<s>[INST] please provide help to assist a family member who is a diabetic with myositis and itchy and scaly skin patches. Also, she has some issues at times with muscle leg/feet cramping; and swallowing and thick saliva. What type doctor needs to be seen for best treatment [/INST] dearthanks for writing to hcmas per the description given the myositis might be the cause of the muscle pain and also difficulty in degluttition.(swallowing)We must review with a neurologist to look after the neuro muscular problem.Hope the sugar levels are within normal level.Mostly the skin scaling,darkening are due to the   chronic elevated sugar levels,we must start  a multivitamin with anti oxidants like antoxid.hope this helps </s>