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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Peripheral Neuropathy In A Diabetic Person

I am 70 years old. Male. Always athletic. Very active. Recently lost forty pounds and my diabetes has all but disappeared, but my feet seem to be number than they have been --which I have always assumed was peripheral neuropathy. Balance problems, also. Need for thyroid med sometimes indicated by blood tests. I m concerned about the numbness in the feet. I take Alpha Lipoic Acid, which seems to help. Any suggestions? Am I looking at foot amputation?
Thu, 27 Aug 2015
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General & Family Physician,  's  Response
Hi!

Welcome to health care magic!

I am Dr. Saddiq Ul Abidin. I have read your problem in detail and will try to help you in best way possible.

The issue of numbnes alongwith diabetes makes peripheral neuropathy most likely. Also the balance problem can be due to autonomic neuropathy aka loss of automatic control of blood pressure changes with posture.

Good control of diabetes, regular followup, use of pregabalins and B12 supplements may help.

Only neuropathy can not make you go to the verge of amputation until there is associated gangrene due to vasculopathy or infected wounds caused by impaired pain and temperature sensations.

You need to take care of your feet like you take care of your face. Use soft, and closed footwear. Careful remove nails without cutting them too deep. Take care of any wound even if it is trivial.

Hope this has answered your query, if you have any more questions, feel free to ask via my profile.

Regards,
Dr. Saddiq Ul abidin.
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Suggest Treatment For Peripheral Neuropathy In A Diabetic Person

Hi! Welcome to health care magic! I am Dr. Saddiq Ul Abidin. I have read your problem in detail and will try to help you in best way possible. The issue of numbnes alongwith diabetes makes peripheral neuropathy most likely. Also the balance problem can be due to autonomic neuropathy aka loss of automatic control of blood pressure changes with posture. Good control of diabetes, regular followup, use of pregabalins and B12 supplements may help. Only neuropathy can not make you go to the verge of amputation until there is associated gangrene due to vasculopathy or infected wounds caused by impaired pain and temperature sensations. You need to take care of your feet like you take care of your face. Use soft, and closed footwear. Careful remove nails without cutting them too deep. Take care of any wound even if it is trivial. Hope this has answered your query, if you have any more questions, feel free to ask via my profile. Regards, Dr. Saddiq Ul abidin.