HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

What Causes Pain In Bottom Of The Feet While On Metformin For Diabetes?

Posted on Tue, 31 May 2016

Question: Diabetic put on 2000 mg Metformin since last year. But for past few weeks I am having pain in the bottom of my feet.

Answered by Dr. Shehzad Topiwala (4 hours later)

Brief Answer:
Diabetes Thyroid

Detailed Answer:
The pain in the bottom of your feet could be due to nerve problems associated with diabetes. It is referred to as 'Neuropathy'
This diagnosis requires a thorough in-person examination.

Moreover, before attributing the pain to diabetes, it is important to rule out other causes of neuropathy such as vitamin B12 deficiency.

When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:

CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your 3 month glucose average)
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH
Free T4
Anti Thyroid Peroxidase (TPO) antibodies
Anti Thyroglobulin antibodies
Vitamin B12 levels
25 hydroxy Vitamin D

None of these tests require any fasting and can be done at any time of the day

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Shehzad Topiwala (16 hours later)

Hi Dr. Topiwala:

Thanks a lot for your response. Please find attached my Lab Report as of March 4, 2016. Also, as the PSA level was high the Doctor recommended an Ultrasound of my prostate.

The prostate measures 3.0x2.9x3.4 cm.
There is a large Hyperechoic structure in the prostate gland measuring 2.3x1.0x2.6 cm
The prevoid bladder measures 8.6x7.6x8.0 cm
The post void bladder measures 3.8x3.5x4.7 cm

Sir, is there any cause of concern?

Hi Dr. Topiwala:

For past few weeks, I have been having urgency and more frequency to pee. Also, I have some pain in my stomach.

I am feeling very low on energy and concentration.

Kindly advice.

Regards,
XXXXXXX XXXX

Answered by Dr. Shehzad Topiwala (1 hour later)

Brief Answer:
Follow up

Detailed Answer:
You will need to consult a Urologist for the prostate and urine related symptoms.

You will also benefit from the services of an endocrinologist because your

A1c is not at goal

TSH is low

LDL cholesterol is high.

These can be improved with a comprehensive in-person assessment and proper treatment

Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar