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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Foot Swelling And Knee Pain In A Diabetic?

good morning sir ,my seself CM rana from cuttak odisha,my mother is suffering from dibetic from last4 year her weight about 89 kg age 62 year, she a psyciatic patient,and thyroid problem,she take medicine for thiroid, gilitar forte for dibetic medicine regularly but the problem was she feel foot swelling ,burn in foot and pain in knee ,difficult to walk, and dibetic was 150 /230mg.after take medicine she cant feel better , please
posted on Fri, 9 Oct 2015
Twitter Sat, 31 Oct 2015 Answered on
Twitter Mon, 2 Nov 2015 Last reviewed on
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Diabetologist,  's  Response
Hi,

Thanks for your question.

Noted your concern.

There might be following possibilities for Foot swelling in your mother's case -
- Drug induced - antihypertensive like amlodepin, antidiabetic like pioglitazone.
- Diabetic foot due to diabetic nephropathy, vasculopathy or infection.
- Heart failure.
- Kidney or Liver disease.
- Knee joint osteoarthritis.
- Thyroid derangement.

She needs detailed clinical examination depending upon it further evaluation and treatment can be planned.

In such condition I may advice -
- Complete Blood Count.
- T3, T4, TSH.
- Renal function test.
- Liver function test.
- Urine examination including urine proteins.
- Ultrasonography of abdomen and pelvis.
- ECG and 2DEcho of heart.
- Vitamin B12 & D3.
- If required Lower limb doppler.
- X-ray of knee joint.

Depending upon above test results she may require
- Hospitalization.
- Insulin treatment for better blood glucose control.
- Blood pressure control depending upon baseline value.

Hope this helps her, if so do vote as helpful.
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  User's Response
HI
Well come to HCM
I really appreciate your concern, with history diabetes, thyroid dysfunction, and with symptoms of burning foot and knee pain it may not be due to diabetes or thyroid still better to control the blood sugar on tight rule basis chances arthritis need to be rule out and for the pain "Tab Diclofenac 50 mg" once in day can be taken, some extra supplement of vitamins can be tried for burning foot "Vitamin B12 would be okay, hope this information helps, take care and have nice day.
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What Causes Foot Swelling And Knee Pain In A Diabetic?

Hi, Thanks for your question. Noted your concern. There might be following possibilities for Foot swelling in your mother s case - - Drug induced - antihypertensive like amlodepin, antidiabetic like pioglitazone. - Diabetic foot due to diabetic nephropathy, vasculopathy or infection. - Heart failure. - Kidney or Liver disease. - Knee joint osteoarthritis. - Thyroid derangement. She needs detailed clinical examination depending upon it further evaluation and treatment can be planned. In such condition I may advice - - Complete Blood Count. - T3, T4, TSH. - Renal function test. - Liver function test. - Urine examination including urine proteins. - Ultrasonography of abdomen and pelvis. - ECG and 2DEcho of heart. - Vitamin B12 & D3. - If required Lower limb doppler. - X-ray of knee joint. Depending upon above test results she may require - Hospitalization. - Insulin treatment for better blood glucose control. - Blood pressure control depending upon baseline value. Hope this helps her, if so do vote as helpful.