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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Diabetes Leg Pain And Cramps

I m a diabetic first cramping in the bottom of both feet, and then sharp pain in left inner thigh down to my feet. I was in tears,It felt like a major charley horse . I couldn t stand on it . for 10 or 20 minutes of pain. This morning the area is really sore. Im a childcare person.
Mon, 20 Apr 2015
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Diabetologist 's  Response
Hi,
After going through your case, there is possibility of diabetic sensory (painful) neuropathy.

I want to know -
1) Your age & Duration of diabetes.
2) Current diabetes control (BSL, HbA1c level)
3) Any associated High BP, Cholesterol problem.
4) Habits like smoking.

I would like to advise you -
1) Strict diabetes control, regular blood sugar level monitoring, HbA1c level.
2) Regular BP control.
3) Keep cholesterol level under control.
4) Avoid smoking.
5) Check vitamin B12, D3 level and correct it if any deficiency .
6) Check renal function test, liver function test.
7) Consult your diabetologist and get done detailed foot examination.
8) Depending upon your clinical examination there may be need for arterial doppler of lower limbs to assess blood suply.
9) Short term use of renal safe pain killer medicine may be used.
10) For long term medicine like pregabalin, amitryptilin, duloxeitin may be useful.
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Suggest Treatment For Diabetes Leg Pain And Cramps

Hi, After going through your case, there is possibility of diabetic sensory (painful) neuropathy. I want to know - 1) Your age & Duration of diabetes. 2) Current diabetes control (BSL, HbA1c level) 3) Any associated High BP, Cholesterol problem. 4) Habits like smoking. I would like to advise you - 1) Strict diabetes control, regular blood sugar level monitoring, HbA1c level. 2) Regular BP control. 3) Keep cholesterol level under control. 4) Avoid smoking. 5) Check vitamin B12, D3 level and correct it if any deficiency . 6) Check renal function test, liver function test. 7) Consult your diabetologist and get done detailed foot examination. 8) Depending upon your clinical examination there may be need for arterial doppler of lower limbs to assess blood suply. 9) Short term use of renal safe pain killer medicine may be used. 10) For long term medicine like pregabalin, amitryptilin, duloxeitin may be useful.