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Burning and tingling feet, history of gestational diabetes - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Average Posted in: Diabetes
Answered by

General & Family Physician
Practicing since : 2009
Answered : 593 Questions
User :   hi
i am 36 yr/XXX/XXXwith one male child (4.5yrs).im 5'2" 57kg.i am a vegetarian and don’t eat much of greens.i am a working woman in a XXX
i have a family history of diabetes and heart disease on both parents side.
i do not have diagnosed case of diabetes though i developed gestational diabetes during my pregnancy.
since last one year (13 mths) i have had following systems which im trying to jot chronologically.
diarrhea for about one month(jul 09) which recovered on over the counter drugs post one month.
as soon as the diarrhea was cured, i started experiencing burning sensation on my feet and numbness(wearing socks) more intense during sleeping.
i got full medical checkup from general physician and my oral glucose test came absolutely normal although my post meal always comes slightly higher than normal and fasting is again absolutely normal.
in the meanwhile i was constantly losing weight and went from 62 kgs to 55 kgs in about 5 months.
this was followed by neurologist assessment.
i got my b12 checked and a severe deficiency of b12(72) was found indicating pernicious anemia.
doctor gave me a course of 21 b12 injections which was to last for 3 months roughly. But in between i again got b12 level checked and it was at 4894. i stopped taking injections but by then i had completely 17 of 21 injections(mar10).
slowly my burning sensation stopped but glove like feeling on feet and fingers remained. though i was not very concerned with it as it was causing only mild discomfort.
so now suddenly beginning aug10, i started getting sever burneing sensation again and increase in numbness of toes and fingers again got b12 checked but it came out at 812 and in normal range and blood profile also is quite within normal ranges.
now i need a good set of advice on what do from here. i have trouble sleeping at night and am worried where this
User :   is going...
pls. advice.
Doctor :   hi
Doctor :   Dr. XXXXXXXX here.
Doctor :   please give me few moments to read what you have typed.
User :   hi dr..... how r u
User :   ok
Doctor :   since you were diagnosed with pernicious anemia, the levels of Vit B-12 may keep going down
Doctor :   you will need to be in regular folow up with your doctor
Doctor :   and be on regular supplemental dose for maintainance
User :   but last i checkd wsa last week and it was normal
Doctor :   once you reach optimal levels, the doses should be continued as maintenance dose
Doctor :   that can be given once in a month or once in 3 months
Doctor :   to resolve your symptoms
User :   but those injections are too painful, is there any other way out
User :   dr. AAAAAAA .. are u in india or somewhere else... and are u really a doctor... i mean ,dont mind, just checking... what is ur specialization
Doctor :   get a HbA1C (gycosylated hemoglobin) levels checked, it will show sugar levels
Doctor :   I am a qualified and registered medical practitioner. I can send you my degree certificate copy by email. It will be up to you to decide whether you would like to follow our suggestions or not. and yes, I am from India.
User :   no ,im sorry ,didnt mean to offend u.. but had to ask....
Doctor :   it is fine. you can continue the discussion if you feel fine
User :   is HbA1C (gycosylated hemoglobin) for checking diabetes
User :   what will this test mean if it is put of naormal range
User :   i mean out of normal range
Doctor :   yes, if it shows that your sugar levels were not controlled well
Doctor :   then you might need to get a GTT test done
Doctor :   to see the insulin response from your body to sugar
User :   waht is that
Doctor :   it is a special test done to look for diabetes
User :   is gtt oral glucose test...
Doctor :   yes, it is an oral glucose test
User :   coz i had it done 2 months back and it was normal
Doctor :   was the blood sample taken every half hours after glucose ingestion for next 4 times?
Doctor :   since the problem is recurring , you should get the HbA1C test done first
Doctor :   if needed the GTT can be rtepeated
Doctor :   or a midnight glucose test be done to see fluctuation in sugar levels while you sleep since your symptoms are mostly at night
User :   yes.. the blood and urine was taken every half hr 4 times.
Doctor :   ok
User :   how will midnight glucose test be feasible as who will draw blood at that time.
User :   no symptoms ar in day also but more acute at night
Doctor :   you will need to be admitted under observation in hospital for this test
User :   oooh thats scary
Doctor :   no, it is not. it is to find out the cause.
Doctor :   some people have this problem with being diabetic
Doctor :   with major sugar fluctuations ta night alone
Doctor :   *at night alone
Doctor :   have you followed what I have said?
User :   ok , bt correct me if i am worng, sugar fluctuatuion has other symptoms like sweating, weight gain, frequent urination etc...i dont have any of that
Doctor :   yes they are there, but present in people with overt diabetes who have high sugar levels almost all the time
Doctor :   in them the levels will not fluctuate more during day except after meal time
Doctor :   is there anything else I can help you with?
User :   ok , dr. XXX ,thanx for ur time and advice.... can i come back to forum if i have more questions.....will u be around or i will have a new doctor.
Doctor :   thanks for consulting me. bye for now.
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