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Hand pain, has high sugar level. On sugar medication. Solution?

hi doctor
My mother age is 53, she is a sugar patient, regularly take sugar tablet, five month previoue hand pain effect, no relief till date, we discuss my family doctor, he advice" this pain is normally came every sugar patient , so dont worry continuously take sugar tablet, this pain is decrease few days. so please ask what solution is this pain releaf, ( night time this hand pain is came heavy)
Asked On : Fri, 19 Apr 2013
Answers:  2 Views:  34
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Diseases and Conditions
Internal Medicine Specialist 's  Response
Jan 2013
Thanks for posting your query.
Diabetes is a multi organ disease with involvement of almost all organs of body due to its complications.
Blood sugar both fasting and postprandial must be in controlled range.
Diabetes is due to progressive loss or destruction of beta cells in endocrinal part of pancreas.
With the available describes details, there could be possibility of diabetic neuropathy.
You should consult with internal medicine specialist/ neurologist and should go for thorough neurological check up.
You should also go for complete blood count, nerve conduction studies, glycosylated hemoglobin, 1, 25 dihydroxy cholecalciferol.
She should also take Epalrestat, methycobalamin, pregabalin/ gabapentin, and cholecalciferol sachet.
She should also apply neuro creme at affected site.
Take care,
Dr. Mayank Bhargava
Answered: Fri, 19 Apr 2013
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General & Family Physician Dr. Arif Khan S's  Response
dear Venkat
What your mother is having is Diabetic neuropathy.
if the pain is very severe you can have her take
Tab.Triptomer 10 mg i tab at night
Tab Gabapentin 1 tab at night
she will get symptomatic relief and also dont forget to continue the diabetic management
Answered: Fri, 19 Apr 2013
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