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Diabetic neuropathy, high BP, depression, anxiety, asthma, diabetes, high cholesterol, pain, tingling in palms, numbness, on amlodipine accord, lergigan for, sobril, zoloft, novorapid flexpen, tegretol retard

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General & Family Physician
Practicing since : 2005
Answered : 466 Questions
54 year old female who has been smoking for 30 years now. Is 163 cm tall, weighs 85 kg.Suffers from High Blood pressure takes Amlodipin Accord 5 mg for that, Depression and Anxiety, takes Lergigan Fore, Sobril 10 mg, Zoloft 200 mg, Asthma, Diabetes type 2, takes Insulatard FlexPen insulin injections 60 units morning and night and if its higher than 10 in the evening she takes NovoRapid FlexPen when needed. She also has high colestrol and is over-weight. Her current problem is that she takes tingling sensations in her hands and palms. Severe pain, stabbing to be exact. Sometimes they go numb and can't hold objects in her hands, they are far too weak. She times her feet and legs cannot work when she goes for a walk. They cut underneath of her. Has dark matches on her knees. The doctor in the e.r says that it might be diabetic neurophaty and was given Tegretol Retard 200 mg
Posted Sat, 14 Apr 2012 in Diabetes
Answered by Dr. Mitaly 27 minutes later
Hi ,

Thanks for posting your query.

The patient suffers from multiple disorders as high blood pressure,raised blood sugar,asthma,depression,overweight,raised cholesterol is present.

Diabetic neuropathy is a common complication of diabetes in which the nerves are damaged due to continuously raised blood sugar.

The classical symptoms are tingling,numbness,pain,in the feet,toes,arms,hands etc.which you are having right now.

It is mainly diagnosed by means of symptoms and physical examination of sugar levels,blood pressure,heart rate,reflexes,sensitivity etc.

The only way to treat neuropathies is to keep Blood Sugar under control and within normal range so that further damage can be prevented.

Some suggestions for you:
1)Keep regular monitoring of blood sugar levels.
2)Do some form of physical activity as a brisk walk in the morning.
3)Have healthy food comprising of low fat,low carbohydrate diet and high fibre diet.
4)Avoid fatty,junk food intake.
5)Restrict smoking,alcohol and caffeine intake.
6)Have more of salads,fruits,soups in diet.

Remember lifestyle modification helps a lot in controlling blood sugar,cholesterol,weight reduction,blood pressure and nerve related symptoms.

For the pain and numbness you can visit a Primary Physician who can prescribe Methyl Cobalamin injections and tablets.Ointments like Flexall and sprays for feet pain.

You can apply Evening primrose oil in the feet as it helps in feet pain.

Hope this answers your query.I will be available for follow up.
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