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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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 »

Why do I get pinching effect on my left foot during sleep?

Query: Hello doctor, I am a diabetic. Nowadays, I get a pinching effect on my left foot after one or two hours, I started sleeping. Please help.  Read Full »


Dr. Hitesh Kumar

Answer: Hello, Welcome to icliniq.com. I would like to know some details about your symptoms. Since when you have diabetes? What exactly happens in the pinching effect in your left foot? Please describe in detail what exactly you feel? Is it pain, tingling, pinprick sensation, stretching sensation, vibra...  Read Full »

Are people with long-term diabetes more prone to neurological and psychological problems?

Query: Hello doctor, My mother has long term diabetes for almost 40 years. She has walking difficulties for the last eight years. Initially, her walking becomes slow, and then she cannot move her feet. And now she cannot sit or stand by herself. She has no strength in her waist that she cannot sit without...  Read Full »


Dr. Hitesh Kumar

Answer: Hello, Welcome to icliniq.com. Possibly she might be having combination of multiple factors/reasons for her symptoms: 1. Diabetic peripheral neuropathy. 2. Vascular dementia (?Binswanger's disease). 3. Behavioral and psychological symptoms of dementia (BPSD). 4. Cervical PIVD (prolapsed ...  Read Full »

Do all the diabetics develop diabetic neuropathy?

Query: Hi doctor, Can you tell me, do all the diabetics develop diabetic neuropathy? My relative is 25 and just got diagnosed with type 2 diabetics. Will she definitely develop neuropathy. Can you also tell me the estimates of the number of diabetics developing it? She is diabetic but is not a BP patient.  Read Full »


Dr. Prabhakar Laxman Jathar

Answer: Hello, Welcome to icliniq.com. Almost all the people having diabetes will sometime during the course of the disease will develop diabetic neuropathy. The reason is damage to microvasculature (small blood vessels supplying the nerves) get affected. Even with fairly well controlled diabetes this doe...  Read Full »

What can we do for faster recovery of diabetic foot ulcer?

Query: Hello doctor, My mother is 53 years old  and she weighs 60 kg. She has fell down and tried home remedy for foot but, the foot has become worse. Now she is hospitalized. Her sugar level was 295 on the first day and now they have controlled it with insulin and today her sugar level is 180. What can w...  Read Full »


Dr. Hariharan V

Answer: Hello, Welcome to icliniq.com. From the pictures, it is a clearly indicative of diabetic foot ulceration (attachment removed to protect patient identity). Since she has uncontrolled diabetes, the nerves and blood vessels to the foot have been affected and have become ulcerated. The depth of the wo...  Read Full »

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