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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Burning Sensation And Itchiness In The Foot While On Insulin?

my wife is diabetic, she also have ashma. prior to her knee replacement she suffer wound ulcer in her leg and took several months to heal before the surgery was performed. everything is okay now and her blood sugar is under control except for some occasional spike though she is taking insulin twice daily. The issue now is having burning foot pain, itchy and swelling find it hard to walk with out the aid of rollator. questions. how she can improve her blood circulation, prevent poor blood circulation, pain and neuropathy.another than these, her knee replacement is a success. she is 78 year old now, is her age a factor.
Wed, 1 Feb 2017
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Diabetologist 's  Response
Hello, In a person with long standing diabetes, peripheral neuropathy does set in, particularly if glycemic control is poor. But even with good control also neuropathy does develop giving rise to burning pain in feet, tingling and even numbness. Itchy feeling is due to improper blood circulation and affection of venous return. Strict blood glucose control is a necessity. Drugs like Methylcobalamine and pragabalin can help in controlling pain in the feet. Strict deitary control, some amount of regular exercise along with glycemic control will help. Age is definitely a factor. Fasting blood glucose should be closer to 100 mg, PP 160 to 180 mg & HbA1c%<7. Thanks
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Endocrinologist Dr. Dr. Elona's  Response
Hello
I have gone through your question and understood your concern.

Burning foot, pain, itchy can be symptoms of diabetic neuropathy.Peripheral neuropathy is the most common form of diabetic neuropathy.
Swelling and difficulty when walking can be due to Peripheral Arterial Disease.

People with diabetes, especially those with Type 2 diabetes, have a higher risk of developing it because of a series of bodily changes associated with diabetes, including insulin resistance, a higher level of blood fats, and an increase in blood pressure.
All of these contribute to arteries becoming clogged with fatty deposits, leading to the hardening and narrowing of these blood vessels.

The combination of PAD and neuropathy is particularly dangerous because when blood flow to the feet is reduced, the body has a harder time healing injuries to the feet and fighting infection. A wound that goes unnoticed and that the body cannot heal on its own may become severely infected and develop into an ulcer.

There are generally three treatment options for improve her blood circulation, prevent poor blood circulation, pain and neuropathy.
These include lifestyle changes(stop smoking ,tight diabetes and hypertension control,eat healthy,be active every day) and drug treatment, and surgery.

Medicines that can help are diabetes drugs, cholesterol-lowering drugs, and blood-pressure-lowering drugs. In addition, your doctor may prescribe an antiplatelet drug to decrease the risk of developing clots in your blood vessels.

2.Yes,her age is a risc factor for diabetic neuropathy and peripheral arterial disease.

Hope i have answered to all your questions.If you have other doubts,feel free and ask.
You can ask me at HealthCareMagic at my private link: bit.do/hcm-Dr-Xhardo.
I will be happy to help.
Wish you good health.
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What Causes Burning Sensation And Itchiness In The Foot While On Insulin?

Hello, In a person with long standing diabetes, peripheral neuropathy does set in, particularly if glycemic control is poor. But even with good control also neuropathy does develop giving rise to burning pain in feet, tingling and even numbness. Itchy feeling is due to improper blood circulation and affection of venous return. Strict blood glucose control is a necessity. Drugs like Methylcobalamine and pragabalin can help in controlling pain in the feet. Strict deitary control, some amount of regular exercise along with glycemic control will help. Age is definitely a factor. Fasting blood glucose should be closer to 100 mg, PP 160 to 180 mg & HbA1c% 7. Thanks