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How to treat oesophagus soreness in a diabetic?

Q: My 39 years old wife, weighing 93 kg, is a patient of diabetes with high sugar, which sometimes reaches up to 600. She is using insulin, morning 62 and evening 54 units. Since the last nine months, she has got a new problem; her skin of mouth and throat (oesophagus) comes out 2-3 times daily. I took her to dentist, skin specialist and ENT but there is no improvement in her condition. I need guidance from you regarding treatment. Please help.

A:From the data that you have given it is so obvious that your wife is an obese diabetic. This type of individuals with fluctuating blood sugar levels are bound to get many complications. I feel that her mouth and throat soreness may be due to a fungal infection called candidiasis that is known to be common in diabetics. This is easily treatable by oral antifungals like fluconazole. But very stringent glycaemic control is essential. If your wife does not respond to oral antifungals, I strongly recommend a mucosal biopsy to pin down the diagnosis.

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