My fasting sugar remains 115-120, hba1c 6.7 ,i am taking one tablet of obimet sr daily before breakfast, from last few months, I am suffering from typical problem in bottom faces of both feet, feeling softness, puffiness, ncv test is okay, I had been to the apollo hospital delhi, told mild neuropathy, actually my problem is that I can't walk, without sleepers, direct contact of ground, all the time I am comfortable to wear the socks, vitamin d deficiency detected, taking weekly capsules, kindly advise what test I have to go far,& treatment.

Dr. Divya PrakashDiabetologist6yrs exp

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Do you take alcohol? Vitamin b12 and tsh.  

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Dr. Prabhakar Laxman JatharEndocrinologist48yrs exp

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Thanks for the query. Peripheral neuropathy is quite often seen persons with diabetes. This develops as the disease continues for a few years. Even when glucose levels are fairly well controlled, neuropathy does occur. This is because of damge to microvasculature of nerves. To reduce the symptoms striict glucose control is necessary. Plus there may be a need for drugs helping in improving the symptoms of peripheral neuropathy. Plus protective foot wear is essential. Because due to altered sensation or due to reduced sensation there is a possibility of developing injuries on soles and toes, which can be really dangerous. So I is better to use protective measures. Thanks.  

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