Please Help

[eikcuhc]

I had a groin rash for 9 months. Dermatologist told me it was a fungus. Now it just burns all the time. said to use ketoconazole, cream-2% ,twice a day for a month. I have used same for a month-still burns. Blood sugar is around 140. Need next step.

[Bhupinder Kaur, MD]

Hello,
Recurrent and current fungal infections become persistent if your blood sugar levels are high. If 140 mg% if your fasting blood sugar level then it is in high range and you need to do regular exercise and start with oral antihyperglycemics to control the levels.

Treatment resistance can be overcome by applying a cream with a combination of antifungals (Clotrimazole 1%, Miconazole nitrate 2%, Tolnaftate 1% and Butenafine hydrochloride 1%). Get your blood sugar tested, fasting, 2 hours after food and if these are high then glycosylated hemoglobin to see overall sugar status in last 3 months.
I hope it helps. Take care and regards.

[Joqhua]

Take Yeast Infection cream and put it in the area or the Fungal Cream from any drug store should clear it right up.