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Suggest Treatment For Diabetic Neuropathy

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Posted on Mon, 25 Apr 2016
Twitter Mon, 25 Apr 2016 Answered on
Twitter Sat, 11 Jun 2016 Last reviewed on
Question : Hello dr. My relative lady is 86 years old. Taking metformin 250 twice a day her hba1c is 6.5. Shes suffering from diabetic neuropathy. What shd she take
doctor
Answered by Dr. Ajay Panwar (16 minutes later)
Brief Answer:
Pregabalin/Methylcobalamin-strict blood sugar control.

Detailed Answer:
Hi XXXX,
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.

If you would have presented to me as an outpatient, I would have told you that main line of management of diabetic neuropathy is-
1)Strict diabetes control to prevent further progression of the disease
2)Antineuralgic medicines-like pregabalin,gabapentin
3)Methylcobalamin supplementation
4)Physical rehabilitation

However,I would like to know her symptoms so that I can tell you about the treatment accordingly-Is she having pain?or weakness? or sensory symptoms? or bladder/bowel symptoms?
Treatment is actually tailored according to the symptoms.

Hope that helps.I shall be glad to have you in follow-up with further questions.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ajay Panwar (1 minute later)
Shes taking gabapin twice a day. Her b12 is 1000. She takes nerobion too. But she sufferes from numbness in legs and hands and pain. What can she take or apply?
doctor
Answered by Dr. Ajay Panwar (18 hours later)
Brief Answer:
For how long he is taking Gabapin?

Detailed Answer:
Hi XXXX,
Thanks for being in follow-up.

Gabapin along with methylcobalamin should bring improvement in symptoms.Symptomatic improvement may take a few weeks time.

For how long he has been taking Gabapin now?

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ajay Panwar (2 hours later)
Shes taking gabapin 300 since more that 2 years. Her mejor prob is numbness,shooting pain and loss of sensation. Is there any pain reliver cream or tab or oil to bring sensation back or to reduce pain Dr
doctor
Answered by Dr. Ajay Panwar (13 hours later)
Brief Answer:
Amitriptyline/Duloxetine/capsaicin patch

Detailed Answer:
Hi XXXX,
Thanks for being in follow-up.

In that case,I suggest that she should be put on alternative anti-neuralgic medicines like amitriptyline or duloxetine. Further,Capsaicin patches can also be applied.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Ajay Panwar

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Suggest Treatment For Diabetic Neuropathy

Brief Answer: Pregabalin/Methylcobalamin-strict blood sugar control. Detailed Answer: Hi XXXX, Thanks for being on healthcaremagic.com. I am Dr.Ajay Panwar,a neurologist,here to answer your query. If you would have presented to me as an outpatient, I would have told you that main line of management of diabetic neuropathy is- 1)Strict diabetes control to prevent further progression of the disease 2)Antineuralgic medicines-like pregabalin,gabapentin 3)Methylcobalamin supplementation 4)Physical rehabilitation However,I would like to know her symptoms so that I can tell you about the treatment accordingly-Is she having pain?or weakness? or sensory symptoms? or bladder/bowel symptoms? Treatment is actually tailored according to the symptoms. Hope that helps.I shall be glad to have you in follow-up with further questions. Regards Dr.Ajay Panwar, MD,DM(Neurology)