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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Pain In Legs At Night In A Diabetic Patient?

I am male, age 75, fairly active, don t smoke or drink. I have been diagnosed as a diabetic. my complaint is my legs ache a lot of the time, especially at night. I do have varicose veins and my legs feel cold at night: my toes ache, from I assume poor circulation. I sleep under a comforter to relieve the coldness. I have been to see doctor(s) about the problem, but they have no answers for me. My doctor says I do not need compression socks. How do I get relief?
posted on Sun, 31 Jul 2016
Twitter Fri, 26 Aug 2016 Answered on
Twitter Mon, 29 Aug 2016 Last reviewed on
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General & Family Physician,  's  Response
Hi welcome to HCM...

You are having diabetis and leg ache present .

Probable diagnosis :
So diabetic neuropathy , B12 deficiency , Peripheral vascular disease etc has to be ruled out ....

Work up needed with ....
-Blood pressure measurement
-B12 level
-Blood sugar level
-neurological examination along with reflexes
-Colour doppler if needed
-NCV study if needed etc...

According to cause further treatment guided

Sugar level controlled if high ....
Avoid smoking and alcohol...
Multivitamin tablet useful ..

Take care

Advise : Neurologist consultation
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What Causes Severe Pain In Legs At Night In A Diabetic Patient?

Hi welcome to HCM... You are having diabetis and leg ache present . Probable diagnosis : So diabetic neuropathy , B12 deficiency , Peripheral vascular disease etc has to be ruled out .... Work up needed with .... -Blood pressure measurement -B12 level -Blood sugar level -neurological examination along with reflexes -Colour doppler if needed -NCV study if needed etc... According to cause further treatment guided Sugar level controlled if high .... Avoid smoking and alcohol... Multivitamin tablet useful .. Take care Advise : Neurologist consultation