Due to diabetes I have pain in my thighs, specially in morning. I am taking gemer ds 2, januvia 100, volibo 0.3,shelcal hd, caspa plus, mylozen pg 75, stiloz 100. But still feeling pain. My hba1c is 8.1.should I change medicines? I go for walk daily for 40 minutes in evening. Any other option like taking insulin would suffice? My fasting is 120 and ppbs is 200 or above. Please help.

Dr. Prabhakar Laxman JatharEndocrinologist47yrs exp

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Thanks for the query. When diabetes goes on for some years even when it is well controlled there is possibility of developing neuropathy. The symptoms tend to increase if the control is not ood. Looking at your treatment already there are plenty of drugs. Still control is not as desired. Ideally fasting should be < 100 mg, PP 150 to 160 mg and HbA1c% <6.8. Therefore, there is a need to give a closer look at your diet, and exercise first. Then if need be we may have to consider adding or changing the current medications. In this communication we can only give general suggestions no drug prescription is allowed. Hence if you are interested in any further advise on change of medication may please come in a private conversation (paid consultation), then I will be able to guide specifically and help in better control of blood glucose. Thanks.  

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