Diabetic Neuropathy

Diabetic neuropathy is a type of nerve damage seen in diabetic patients. The nerves of the legs and feet are affected commonly. The symptoms are pain, weakness, and numbness in the legs. Peripheral neuropathy, which affects the legs, is the most common type of diabetic neuropathy, and there is no cure for it.

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My 51-year-old diabetic mother has numbness in her legs and pain in her feet. What is the reason?

Query: Hello doctor, My mother is 51 years old, and she has diabetes. She was diagnosed with diabetes ten years ago. Last year, she started to feel numbness in her legs. Her sugar level was 340 to 400 mg/dL. After changing the medicines, her sugar level is 160 to 180 mg/dL. The numb feeling in her legs is ...  Read Full »


Dr. Arpit Varshney

Answer: Hello, Welcome to icliniq.com. I have read your concern in detail, and I will surely help you. The numbness and pain are caused by diabetic neuropathy. It is a complication of diabetes commonly seen in patients with long-standing uncontrolled sugar levels. The sugar gets deposited on nerves, thu...  Read Full »

How to treat the nerve pain in the foot of my mother, who is diabetic?

Query: Hello doctor, My mom is diabetic for last 11 years. She is on insulin for the last six years. Now, she is not feeling well, as she has a nerve pain in her foot and ankles. The skin of her foot is getting rough from the last year. She is losing her appetite and is very weak. She is currently on Novo...  Read Full »


Dr. Shaikh Sadaf

Answer: Hello, Welcome to icliniq.com. I read your query about your mother and saw her reports (attachment removed to protect patient identity). It appears that she has uncontrolled diabetes as well as diabetic neuropathy. I would suggest adding the following to her existing medications: Tablet Vildagliptin...  Read Full »

My penis, when erect, is not as hard as it used to be. Please help.

Query: Hi doctor, I am a 50 year old male, and I am diabetic. From the last year, my penis when erect is not as hard as it used to be. Please help.  Read Full »


Dr. Ashaq Hussain Parrey

Answer: Hello, Welcome to icliniq.com. I went through your post. One of the manifestations of diabetic neuropathy is erectile dysfunction. You will need good blood sugar control and try neurotropic drugs. You can also discuss with your endocrinologist or physician who is treating your diabetes regarding pho...  Read Full »

Why do I suffer from numbness and itching in my hands?

Query: Hello doctor, I am suffering from anxiety and depression from past few years. I took various antidepressants. Now I am taking Vilazodone, one tablet in the morning and Lonazep 0.25 mg from last ten days. But I am having breathlessness and palpitations when I do any small physical activity and irrit...  Read Full »


Dr. Ashok Kumar Choudhary

Answer: Hello, Welcome to icliniq.com. I am sorry to know that despite the best efforts you are not responding with current antidepressants and there are active symptoms. I suggest the following treatment given a diagnosis of diabetes with depression. Tablet Duloxetine (Duzela M) 30 mg in the morning and 30...  Read Full »

How do we manage neuropathy in diabetic patients?

Query: Hi doctor, My mother is a 55-year-old female who took her first dosage of the vaccine before 25 days. Now she suffers from hand and leg pain on the side the vaccine was taken. She is not having a proper sleep because of this pain. If the spray is used, she is getting relief, but the pain is once ag...  Read Full »


Dr. Nageswara Rao

Answer: Hi, Welcome to icliniq.com. Which part exactly is she having pain? Pain may be due to neuropathy or reduced Calcium and Vitamin D (possibly). In diabetics, it is more likely to be neuropathy. Therefore, she needs Calcium supplements and high-dose Vitamin D. I suggest her with: Tablet Shelcal ...  Read Full »

Why does my diabetic mother have a numb feeling in her lower limbs?

Query: Hello doctor, However, my mother is a known diabetic, defaulted in her medication, leading FBS (fasting blood sugar) level of 17 mg/dl and causing severe weight loss and cataract. She was placed on Insulin Aspart (Novomix), which she took for two months. However, after every insulin injection, she...  Read Full »


Dr. Zulfiqar Ahmed

Answer: Hello, Welcome to icliniq.com. You mentioned 17 mg. Maybe you are confused and should be 17 mmol, I think. Maybe pain is due to the nerve, which may hit accidentally during injection, especially as your saying it is radiating pain. It may be sharp and like an electric current. If so, she can take ...  Read Full »

Which is better for diabetic neuropathy, Gabapentin or Pregabalin?

Query: Hi doctor, I am a 52-year-old male with a weight of 80 kilograms. I am diabetic. My doctor advised me to take Gabapentin NT 400 for neuropathy. Previously, I was taking Pregabalin 150 mg. On seeing some reviews online, I found that ninety percent of patients are against taking Gabapentin. It causes...  Read Full »


Dr. Anshul Varshney

Answer: Hi, Welcome to icliniq.com. Gabapentin is more potent than Pregabalin. It is an excellent drug. The possible side effect is dizziness. As you have taken Pregabalin 150 mg previously and so Gabapentin suits you. Gabapentin NT contains Nortryptilline which helps with neuropathic pain. Most of the di...  Read Full »

Why do I have severe toe burning after getting diabetes?

Query: Hi doctor, I am suffering from severe and continuous toe burning for the last two years. It spread up to the middle of the feet. After 30 to 45 minutes of walking the burning becomes more intolerable. I wake up in the night due to disturbed sleep. My age is 69 years, and weight is 83 kg. I am diabet...  Read Full »


Dr. Anshul Varshney

Answer: Hi, Welcome to icliniq.com. We are here to help you. It seems that you have been suffering from diabetic neuropathy. However, I would like to exclude vitamin B12 deficiency as well as high uric acid before stating this. So, I would like you to get the following investigations. Serum vitamin B12 ass...  Read Full »

What causes crawling and burning sensation on the hands and feet of a diabetic patient?

Query: Hello doctor, My wife is 70 years old. She has type II diabetes for 17 years. She takes Glycomet 500 mg twice a day and no insulin. Her glucose levels are always within normal levels. Her HbA1c is 6. In all these 17 years, her HbA1c never crossed 6.5 but oscillated between 5.4 to 6.4. Of late, fo...  Read Full »


Dr. Abhaya Kant Tewari

Answer: Hello, Welcome to icliniq.com. The facts are that she has diabetes for 16 years and is well controlled. She has long-standing cervical spondylitis. There are pain and burning sensation in the left forehand only. Diabetic Nephropathy causes various types of neuropathy, most commonly distal motor ...  Read Full »

What could cause pricking and itching sensation on the legs of a diabetic patient?

Query: Hello doctor, I have a severe pricking sensation between my toenails. I also have an itching sensation radiating up to my leg. Almost I feel like something is crawling up. I have been on oral anti-fungal Terbinafine for two months and also applying a topical anti-fungal. I see no changes in my symp...  Read Full »


Dr. Sneha Mariam Varghese

Answer: Hello, Welcome to icliniq.com. I understand your concern, and from your history, it looks like you could be having, 1. Fungal infection, which is having delayed healing due to prolonged uncontrolled sugar levels. 2. Scabies, which are unlocked as inter-toes, are the only sites with other t...  Read Full »

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