I am diabetic under control using metformin 500 mg and glimepiride 3 mg combination and vildagliptin 50 mg. I am getting numbness, burnings in the feet and whole body. I am using metformin 500 mg and glimepiride 3 mg combination and vildagliptin 50 mg. My b12 levels 135pg/ ml and d3 levels are 18.9 ng/ ml. Kindly advise.
Ask Free Question
Hello, thanks for the query. I have seen the details mentioned. Please let me know the following: 1) how long you have been having diabetes? 2) what are the current hba1c% as well as fasting and pp glucose levels? 3) dosage of the drugs being taken and serum creatinine and urea levels. In person with long standing diabetes peripheral neuropathy is a very common complication. It is observed even in patients having a fairly well controlled glucose level. Another aspect even low b12 level and low vitamin d can add to the existing neuropathy. So you need to take necessary supplements to increase the b12 & d3 levels. Plus drug/s to control neuropathic symptoms. In this communication we are supposed to give only general guidelines, no drugs can be prescribed. So my suggestion is please come back with all the above details in a private conversation then I will be able to give specific guidance and even prescribe necessary medication. Or else please do consult your local physician and get necessary treatment. Do not wait too long. Thanks.Â
Ask Free Question
Take vitamin d and multivitamins shots from your local doctor take vitamin b12 supplement metformin causes vit b12 deficiency. Â
Ask Free Question
Is your blood sugar under control. It can be because of decreased level of vit b12 orbit d. U need to start supplements for that. Also follow diabetes diet which simply means eating the healthiest foods in moderate amounts and sticking to regular mealtimes. A diabetes diet is a healthy-eating plan that's naturally rich in nutrients and low in fat and calories. Key elements are fruits, vegetables and whole grains. U can take (moderate amount) grapes. Apples. Berries. Citrus fruits. Papaya. U should avoid sugar-sweetened beverages. Sugary beverages are the worst drink choice for someone with diabetes. Trans fats sugar, cake, pastries mithai/sweets chocolate fruits like mango, litchi etc. White bread, pasta fruit-flavored yogurt. Sweetened breakfast cereals. Flavored coffee drinks. Honey 1. Don't take tea empty stomach. Eat something like a banana (if you are not diabetic) or soaked almonds or any seasonal fruit. No only biscuits or rusk will not do. 2. Take your breakfast every day. Don't skip it. 3. Have light meals every 2 hours (in addition to your breakfast, lunch n dinner) e.g. Nariyal paani, chaach, a handful of dry fruits, a handful of peanuts, seasonal fruit, a cup of curd/milk etc 4. Finish your dinner at least 2 hours before going to sleep. 5. Maintain active life style 6. Avoid fast foods, spicy n fried foods 7.take a lot of green vegetables n fruit. 8. Drink lot of water. 9.curd is good for u. Exercise in the form of yoga, cycling, swimming, gymming, walking etc. Do suryanamaskar for good health regularly for more details you can consult me. Â
Ask Free Question
Hi get him checked for neuropathy. Â
Take help from the best doctors
Ask a free question
Get FREE multiple opinions from Doctors
