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Have diabetes type 2. Has leg pain. Prescribed Nimulid. What to do?

My mother she is 78 years now, she has diabetes type 2 some time goes very high as 600 and low as 250 points she is on 24 units insuline daily injection , she has uterus problem, slightly renal problem also, now she has a severe pain at right leg , our doctor suggested Nimulid mr. dosage daily one pill, but after having for four continuous days still she has a severe pain , she is not relieved taking this pill, what to do?
Asked On : Sun, 24 Mar 2013
Answers:  2 Views:  54
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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 and high blood pressure are the most common causes of deranged renal function worldwide.
With the available described symptoms, there could be possibility of diabetic neuropathy.
Presence of pain in lower limb could be due uncontrolled blood sugar.
You should consult with internal medicine specialist/ neurologist and should go for thorough neurological check up.
You should avoid Nimesulide as it may cause further deterioration of renal function.
You should also go for serum lipid profile, electrocardiography, urine routine microscopy, glycosylated hemoglobin (HbA1c).
You should remain in touch with nephrologist.
Take care,
Dr. Mayank Bhargava
Answered: Sun, 24 Mar 2013
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General & Family Physician Dr. Pavan Kumar Gupta's  Response
Your query suggests that your mother is having severe uncontrolled diabetes in spite of taking injectable insulin,kidney impairment which you have not elaborated and severe pain in right leg.
Since I dont know the gravity of kidney involvement ,I can't suggest any pain killer as pain killers are avoided in diabetic nephropathy.In such cases only paracetamol or nimuild can be taken.
The pain in the leg could be because of osteoarthritis hip or knee or it may be due to peripheral neuropathy or may be some other cause.
You must talk to your doctor to find the cause for pain legs and get the required treatment.
You must get the dose of insulin and other anti diabetic drugs revised so that proper sugar co trol is achieved.
Answered: Sun, 24 Mar 2013
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