The first thing I would do is make an appointment to see a podiatrist.
No live podiatrist within several hours of here, as far as we’ve been able to discover. And the one who died refused to examine things like this, because they weren’t important enough. And yes, my endocrinologist wrote to the management of the HMO to complain about the situation. Well, at least he tried.
Do you still have protective sensation?
Yes, whenever tested, my sensation is either perfect or slightly impaired. At the moment it seems perfect. I did feel the pain of the abrasion.
When was the last time that a doctor performed a foot sensation test (a monofilament or tuning fork)?
Maybe 3 months ago.
How long do you think this abrasion was present before you discovered it?
My guess is that it occurred today. (It’s now night here.)
How long have you been diagnosed with diabetes? T1D or T2D?
T2d, maybe 10 years, maybe more. I could probably check.
Have you experienced any slow-to-heal wounds in the recent past?
Yes, my trigger finger surgery was extremely slow to heal, according to the people who are supposed to know these things. One of my sons, a somewhat snarky 2nd year resident in gynecology, remarks with long strings of obscenities when asked to comment on my healing or recovering from anything. And he also lives about 2 hours from here, and his wife just had a baby. He’ll just tell me to go to the emergency room.
How well have you managed your blood sugar levels?
Depends what one’s expectations are. My last HbA1G was something like 6.3, and hasn’t been above 7 in years.
How often do you do a fingerstick check?
Almost once a day.
Do you use a continuous glucose monitor? Have you considered getting a CGM?
No and no.
I would carefully wash with soap and water and apply some Neosporin antibiotic ointment and a bandage.
Before I saw your answer I put a bandaid with some of one of those povidone-iodine gels on it. I have no mixed topical antibiotic. The closest thing I have is some broad-spectrum antibiotic cream way, way, way past its expiration date.
Thanks a lot.