Author Topic: Infected epidermoid cyst  (Read 624 times)

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Offline GrammaBear

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Infected epidermoid cyst
« on: 03 February 2018, 12:19:06 AM »
I've had a "sore spot" on my back for several weeks however since it wasn't terribly painful, I ignored it.  This morning my fasting blood sugar was 295 (16.3) so I figured maybe I should go to the clinic.  Once there, the Doctor examined it and told me it was an infected epidermoid cyst and I had a 50/50 chance of getting rid of it.  She prescribed oral antibiotics and an antibiotic cream 3 times a day.  Then she said "Type 1 diabetics are prone to these types of things."  Why do healthcare professionals always blame diabetes for the appearance of these weird things on the body?  This cyst is only the second one I've ever had.
Type 1
Tandem Tslim pump Oct 2015
Dexcom G5 CGM Sep 2007
A1C 6.5%~ Sep 2017

Offline nytquill17

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Re: Infected epidermoid cyst
« Reply #1 on: 03 February 2018, 01:17:49 AM »
Well, she's not wrong, in that we are more prone to skin conditions and infections. And I think it is a doctor's habit to search for explanations and to provide explanations to patients. But so much depends on the tone and the attitude with which these things are said, doesn't it!
T1 DX 1995
Levemir + Novorapid
 
  ~-~-~-~
"If you can't ride, can you fall?"
"I suppose anyone can fall," said Shasta.
"I mean can you fall and get up again without crying, and mount again and fall again and yet not be afraid of falling?"
"I - I'll try," said Shasta.
  ~C.S. Lewis, The Horse and His Boy
  ~-~-~-~
"There is no answer; seek it lovingly."

Offline himtoo

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Re: Infected epidermoid cyst
« Reply #2 on: 03 February 2018, 09:26:00 AM »
Hi GrammaBear
it is frustrating to hear everything being blamed on the D   Grrrrrrrrrrrrr !!
T1 Dia Aug 1972 -pumping omnipod since 29/09/15  Losartan 100mg , simvastatin 40mg,Furosemide 40mg, Omeprazole 80mg , Doxazosin 8mg
Hba1c - 06/2013 6.1 02/2014 43(6.1) 07/14 42(6.0) 08/14 40( 5.8 ) 12/14 39 (5.7) 08/15 41 ( 5.9) 10/15 44 ( 6.2 ) 03/16 49 (6.6)
cholesterol --nov 2011 4.3 june 2012 4.4 June 2013 4.1 Feb 2014 4.1 dec 14 4.5 oct 15 4.4
Dafne grad. necrobiosis lipoidica on legs
laser treatment on both eyes 2002 and 2012, injections left eye 3 , wearing Noctura mask since oct 2014

Offline GrammaBear

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Re: Infected epidermoid cyst
« Reply #3 on: 03 February 2018, 03:34:53 PM »
himtoo - Yes, you're right.  It is frustrating to hear the Doctor say "it is because you're T1 diabetic" and even more frustrating to hear them say "Well, if you had your sugars under control, this might not have happened."
Type 1
Tandem Tslim pump Oct 2015
Dexcom G5 CGM Sep 2007
A1C 6.5%~ Sep 2017

Offline Pattidevans

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Re: Infected epidermoid cyst
« Reply #4 on: 04 February 2018, 11:49:20 AM »
Quote
and even more frustrating to hear them say "Well, if you had your sugars under control, this might not have happened."

I have two answers to that 1. "My sugars are under control"  Or... "Right, well you obviously think that's easy to do, so perhaps you'd like to give me the benefit of your expertise in controlling sugars?"
Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 Sept 2017.  45 (6.3) April 2018.


© 2015 Patti Evans

Offline Dr DeEath

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Re: Infected epidermoid cyst
« Reply #5 on: 06 February 2018, 01:21:05 PM »
I actually consider this attitude of blaming diabetes quite dangerous and that it could lead to a misdiagnosis. When I was much younger I was taken to hospital with very raised BG (before meters) and frequent vomiting (sometimes with blood). The initial attitude was that I was a typical young diabetic who had eaten and drunk to much (I even  got told off by the ward sister). Subsequent tests showed I had salmonella! When I got athlete's foot at school our family GP suggested it was due to diabetes! Arghh!
T1 for over 50 years.  MDI on Porcine insulin.  Lisinopril and Atorvastatin.

Offline GrammaBear

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Re: Infected epidermoid cyst
« Reply #6 on: 07 February 2018, 09:52:14 PM »
I actually consider this attitude of blaming diabetes quite dangerous and that it could lead to a misdiagnosis. When I was much younger I was taken to hospital with very raised BG (before meters) and frequent vomiting (sometimes with blood). The initial attitude was that I was a typical young diabetic who had eaten and drunk to much (I even  got told off by the ward sister). Subsequent tests showed I had salmonella! When I got athlete's foot at school our family GP suggested it was due to diabetes! Arghh!

After reading your post I am inclined to agree with you.  When I was first diagnosed I also had a horrible earache.  The Doctor didn't even look inside my ear and said "Oh, it is likely the diabetes being out of control."
Type 1
Tandem Tslim pump Oct 2015
Dexcom G5 CGM Sep 2007
A1C 6.5%~ Sep 2017

Offline Quantum Learning

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Re: Infected epidermoid cyst
« Reply #7 on: 08 February 2018, 03:02:07 PM »
Grrr, lazy doctoring & potentially very dangerous, makes me mad.  >:(
Type 2 dx Nov 2012 with fasting BG 14%/129.5
HbA1c Jan 2013 79/9.3%
April 2013 50/6.7%
July 2013 39/5.7%
Oct 2013 39/5.7% Chol 5.9
July 2014 45/6.3% Chol 5.5
Aug 2015 61/7.7% Chol 5.9
May 2016 84/9.7% Chol 6.9
Oct 2016 53/7%  Chol 6.3
Dec 2016 41/5.9% Chol 6.0
June 2017 51/6.8% Chol 6.1
Oct 2017 52/6.9%
Jan 2018 51/6.8% Chol 5.9
Metformin SR 2000mg, Doxazosin 4mg, Lansoprazole 30mg, Fexofenadine 180mg Co-Codamol 30/500g when needed. Amitriptyline 20mg
Toujeo/NovoRapid, Allergic to Levemir

Offline GrammaBear

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Re: Infected epidermoid cyst
« Reply #8 on: 09 February 2018, 06:04:07 PM »
Can anyone share with me the British name to an oral antibiotic called Clindamycin?  Here in the US it came to market around 1970.  I cannot locate any information on whether this AB is connected to hyperglycemia or not.  Most articles blame the infection for which the medicine was prescribed.  I am just curious whether the AB could be responsible for the widely fluctuating blood sugars I have had while taking this medicine.  I have varied between 40 (2.22) to 350 (19.44) and I have also had moderate ketones.
Type 1
Tandem Tslim pump Oct 2015
Dexcom G5 CGM Sep 2007
A1C 6.5%~ Sep 2017

Offline nytquill17

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Re: Infected epidermoid cyst
« Reply #9 on: 09 February 2018, 08:16:08 PM »
I think first of all that it's certainly possible. ISTR Patti having lowered BGs while on a course of antibiotics. Any medication or condition or event can effect BGs for someone, whether it will for you in particular is anybody's guess though. In this case, it's going to be really difficult to find any data on whether clindamycin or any AB causes high blood sugar. If someone is taking an antibiotic it usually means they have an infection, and infections also cause high blood sugar, so there's kind of no way to know which is doing which.

Now, in your case, you had the infection first and the antibiotics second. I believe you said your BGs were high from the infection, but it sounds like the erraticness started only after the medication? That's info you could go to your doctor with if you were wanting to ask about switching to a different AB. But on the other hand I know that it's not a good idea to stop taking antibiotics before you've finished the full course, and I don't know if that applies also to switching from one to another (you'd have to ask the doctor about that!) And even if you did switch ABs, you would still have the infection so your BGs might not improve all that much. Or they might! Very much YMMV.
T1 DX 1995
Levemir + Novorapid
 
  ~-~-~-~
"If you can't ride, can you fall?"
"I suppose anyone can fall," said Shasta.
"I mean can you fall and get up again without crying, and mount again and fall again and yet not be afraid of falling?"
"I - I'll try," said Shasta.
  ~C.S. Lewis, The Horse and His Boy
  ~-~-~-~
"There is no answer; seek it lovingly."

Offline Pattidevans

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Re: Infected epidermoid cyst
« Reply #10 on: 10 February 2018, 10:50:33 AM »
Kathy


The U.K. name is the same - Clindamycin.  I can’t find any link to erratic blood sugars.  I was on a 12 week course of Oxytetracycline that was prescribed for a nasty case of Rosacea.  A condition that I believe was caused by acute stress.  So I was struggling with highish BGs because of the stress - round the 10s - that I couldn’t get down, but by the time I got the antibiotics the cause of the stress was resolved, then BGs dropped very fast and I had a vague memory of another member years ago who had v low BGs due to antibiotics, so I googled Oxytetracycline and blood sugar levels, to discover that a study had been done which proved that that particular AB increased hepatic uptake of insulin.


More info on Clindamycin here
https://www.medicines.org.uk/emc/medicine/21628  It’s most common side effect seems to be diarrhoea.
Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 Sept 2017.  45 (6.3) April 2018.


© 2015 Patti Evans

Offline GrammaBear

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Re: Infected epidermoid cyst
« Reply #11 on: 10 February 2018, 04:47:29 PM »
Patti ~  Thanks for your input regarding the AB you were on and how it affected you.  I didn't think a 'sore spot' on my back would cause me stress but apparently it did.  My sugars have been erractic for almost a month now.  They go from very low to very high without me eating any high carb foods.  I do see my GP this coming week.  I hope she will tell me the 'spot' is healing so I don't have to worry about it anymore.  Also, thank you for the link you provided.
Type 1
Tandem Tslim pump Oct 2015
Dexcom G5 CGM Sep 2007
A1C 6.5%~ Sep 2017

Offline GrammaBear

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Re: Infected epidermoid cyst
« Reply #12 on: 12 February 2018, 10:41:21 PM »
"It never rains but what it pours" or so the saying goes.  I finished the full course of AB last Friday morning.  Sunday afternoon I didn't feel well and then I realized it was likely that I had a UTI (urinary tract infection).  It was too late to find an Immediate Care Clinic, so I had to wait until today to do that.  The Doctor I saw prescribed a AB specifically for UTI and now I am on medicine again. 

Type 1
Tandem Tslim pump Oct 2015
Dexcom G5 CGM Sep 2007
A1C 6.5%~ Sep 2017

Offline Pattidevans

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Re: Infected epidermoid cyst
« Reply #13 on: 12 February 2018, 11:11:50 PM »
Kathy

It's a long time since I had any "bother" with UTIs and thrush and so forth, but I do recall that taking any antibiotics could cause thrush and hence cystitis.  So it may be an ongoing cause.  I was shopping with a friend last week and buying some underwear in a popular clothing chain (Marks and Spencer) she bought some panties that were very attractive but made from synthetic fabric and I bought some cotton ones.  I commented that since ensuring my undies are cotton I have not suffered from any of the problems associated with UTIs.

Possibly something you are familiar with, but I was surprised that my friend had not heard it as she is no more than half a dozen years younger than me.
Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 Sept 2017.  45 (6.3) April 2018.


© 2015 Patti Evans

Offline GrammaBear

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Re: Infected epidermoid cyst
« Reply #14 on: 13 February 2018, 12:06:45 AM »
Patti - Yes, I've heard that cotton undies are better for most ladies that have problems with UTIs.  One does have to look carefully for all cotton fabric though.  Some undies look just like cotton but when you check the fabric tag, it says polyester.  And I did not know that ABs can cause thrush and UTI and such.  I should have asked for two different ABs and saved myself a trip to a nearby city for the clinic.

My husband said as we left the building that the majority of the people there were wearing face masks to cover their mouths.  There is an epidemic of influenza in the area where we live.
Type 1
Tandem Tslim pump Oct 2015
Dexcom G5 CGM Sep 2007
A1C 6.5%~ Sep 2017