What could cause a candida infection in an uncontrolled diabetes patient despite taking medicines?

Question

Hi doctor,

I have been told that I have Candida glabrata and it is not responding to any azole medicines. I think I may need something stronger to take. The yeast has also moved to the skin specifically in my breasts. I have uncontrolled diabetes.

Please help.

Answer 1

Hello,

Welcome to icliniq.com.

First of all, what you need to do is to control your diabetes.

Visit or consult a physician for the same.

If your sugar levels are not controlled, you will have recurrent or resistant fungal infections and it will be very difficult to treat.

Along with this modify your diet by avoiding sugar, processed foods, and oily, fried foods.

Include at least 30 minutes of exercise daily.

This will help in controlling your sugar levels.

Now coming on to your fungal infection, if you have tried the azole group and it is not working then you need Nystatin vaginal tablets 100,000 units per ml daily to be kept before sleeping intravaginally for 14 days.

Answer 2

Hi,

Welcome back to icliniq.com.

1. I do not think they will be available over the counter. You will need a prescription for the same but on chat consultation, there is no option to provide a prescription.

2. No, this will work for vaginal infections only.

3. For skin infections, it is better to consult a dermatologist. Till then you can use either Clotrimazole 1% cream or powder on the affected area.

4. Yes Boric Acid suppository can also help. So, you can use these as well if available over the counter.

5. No, if you do not control your diabetes things can get complicated.