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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Abdominal Pain And Burning Feet With Diabetes

Is Type -I Diabetes or IDDM cureble? My wife is around 37 yrs old now. She is on Inj. Insulin 30/70 since Jan, 2005. She was in Coma in Jan, 2005 with Sugar 618(Rendom). Initialy dignosed Diabetic in Dec, 2004. No family history in both family at all. She is slim in body physic. Her sugar flactualtes very frequently every day. Some times very Hypo. even like 28-56 and Hyper to 300-500 even with all diabetic diet precautions. During last these years she was admitted to different Hospital 3-4 times for complaints like-Pain Abdomen, severe Headache, Giddiness, pain in both lower limbs with burning feets. Kindly advise. I shall be very thanlful to you sir.
Fri, 22 Aug 2014
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Internal Medicine Specialist,  's  Response
Hello,
I understand the difficulty you and your wife are facing. As of now there is no cure for diabetes. However I feel that such wide fluctuations can be reduced. In my practice, if a patient develops such wide fluctuations, I change the mixtard. What I advise my patient would be a long acting insulin analog like Lantus at bed time and a short acting analog before each meal. You could discuss this with her doctor.
Ketoacidosis may be the cause of the abdominal pain if it is related to high blood sugar. Intense hunger occurring during low sugar period also may present as abdominal pain. There are also other rarer causes and I do not want to confuse you. The burning in the feet is due to neuropathy. Local applications containing capsaicin is helpful to many of my patients. If that does not give adequate relief I prescribe a medicine called Gabapentin. You could discuss this also with her doctor. There are other medicines also which would help her. So don't be disheartened.
If I can be of any help in the future, please do not hesitate to contact.
I wish your wife all the best.
Dr. Noble Zachariah M.D.
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Suggest Treatment For Abdominal Pain And Burning Feet With Diabetes

Hello, I understand the difficulty you and your wife are facing. As of now there is no cure for diabetes. However I feel that such wide fluctuations can be reduced. In my practice, if a patient develops such wide fluctuations, I change the mixtard. What I advise my patient would be a long acting insulin analog like Lantus at bed time and a short acting analog before each meal. You could discuss this with her doctor. Ketoacidosis may be the cause of the abdominal pain if it is related to high blood sugar. Intense hunger occurring during low sugar period also may present as abdominal pain. There are also other rarer causes and I do not want to confuse you. The burning in the feet is due to neuropathy. Local applications containing capsaicin is helpful to many of my patients. If that does not give adequate relief I prescribe a medicine called Gabapentin. You could discuss this also with her doctor. There are other medicines also which would help her. So don t be disheartened. If I can be of any help in the future, please do not hesitate to contact. I wish your wife all the best. Dr. Noble Zachariah M.D.