I am diabetic and have cold toes and feet with sweating. Why do I get this?

Question

Hello doctor,

I am 66 years old with a height of 5' 7" and a weight of 158 pounds. I have had diabetes since 2009 and hypothyroidism since 2011. I am taking Janumet (50/500) BD and Thyronorm (75) OD. My blood sugar is 105 to 111 mg/dL, HbA1c is 6.7%, TSH is 1.93 mIU/L, and Hb is 11.9 g/dL. My lipid profile is normal.

Serum creatinine is 1.16 mg/dL. My diabetes has been under control by medicines since inception. My BP is 125/82 mmHg. Temperature is 98.0°F. Sometimes I feel cold in my toes, even when my feet are sweating.

Can you suggest some remedies?

Answer 1

Hi,

Welcome to icliniq.com.

HbA1c (glycated hemoglobin) is still on the higher side. It should be below 6% to be normal. Do regular testing of FBS (fasting blood sugar) and PPBS (postprandial blood sugar) to monitor the blood sugar levels. Coldness in feet can be due to less blood supply to feet, which can happen in case of any clot in blood vessels.

Peripheral neuropathy is also common in diabetes, which can lead to less sensation in feet. I would suggest you undergo a color Doppler leg to rule out any clot. Take a tablet of Gabapentin once daily; you can start along with previous medicines.

I hope this helps.

Answer 2

Hi,

Welcome back to icliniq.com.

The only thing you can do to prevent peripheral neuropathy is to keep blood sugar under control. And daily examination of feet and legs to check for an ulcer or injury. Daily walk for 30 minutes.

I hope this helps.