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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What does sharp pain in the feet while suffering from pre diabetes indicate?

I have had pre-diabetes for several years. In the last couple of months I noticed some occasional quick, sharp pains in my feet, and some other longer lasting pain in my feet. I more recently (last few weeks) noticed some occasional tingling in my feet. I also have gout (diagnosed about three years ago) and last week had pain by my left big toe that kept me awake all night. My main question is ..... do I definitely have diabetes because of the sharp and tingly feelings I have had in my feet? Is this nerve damage in my feet? Can I get rid of the sharp and tingly feelings I have in my feet? Or does that not go way once you get it. I am a 70-year-old female, 5 8 tall, weigh 243 lbs. My A1C has been gradually increasing over the past few years, to about 117 last August. My doctor has been telling me to lose weight for years. I have an appointment with my PCP on February 2 with blood work. Thank you.
Mon, 30 Apr 2018
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General Surgeon 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

Since your HbA1c is increasing, you could be having diabetes. However, you were having a pre-diabetic state for many years. Hence you would have developed Diabetic Peripheral Neuropathy, which is the cause of pain and tingling in your feet and possibly in the legs too.

Please get a complete checkup for Diabetes, Blood sugar fasting, 2 hours after foot and HbA1c. Also, please get a Nerve conduction test, of your lower limbs which will diagnose the peripheral neuropathy.

Your doctor can then correctly manage the Diabetic state and also give you medication for the Peripheral diabetic neuropathy. Also please keep the skin of your feet soft, and the most cost-effective skin softener is Vaseline.

Moreover, please see to it that you always wear soft, pressure distributing insole footwear at all times. Materials like Poron, Silicon, Plastazote, EVA are appropriate.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Ajit Kumar Varma
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