<s>[INST] A couple of months ago l discoverd a very large blood blister on my large toe, l went to our local center for them to look at it they decided to cut away the skin and release the blood. Then they cut more skin away and dressed it. l was told that it must be dressed every day that has happend with my wife cleaning the wound and making sure that it stays clean. Now after two months the hole where they cut away the skin has not improved at all, being a diabetic on insulin l am beging to worry about gangerine. please advise me as to my next move as l live in spain and do not have access to a doctor as yet, we are going through the proccess now, sincerly Paul Wintershausen. [/INST] Hello Mr. Paul Wintershausen Since you are a diabetic and taking INSULIN and wound is not healing in spite of the treatment. This is a" diabetic foot" :Presentation of diabetic foot is of three type :1 Neuropathic foot in which neuropathy dominates .2 The neuroischemic foot, in which occlusive vascular disease is the main factor .3 Non-neuroishemic but purely infected foot. Since you are a diabetic patient, so any of above possibility may be the reason of NON-HEALING DIABETIC FOOT. In my opinion you must consult a PLANETOLOGIST and get his opinion. If color of infected toe is reddish bluish and foul smell is there then you may have developed GANGRENE. So at earliest consult a PLANETOLOGIST and get his opinion. Hope this will help you. </s>