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Diabetes, diagnoisis shows diabetic neuro due to leg problem, wears MCR chappals,pains when walks bear foot, - Online Doctor Chats

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

General & Family Physician
Practicing since : 2009
Answered : 352 Questions
Doctor :   Hi
Doctor :   How can I help you?
User :   Hi Dr.
Doctor :   Proceed with your query.
User :   Sir, I am a diabetic since about 15 years and I am 52 now
Doctor :   Ok
User :   One year I have been diagnised with diabetic Nuro due to leg problem
User :   since then I am wearing the MCR chappels
Doctor :   Ok
User :   Now my leg pain more or less gone and I am not under any medication for leg pain
Doctor :   Ok'
User :   But I am getting the pain if I walk in a bear foot and I am finding probelm when I visit to temple or any holy function at home,
User :   where I need to walk bear foot
Doctor :   Ok'
User :   Doctor do I have any remedy to reverse from this problem
User :   if yes what is the action to be taken sir
Doctor :   You mentioned that you suffer from diabetic neuropathy - may I know since when has this been diagnosed?
User :   last one year
Doctor :   You mentioned that recently you have problem while walking bear foot - can you describe what exactly you meant by this problem?
User :   If I remove my shoe to walk or even to stand I will have pain in area below my feet
Doctor :   Ok
User :   Hence I am using the slippers even in a home
Doctor :   Are you able to feel the ground while you walk?
User :   Yes sir
User :   But even smalest stone will hurt me badly
Doctor :   Ok
Doctor :   Is your sugar under control?
User :   Yes sir it will be around 150 to 200 any time
Doctor :   let me explain to you.
Doctor :   Ok
User :   please sir
User :   sir are you there?
Doctor :   I am sorry.
User :   it is okay sir
Doctor :   The pain you suffer from is probably related to diabetic neuropathy.
Doctor :   It is difficult predict the severity of the problem without a physical examination.
User :   ok sir
Doctor :   This condition are controlled by using appropriate medications.
Doctor :   The medications that are used for these conditions are tricyclic antidepressants, milder forms of anticonvulsants, gabapentins and others.
Doctor :   I am not aware of what you are presently on.
Doctor :   However since you report that your symptoms are better, you may need to report back to your doctor.
User :   I am not under any medication for this problem sir
Doctor :   If you are not under any medications, then I feel you may need one.
User :   What is this probelm and is there any permanant cure for this or I need to manage for ever sir?
Doctor :   A neurologist after evaluation will be able to suggest you one of these pills, which may have to be taken for a some time.
Doctor :   You should be better with this.
Doctor :   As far as finding a permanent cure,
User :   yes sir
Doctor :   Diabetic neuropathy is a condition where there is damage of the small nerves of the skin.
Doctor :   This damage is caused by high blood sugars.
User :   yes sir
Doctor :   Though it is difficult to reverse the damage done, using multivitamin pills and vitamin rich pills,
Doctor :   some amount of damage can be prevented.
Doctor :   * I mean reversed.
Doctor :   Hence increase fruits and vegetable in your diet.
User :   yes sir
Doctor :   Along with this you may use multivitamin pills such as Cap Unicobal plus one pill a day for 1 month.
Doctor :   The next important principle behind treatment is preventing further damage.
User :   Sir I am using "BECADEXAMIN" OF Glaxo
User :   I am using this tab last one week and this is using by my friend since many year and finding very satisfied and this is not priscribed by a Dr
Doctor :   This is a mulitvitamin pill.
Doctor :   You may use them,
User :   yes sir
Doctor :   Continuing further, the second principle is preventing further damage,
User :   yes sir
Doctor :   this is achieved only if you can keep your sugars under control
Doctor :   Hence follow up with your diabetologist.
Doctor :   Regular antidiabetic medication and diabetic diet to be followed strictly.
Doctor :   Get your sugars checked regularly.
Doctor :   Hba1c test need to be done once in every 3-6 months.
Doctor :   They will help in knowing if your sugars are undercontrol.
User :   Sir what is Regular antidiabetic medication and it is required daily
Doctor :   By anti diabetic medication, I meant your diabetes treatment medications.
Doctor :   Follow up with the advise suggested by your diabetologist and keep your sugars under control.
User :   yes sir
Doctor :   The third principle behind treatment control of the symptoms.
Doctor :   This is achieved by use of medications.
Doctor :   They can be prescribed by a neurologist or an expert in neurology.
User :   yes sir
Doctor :   Those medication when used regularly will reduce the symptoms.
Doctor :   Finally, you will have to watch out for few symptoms.
Doctor :   Symptoms such as development of weakness - inability to grip sandal, inabilty to feel the ground while walking and so on.
Doctor :   If such symptoms develop you will have to report back to your doctor.
User :   yes sir
Doctor :   More aggressive treatment in the form of steroids and other measures will be necessary then.
Doctor :   Have you followed what I have suggested?
User :   yes sir
Doctor :   Do you have any other query?
User :   Sir, finally with my good diet, walk and medication for diabetic, if I control my sugar can I come out from the present problem?
Doctor :   Your symptoms should be better with these measures.
User :   and is there any harm using BECADEXAMIN" OF Glaxo for long duration sir
Doctor :   Very rarely people can worsen and develop neurological deficits needing aggressive treatment.
User :   and is there any harm using BECADEXAMIN" OF Glaxo for long duration sir
Doctor :   Becadexamin is a multivitamin pill.
Doctor :   They are nutritional supplement which do not cause any problems when used as advised that is one pill a day.
Doctor :   Having said this very few people develop toxicity when the dose is exceeded.
Doctor :   Just a single pill is safe.
Doctor :   No complications or side effects are expected.
User :   Yes sir and thank you sir
Doctor :   Do you have any other query?
User :   no sir thanks
Doctor :   Thanks for consulting me.
Doctor :   Bye for now.
Doctor :   Have a nice day!!!
User :   thanks and same to you sirwears
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