosed with diabetes is the ingrowth of toenails into the soft tissue. This occurs as a result of impaired blood circulation in the lower extremities. Gradually, the nail begins to penetrate the skin, this happens especially quickly with uncomfortable shoes. As a result, there is swelling and redness around the nail.
In the absence of medical attention, an ingrown toenail will cause infection and suppuration of not only the soft tissues of the finger, but also the entire foot. In advanced cases, it is necessary to take radical measures in the form of removing the nail plate or, even worse, the entire affected finger. This allows you to avoid the formation of “diabetic foot”.
Ingrown toenails are treated in two ways:
Conservative methods include daily foot baths with warm and salt water, a solution of potassium permanganate and soda. To reduce friction between the skin of the finger and the nail, a layer of gauze soaked in an antiseptic solution is placed. There are also mechanical devices that eliminate nail deformation. These are plates, brackets, springs.
During surgical treatment, the entire ingrown nail or part of it can be removed in order to eliminate the source of inflammation. The operation is performed using local anesthesia. However, this treatment also has negative aspects. After the operation, the nail bed will be unprotected from various external consequences. In addition, there is a possibility of relapse of the disease.
All patients with diabetes must take preventive measures to avoid the development of onychomycosis on the toes or ingrown toenails.
Diabetics have a much higher chance of contracting a fungal infection than healthy people.
To avoid toenail problems, it is important to follow these guidelines. Necessary:
To avoid complications with diabetes and problems with toenails, you need to take care of your health. Maintaining personal hygiene is important.
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My mother is 63 years old, 10 years ago her leg was amputated due to sugar foot. This year a wound appeared just above the heel; the vessels were cleaned in a hospital in the city.
Answer: Yes. We successfully treat gangrene, including diabetes. It all depends on the volume of affected tissue. Send a photo of your leg in several projections and vascular examination data to the “Correspondence” section.
diabetic foot amputation.
Hello, my aunt’s foot was amputated above the knee! It healed well, but the other one immediately started to hurt. A month later we were taken to the hospital; I couldn’t stand the pain because of the pain, is it possible to save the leg? They told us we needed to clean it.
Answer: Hello. Your aunt needs to come to us in person for a consultation. If this is not possible, then send a photo of your leg, data from all examinations (especially ultrasound of the arteries) in the “Correspondence with the doctor” section.
I wrote the essence of my question above, you answered that surgical treatment is needed, the question is what kind of treatment can be given to older people, please tell me
Answer: Treatment depends on the extent of the vascular lesion, and it can be either endovascular intervention or bypass. Ultrasound scanning of the arteries of the lower extremities will help answer this question. Age in this case neither.
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My grandmother has a cold and bluish, and sometimes burgundy leg, she is lying in the surgical department, drips of Sulodexide, rhinopolyglucin are dripping, the leg sometimes gets warm up to the foot
Answer: Your grandmother needs to have an ultrasound scan of the arteries of the lower extremities, and if she has critical ischemia of the leg: pain at rest, cold skin of the foot, trophic changes in the leg, then it is necessary.
Good afternoon, please help, our dad has a hose instead of an artery, and now he has gangrene, the doctors say to amputate. And on the other leg the joint was replaced, suffering from coxoarthrosis. Help.
Answer: Good afternoon. Send ultrasound data of the arteries of the legs and a photo of the leg to the “Correspondence with the Doctor” section or by email [email protected] . Or come for an in-person consultation.
Vertebral artery stenosis
PA: channel entry level -C6. Deformation of the VA canals with signs of extravasal compression of the VA at the level of C6-c5; c4-C3. Diameter of the RCA - 3.9; LPA-3.0. LPA-ostium with G/d significant stenosis of more than 60% with increased LSC = 220 cm/s is passable.
Answer: it is necessary to perform an MS CT scan of the arteries of the head and neck, and then assess the degree of compensation of cerebral blood flow
Hello, my dad has nicrosis on his leg.
Hello, my dad has nicrosis of the leg of the left lower part of the foot. We were told to urgently amputate, but I understand that you can cure it without amputation, I can’t call you all.
Answer: Good afternoon. Send a photo of your leg in several projections and the ultrasound result to the “Correspondence with the Doctor” section.
vessels of the lower limbs
Hello, I am 27 years old and I was diagnosed with obliterating thrombongitis, now I am worried about my legs, lower limbs, veins, redness, compaction, revenge, blood vessels, it hurts, what do you recommend. I've been taking Xarelto and ketanol for a while now.
Answer: Good afternoon. Do an urgent ultrasound of the veins: it looks like thrombophlebitis
Swollen foot after angioplasty
After angioplasty on the right leg, the foot and toes are swollen and blue-red in color, with severe cutting pain. On the 5th day it became easier, the leg in the morning was almost normal color. After a short walk the leg came back.
Answer: It is difficult to make diagnoses without seeing the patient. Do an ultrasound of the leg arteries to rule out arterial thrombosis; See the operating surgeon.
I have been diagnosed with endatheritis of the lower extremities, antiphospholipid syndrome, all the toes on my left foot have been amputated. Concomitant ischemic heart disease, there were 2 strokes, an attack of epilepsy. Sympathactamia was performed on both legs. Left.
Answer: How is your left leg bothering you? If there are indications, then stenting can be done. But there is no preventative surgery on arteries.
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Hello. Today we will talk about what to do if your toenail or hand nail turns black? This question worries many people. Often this problem occurs on the thumbs. Some girls hide blackened nails with opaque varnish. It is better to pay attention to a blackened toenail, as it may indicate the presence of diseases. You should consult a doctor immediately after this pathology is discovered.
There are certain reasons that lead to blackening of the nail. External reasons include:
It is quite easy to determine that the nail has been damaged as a result of injury. In this case, there is a local change in color and blurring of the edges of the nail. Initially, the nail acquires a bluish color and only over time begins to turn black.
During mechanical damage, the nail begins to move away from the bed and gradually peel off altogether.
There are many internal reasons. These include:
There are many ways to get rid of this problem. They depend on the reasons for its appearance. Therefore, you first need to find out why your nails turned black. You can get rid of blackening caused by injury without medical help. The treatment is almost no different from the treatment of a regular hematoma:
If blackened fingernails are caused by a fungus, you won’t be able to get rid of it on your own. You should visit a doctor immediately. The only thing that can be done in this case is to prevent the fungus from spreading further. To do this, you must adhere to the following rules:
Sometimes it is not possible to see a doctor right away. In this case, you have to engage in therapy yourself. There are several recipes that will help in the fight against blackened nails:
If home treatments do not help and it is not clear what to do if the nail turns black and hurts, then it is better to consult a doctor.
Most often, a doctor’s help is needed if the blackening of the nail was caused by a fungus. To treat it, you should visit a dermatologist or mycologist. During the examination, the specialist will assess the structure of the nail and its thickness. The doctor should also take tissue scrapings to conduct further tests. This will help prescribe effective treatment. During the examination, the shape of the lesion and the extent of the process are determined.
For treatment, local and general agents are used. Local treatment is used if the disease was detected at the initial stage. In this case, antifungal drugs are used. These include creams, ointments or solutions.
Sometimes doctors perform special procedures before applying the cream. They are intended for preparing nails. A soap and soda bath is made. To do this, fill a basin with warm water and dissolve 50 g of laundry soap and one tablespoon of soda in it. Damaged fingers are placed in the solution for 20 minutes. If this treatment does not help, a course of antibiotics is prescribed.
There are several recommendations to help avoid blackening of the nail. These recommendations include: