Lichen Planus Diabetes Info
I have been taking Metformin for a long time, maybe 9 years. In 2007 I was diagnosed with oral lichen planus. It was OK for a while until I lost my job and had no insurance to go to the dentist or get the medications.
I thought I was OK and did not know exactly how this disease would show itself. It began with hair brittle hair then hair loss. They checked my thyroid and ran all kinds of tests. They could find nothing.
Then, all of a sudden my mouth became raw and red and was sensitive to things like salt and vinegar. I had a bad taste in my mouth that changed the taste of all my food. Even cigaretts became unbearable.
I search and searched. I get my care from a Veterans Hospital. I cannot get dental privileges.
My primary care knew nothing of this disease. I asked them to give me the prescriptions I was taking before. I am in the process of coordinating them with my former dentist.
Oh by the way along with the ton. I believe this is all related.
Thank you for this site. I might guess issues and cheek issues, I have had a sore throat for months. Without this site, I would never have known the possible causes of all these symptoms.
First, I wish you lots of strength to face this situation, hoping it will be over soon.
Now, with regards to your symptoms, I could guess it might be Lichen planus. However, there are other diseases with the same symptoms. Therefore,
I should ask you some questions as following:
- You are saying that since 2007, you were diagnosed with Lichen planus. In other words, you are suffering from supposed Lichen planus symptoms for more than 5 years.
Usually, the symptoms of Lichen planus disappear within 18 to 24 months. Yours is elongated. I am wondering WHY?
- Have you been treated? What medications have you taken apart Metformin? This is to find the right culprit to your condition.
- Do you have problems only in your throat and mouth? Do you have the same problems at any other site of your body?
This is very important as I want to differentiate with any other mouth disease (such as those of malign type, cancers).
However, in this case, the biopsy can make the differentiation. I would suggest you to perform the biopsy because elongated Lichen planus is related to higher risk for oral cancers. As there is not specific treatment for Lichen planus, I would suggest as following:
- You are saying that cigarettes are unbearable; meaning you are smoking. Please gather all your strength and stop smoking.
Together with alcohol, smoking can aggravate your situation, and increasing the risk for oral cancer.
- Next, please avoid foods that irritate wounds in your mouth, such as:
citrus fruits (lemon, orange, grapefruit, etc.);
coffee, cola, tea containing caffeine
tomato and related foods (sauces or salsa)
crispy snacks or those that have salt
- Regularly brush your teeth twice daily and floss appropriately.
- Perform the biopsy every six months or yearly.
- Make regular checkups with your dentist.
Hope it helped!
Blood Sugar Level And Itching Pruritus
QUESTION: How are high blood sugar level and itching pruritus related in diabetics?
Generally, there are a lot of skin problems during diabetes. In this case, the itching pruritus is caused by infection. If you notice that your skin is red, there is edema and this particular place is warm, that indicates for an infection.
This type of condition occurs in those diabetic patients who are not controlling their diabetes well. That means that the dose of your insulin or any other drugs you may take, needs adjustment.
An infection like this may develop in every part of the body. The explanation of these infections is hidden in the glucose metabolism.
As you may know, diabetes is condition characterized by elevation of the glucose level in plasma. This elevation is leading to an increased glucose level in the organs; in this case, the organ is the skin.
There are many bacteria normally living on the skin surface. These bacteria are not causing infections, because the health organism is able to kill them or most or them are healthy, i.e do not cause infection to our organism; on contrary they are helpful in its metabolism.
However, sometimes due to changes in the metabolism, infection is developed. The elevation of the glucose in the skin is creating good environment for the development of bacteria and infections.
The organism is capable to kill those bacteria but sometimes, in the advanced stages of uncontrolled diabetes there is no such option.
As you probably know, when someone is suffering from diabetes microangiopathy is developing as a consequence. That means that the small blood vessels in your body are not able to transport enough blood to a specific organ.
Immune cells are transported by the blood. When there is a reduction of the blood flow, there is a reduction of the number of immune cells transported in a specific area. These immune cells are not enough to prevent the infection.
Increased glucose amount in the skin in combination with reduced protection of the organism, is leading to the development of infections characterized by itching pruritus.
In this case, the usage of antibiotics will remove this infection, but you have to consult your doctor, because he will prescribe you the best drug suitable for a diabetic patient.
On the other hand, it is a must to control your blood sugar in order to accelerate the healing process of the skin and to prevent the future onset of other infections.
Hope it helped!