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HomeAnswersDiabetologyblood sugar levelsI have pain and tickling sensation at the bottom of my feet with improper sleep. Please help.

Can the pain in the feet and numbness be caused due to diabetes mellitus?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Preetha. J

Published At November 15, 2021
Reviewed AtDecember 28, 2023

Patient's Query

Hi doctor,

I have pain in the bottom of my feet. It feels stuck and tickling. I am not able to have a proper sleep and feel sleepless.

Hi,

Welcome to icliniq.com.

I went through your reports (attachment removed to protect patient identity). Everything is normal except your blood sugar levels, and also you have a mild urinary infection. That is a good sign. But your sugar levels are very high, and you should control that with medicines, proper diet and exercise, mainly through walking. You are having pain in your feet, numbness, etc., only because your sugar is not controlled. You have to follow a strict diabetic diet. Also, you should do brisk walking daily for one hour. You can do some simple exercises or yogas. What all medicines are you taking? Your medicine dosages are also not correct. You have to adjust your medicine to reach your fasting blood sugar level below 110 mg/dL and postprandial below 160 mg/dL. At least try to bring them as closely as possible to normal. For that, you will need regular consultation and advice. Also, it would help if you had proper guidance about your diet. You have to take some vitamin supplements for your feet problem. You have to reduce your weight also to some extent. Please fix up an appointment with me through icliniq so that I can give you proper instructions. Take care. Regards.

Patient's Query

Hi doctor,

Thank you for your reply. Which medicine is best for reducing Diabetes?

Hi,

Welcome back to icliniq.com.

There are numerous types of medicines for controlling Diabetes Mellitus (DM). You have to undergo further blood tests to see your kidney and liver functions. Only then we can decide upon the medication. If you have not taken any medicines till now and are starting for the first time, you have to undergo complete screening. That includes other than the tests you have already done, Liver function tests, renal function tests, ECG (Electrocardiography), CBC (complete blood count), HBA1C (glycated hemoglobin), Serum electrolytes, USG (Ultrasonography) abdomen and pelvis, Eye tests ESPY retinal examination, Urine routine examination and microalbumin test and arterial doppler of both legs (optional now, to see if the blood supply to your legs is reduced). Only after doing these basic tests, we start medicines for DM. Along with that, I advise proper diet and exercise. Please do these tests and get back to me to decide upon the medicines scheme to control your blood sugar. Regards.

Same symptoms don't mean you have the same problem. Consult a doctor now!

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Dr. Radha Peruvemba Hariharan

Diabetology

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