I am diabetic for over 20yrsmy last hb1ac in january was 10. 4medication: europa mf1 od glippon odmetformin 1 mg odbipahasic isophane mixtard 12/8 unitsmaxmala forte odmy feet having numbness at times paining /burning sensationpresent fbs 140 average you advise if need to add anymore medication particularly fornumbness in feet (neuropathy) best regards abdul rehman.

Dr. Prabhakar Laxman JatharEndocrinologist51yrs exp

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Hello, Thanks for the query. I have seen the details given, which are quite confusing because of mixing u of words and combining "od" with every medicine name. Most important is to bring your blood glucose under control, without that neuropathy symptoms will not be under control. You already taking enough medications. Fasting glucose needs to be closer to 100 mg or less than 100 mg, PP 160 to 180 mg & HbA1c% 7%. Unless that happens the symptoms will not be under control. Please see that glucose levels are brought under control Thanks. 

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Dr. Pramod Kumar SharmaEndocrinologist42yrs exp

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Please get your Nerve Conduction study of both lower limbs and serum B12 to know the cause and type of peripheral neuropathy. 

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