Patient is 36 yr old with known history of diabetes for 8 years coming with problem of cut marks over fore skin and painful intercourse. Patient also complains that there is itching. The problems resolved during summer and become worse during winter. Mangement and diagnosis

Penile skin frequently involves in many skin disease. Presenting common skin diseases involving penis seen by me in 2018 (Figures 1-8). All of you know the diagnosis. Thank you.

Mr ,X ,known DM on oral antidiabetic drugs for the last 15/ years .He is obese .wt 83kg. He is not on regular follow up. He came to me for the c/o painful penile swelling ,sudden onset following the penial ,prepuse retraction ,which was not able to reduce back. He then developed the paraphimosis ,and was painful. He suffered for two days,it was reduced and patient become alright. Discussion: What is the reason for diabetics who often get this short of problem of paraphimosis.? How to avoid or prevent this mini complications of diabetic penis.? How to reduce it? what is the culprit cause of it? What is final solution. Hba1c ,monitoring is vital in preventing this complication ,discuss . Primary prevention of such complication if any ,please narrate. Erectile dysfunction due to pudental artery or penile artery plaque in DM may further complicate the Vascularity of glands penis due to paraphimosis and its stricture . Discuss the vital issues of intrinsic and extrinsic pressure of diabetic penis.

27yrs/M from IT field visited skin rash swelling n itching since a week on perpusal skin with cracks very painful, never exposed. Recently n newly detected his BSL 142mg/dl fasting n 263mg/dl pp. responded well with Ayurved line of management, but requested medicine opinion for being on Authentic Approach

A male aged 40 years having ulcers on prepuce, severe pain, difficulty in urination, unable to retract prepuce since 10 days, He is diagnosed as a fresh case of Diabetes . FBS 324 mg per dilution. Spot diagnosis and management.