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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Numbness In Feet. Prediabetic, Fasting Sugar Level Is 122. Glimy 1 Mg Taken. Neugaba M 75 Recommended. Suggestions?

Have numbness in my both my feet for the last few years and now it is getting worse I am 70 years old and was pre diabetic but now my fasting sugar level is 122 after taking half of Glimy 1mg and after food is 113 my feet are killing me so the doctor has recommended Neugaba -M 75 mg to take in the night for pain and to get some sleep which is my main trouble ..please help me to get relief from sleepless nights.. Thank you .
Fri, 26 Apr 2013
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General & Family Physician,  's  Response
Hello,
You seem to have developed diabetic neuropathy,although there may be some additional deficiency of VIT B 12, which also tends to cause or aggravate the symptoms of peripheral neuropathy.
Diabetic neuropathy affects all peripheral nerves including pain fibers, motor neurons and the autonomic nervous system.
These symptoms evolve over a period of many years of neglect and uncontrolled diabetes.

Although there has been considerable advances in the understanding behind the development of neuropathy but their treatment has been limited.
Along with a meticulous and tight control of blood sugar levels,treatment is aimed at reducing pain and other associated symptoms.
This is achieved by use of antidepressants like DULOXETIN ,use of anticonvulsant like PREGABALIN and a long acting opioid like TAPENTADOL.
You must also take some injections of VIT B 12,along with the treatment advised and see the response.
You must discuss with your doctor to use these drugs singly or in different combinations.
I hope it helps.
Thanks
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Numbness In Feet. Prediabetic, Fasting Sugar Level Is 122. Glimy 1 Mg Taken. Neugaba M 75 Recommended. Suggestions?

Hello, You seem to have developed diabetic neuropathy,although there may be some additional deficiency of VIT B 12, which also tends to cause or aggravate the symptoms of peripheral neuropathy. Diabetic neuropathy affects all peripheral nerves including pain fibers, motor neurons and the autonomic nervous system. These symptoms evolve over a period of many years of neglect and uncontrolled diabetes. Although there has been considerable advances in the understanding behind the development of neuropathy but their treatment has been limited. Along with a meticulous and tight control of blood sugar levels,treatment is aimed at reducing pain and other associated symptoms. This is achieved by use of antidepressants like DULOXETIN ,use of anticonvulsant like PREGABALIN and a long acting opioid like TAPENTADOL. You must also take some injections of VIT B 12,along with the treatment advised and see the response. You must discuss with your doctor to use these drugs singly or in different combinations. I hope it helps. Thanks