instruction: hi doctor I am 38 years old I am diabetic for the past three years and sugars are not always in control I am taking medicine euclid 80 my and galvus met 50 500 and novomix 30 injection 10 units injection only for few days my issue is post diabetes I am experiencing severe recurring yeast infection in vagina and itching in groin area and near anal area due to scratch the area has become sensitive and scars and cuts are there is burning sensation when the area comes in contact with water I have tried all clotrimazole creams does surfaz candid etc but no relief itching is severe at night and very uncomfortable please help which medicine or cream to apply to stop this infection everytime I am unsure if that is eczema are there any tests which show what kind of infection is that
output: hi diabetes is comorbidity that makes patients prone to fungal infections and some times there is a secondary bacterial infection too I advise you to follow certain steps first step proper sugar control anti diabetic diet and exercise proper genital hygiene use of clean cotton underwear keeping the area clean and as dry and aerated as possible no tight clothing no talcum powder application do not use regular soap and hot water to clean genital areas take itraconazole 100 my two times a day for two weeks luliconazole cream to be applied three to four times daily on area of infection after proper cleaning and drying combinorm wash to clean the genital area I hope this helps tina cruris tina cruris tablet itraconazole 100 my two times a day for two weeks luliconazole cream to be applied three to four times daily on the area of infection after proper cleaning and drying combinorm wash to clean genital area please follow up after completion of the above course and sos if need be