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How Can Diabetes And Pain In The Legs Be Treated?
Hi, I have type 2 diabetes and have trouble controlling it. I was put on Innovona months ago and after couple months my legs had gotten very sore and hurt bad, where i couldn't even sleep, well I stop the meds and within two days felt 90 % better, but now they want me to take Farxiga, which i hear is the same thing. scared to try? Wondering if they are the same or different?
posted on
Sun, 14 Jan 2018
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Thu, 1 Feb 2018
Answered on
Thu, 1 Feb 2018
Last reviewed on
Hi,
Thanks for your question.
Noted your concern.
Invokana contains Canagliflozin and Forxiga contain Dapagliflozin both are of same class of antidaibetic medicine SGLT2 inhibitor.
It act by excreting extra glucose from body through urine by lowering renal threshold for glucose excretion.
While excreting glucose there may be loss of water and some essential electrolytes like sodium, potassium through urine which may be responsible for leg cramps.
Adequate water intake and regular monitoring for serum electrolytes may help in prevention of these symptoms.
Diabetic neuropathy may also cause these types of symptoms.
In such a case I may suggest-
- Detailed physical examination to assess neuropathy.
- Investigations
Complete Blood Count
HbA1c
Fasting and Post-prandial Blood sugar level.
Renal function test
Liver Function test
Vitamin B12 and Vitamin D level
Urine examination.
Depending upon above evaluation appropriate changes in medicines if required may be suggested.
Hope this helps you.
Thanks for your question.
Noted your concern.
Invokana contains Canagliflozin and Forxiga contain Dapagliflozin both are of same class of antidaibetic medicine SGLT2 inhibitor.
It act by excreting extra glucose from body through urine by lowering renal threshold for glucose excretion.
While excreting glucose there may be loss of water and some essential electrolytes like sodium, potassium through urine which may be responsible for leg cramps.
Adequate water intake and regular monitoring for serum electrolytes may help in prevention of these symptoms.
Diabetic neuropathy may also cause these types of symptoms.
In such a case I may suggest-
- Detailed physical examination to assess neuropathy.
- Investigations
Complete Blood Count
HbA1c
Fasting and Post-prandial Blood sugar level.
Renal function test
Liver Function test
Vitamin B12 and Vitamin D level
Urine examination.
Depending upon above evaluation appropriate changes in medicines if required may be suggested.
Hope this helps you.
I find this answer helpful
Thanks for your question.
Noted your concern.
Invokana contains Canagliflozin and Forxiga contain Dapagliflozin both are of same class of antidaibetic medicine SGLT2 inhibitor.
It act by excreting extra glucose from body through urine by lowering renal threshold for glucose excretion.
While excreting glucose there may be loss of water and some essential electrolytes like sodium, potassium through urine which may be responsible for leg cramps.
Adequate water intake and regular monitoring for serum electrolytes may help in prevention of these symptoms.
Diabetic neuropathy may also cause these types of symptoms.
In such a case I may suggest-
- Detailed physical examination to assess neuropathy.
- Investigations
Complete Blood Count
HbA1c
Fasting and Post-prandial Blood sugar level.
Renal function test
Liver Function test
Vitamin B12 and Vitamin D level
Urine examination.
Depending upon above evaluation appropriate changes in medicines if required may be suggested.
Hope this helps you.
Noted your concern.
Invokana contains Canagliflozin and Forxiga contain Dapagliflozin both are of same class of antidaibetic medicine SGLT2 inhibitor.
It act by excreting extra glucose from body through urine by lowering renal threshold for glucose excretion.
While excreting glucose there may be loss of water and some essential electrolytes like sodium, potassium through urine which may be responsible for leg cramps.
Adequate water intake and regular monitoring for serum electrolytes may help in prevention of these symptoms.
Diabetic neuropathy may also cause these types of symptoms.
In such a case I may suggest-
- Detailed physical examination to assess neuropathy.
- Investigations
Complete Blood Count
HbA1c
Fasting and Post-prandial Blood sugar level.
Renal function test
Liver Function test
Vitamin B12 and Vitamin D level
Urine examination.
Depending upon above evaluation appropriate changes in medicines if required may be suggested.
Hope this helps you.
I find this answer helpful
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