Clinical Review

Elderly Veteran With Diabetes and Foot and Ankle Swelling

Author and Disclosure Information

A 62-year-old veteran with poorly controlled type 2 diabetes presented with nontraumatic swelling about both his ankles and feet. He reported foot pain, fever, chills, and dyspnea on exertion. Chronic ulcers on his left 1st and 5th metatarsals plagued him over the prior year, occasionally necessitating antibiotics for cellulitis. One month prior to presentation, the patient developed a new ulcer under his right 5th metatarsal head; he was treated conservatively, because there were no signs of infection.


 

Recommended Reading

Weight loss, exercise didn't affect heart outcomes in Look AHEAD
Type 2 Diabetes ICYMI
ACCORD: Insulin dose not implicated in excess CV deaths
Type 2 Diabetes ICYMI
Insulin glargine passes cancer test in ORIGIN
Type 2 Diabetes ICYMI
High diabetes incidence in Southern and Appalachian states' counties
Type 2 Diabetes ICYMI
Investigational albiglutide bests sitagliptin in head-to-head trial
Type 2 Diabetes ICYMI
Canagliflozin bests sitagliptin for type 2 DM in comparative trial
Type 2 Diabetes ICYMI
Add-on salsalate improved poorly controlled type 2 diabetes
Type 2 Diabetes ICYMI
Empagliflozin improves cardiovascular risk factors in T2DM
Type 2 Diabetes ICYMI
New metformin formulation broadens candidate population
Type 2 Diabetes ICYMI
Low-carb, high-fat diet may not be best for gestational diabetes
Type 2 Diabetes ICYMI