Systemic treatment: Subcutaneous injection of insulin to control blood sugar to the level of fast blood sugar <8.0 mmol¨ML and postprandial blood glucose <10.0 mmol¨ML. Based on drug sensitivity result at different stages to apply Vancomysin, Levofloxacin, Ceftazidime I.V to counter infection. Prostavasin and salvia to improve blood circulation.
Wound management: during the dressing change, incise the necrotic tissues gently with scissor, and wipe away the exudation on the wound surface with sterile gauze and then smear MEBO and cover it with MEBO gauze. Bandage it with sterile gauze. Well growth of granulation filled up the holes and covered the exposed metatarsal head and tendon. Change dressing of MEBO on the wound every day and stick the wound surrounding with the 1cm strips of MEBO Wound and Ulcer Dressing. Top it with sterile gauze and bandage it.