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Suggest Treatment For Pain In The Sole Of The Feet In A Diabetic

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Posted on Wed, 4 Jan 2017
Question: Dear Doctor, I am xxxxxxxxx XXXXXXX from the State of Tamilnadu in XXXXXXX Iam a diabetic on medication for the past 15 years or so.My sugar level used to be very high as I feast on sweets and all sorts of junk food.But since the month of November 2016 I have been cutting down on the intake of food on the advice of my doctor in my hometown, registering a dramatic downswing in the level of blood sugar. For the past 8 days the sugar level has been low; well under control. This morning ie. on the morning of the 8th instant it was a mere 91, two hours after breakfast it was 129, 2 hours after lunch it was 129 and, an hour after that 103. I had my dinner at 8.00 pm, at 11.32 pm it was 133.I think this is OK.
But the the soles of both my feet are very painful. What does it suggest? Is it symptomatic of neuropathy or any other serious malady?Since the sugar level is under control will it vanish or at least subside?Do I need to consult my diabetologist? please write to me. Thank you very much.
doctor
Answered by Dr. Dr. Abhay A Mali (49 minutes later)
Brief Answer:
It may be due to neuropathy.

Detailed Answer:
Hi,

Thanks for your question.
Noted your concern.

First I want to appreciate you for your efforts towards Diabetes control.

Whatever the problem with your foot may be due to diabetic neuropathy (provided there is no swelling or change in skin color). Which may be due to sudden fluctuations in blood sugar levels.
There is very good possibility that your symptoms may disappear with persistent controlled blood sugar levels for a longer period.

During the symptomatic period I may suggest Tablet containing pregabalin at bed time.

Despite of good blood sugar control for 2 to 3 months if your symptoms persists then there may be need for detailed physical examination and further evaluation.

Hope this helps you,

Regards,
Dr Abhay Mali.
Diabetologist.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Dr. Abhay A Mali (36 minutes later)
Thank you dear Dr.Abhay A XXXXXXX for your prompt reply. The soles of the feet swell, but not always
xxxxxxxxxxx XXXXXXX
doctor
Answered by Dr. Dr. Abhay A Mali (17 hours later)
Brief Answer:
Can wait and watch.

Detailed Answer:
Sorry for delayed response.

You may wait and watch.
If the swelling increases or there is change in character of pain or change in skin color consult your doctor immediately.
Hope this helps you.
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Dr. Abhay A Mali

Diabetologist

Practicing since :2006

Answered : 807 Questions

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Suggest Treatment For Pain In The Sole Of The Feet In A Diabetic

Brief Answer: It may be due to neuropathy. Detailed Answer: Hi, Thanks for your question. Noted your concern. First I want to appreciate you for your efforts towards Diabetes control. Whatever the problem with your foot may be due to diabetic neuropathy (provided there is no swelling or change in skin color). Which may be due to sudden fluctuations in blood sugar levels. There is very good possibility that your symptoms may disappear with persistent controlled blood sugar levels for a longer period. During the symptomatic period I may suggest Tablet containing pregabalin at bed time. Despite of good blood sugar control for 2 to 3 months if your symptoms persists then there may be need for detailed physical examination and further evaluation. Hope this helps you, Regards, Dr Abhay Mali. Diabetologist.