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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Tingling Sensation In Hands And Feet In A Diabetic Patient?

I am diabetic. I now feel tingling in my feet when I wake up, but upon walking it goes away. I am diabetic for about 28 years. I now get tingling in my feet, hands and head during sleep. It goes away upon waking and getting out of bed. What causes this?
Tue, 7 Feb 2017
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Diabetologist,  's  Response
Hello, Long term diabetes even when it is fairly well controlled does tend to cause peripheral neuropathy affecting lower limbs more often. Most common symptoms of this condition is altered sensation, tingling and numbness plus burning. This happens due to affection of nerve endings due to hyperglycemia. Primary requirement is to achieve strict blood glucose control with fasting maintained around 100 mg, PP 160 to 170 mg & HbA1c%<7. Plus if needed specific drugs like methylcobalamine, foilc acid & lipoleic acid combinations and pragabalin are useful in relieving the symptoms. Thanks.
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What Causes Tingling Sensation In Hands And Feet In A Diabetic Patient?

Hello, Long term diabetes even when it is fairly well controlled does tend to cause peripheral neuropathy affecting lower limbs more often. Most common symptoms of this condition is altered sensation, tingling and numbness plus burning. This happens due to affection of nerve endings due to hyperglycemia. Primary requirement is to achieve strict blood glucose control with fasting maintained around 100 mg, PP 160 to 170 mg & HbA1c% 7. Plus if needed specific drugs like methylcobalamine, foilc acid & lipoleic acid combinations and pragabalin are useful in relieving the symptoms. Thanks.