60 y/o male presents to our walk in clinic for recurrent lef | Figure 1

FamilyMedPA

Physician Assistant

60 y/o male presents to our walk in clinic for recurrent left foot cellulitis. He was treated about a month ago for similar at an urgent care. At that time he had an ulcer on the plantar surface of the 5th MTP. He is a Type 1 DM who has not seen primary care in 5-15 years and buys regular insulin and insulin NPH otc at Walmart. His distal lateral left foot is red, swollen, warm, and tender without any open wound. There is significant dry cracked skin where the previous infection was. His A1c was 10.2%, glucose 88 (3-4 hours post meal). Vitals: 164/81, 129, 97%, temp 98.8F. Students, what next?

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