Diabetic Neuropathy Questions

Dear lybrate-user, kindly please do the following on regular basis himalaya diabecon ds once daily
himalaya bael once daily for digestion
nestle resource diabetic for any neuropathic pain.
Also do weekly lemongrass + lemon + honey in warm water. Practice diaphragmatic breathing for 15 minutes daily
avoid nuts, seeds, dry fruits, soya, peanut butter etc as it contain phytic acid which is antinutrients in nature, which deplete our calcium reserves thereby causing weakness and pain....more

Hello, thanks for the query.
I have seen the details mentioned. Please understand that diabetic neuropathy is a long term complication of diabetes. Therefore, unless blood glucose are in strict control, just taking other medications will not give necessary benefits. You can try and cut down the dosage or can look at stopping one of the medications. But more importantly strict blood glucose control with fbg closer to 100 mg, pp 150 170 mg & hba1c% < 7%, is an essential aspect of the treatment...more

Hello, thanks for the query.
In a patient with long standing diabetes peripheral neuropathy is quite common. This can happen even with a fairly good control. Because high blood glucose affects peripheral nerve functions. Treatment is to achieve strict glucose control (fbg < 100 mg, pp 150 to 160 mg & hba1c% <6.5%), plus take drugs that are supposed to be helping in improving nerve function and control the symptoms. Drugs can be b12, lipoleic acid, pragabalin and/ or gabapentine and combinati...more

Hello, thanks for the query.
Usually in a person with long standing diabetes mellitus, symptoms of periphera; neiropathy develop. The condition is seen in most of the diabetes patients, particularly it is worse in those who had a badly controlled blood glucose levels and high hba1c%. If diabetes is controlled well right from beginning then the severity is quite less. However, if the control is persistently bad then severity of symptoms more. Therefore, apart from achieving a very strict gluc...more

Hello, thanks for the query.
I have seen the details mentioned. In patients with diabetes peripheral neuropathy does develop. But mostly symptoms are quite manageable. However, if diabetes is not well controlled, then the severity can be bad. In your case, there is no mention of current glucose levels and hba1c% as well as lipid profile, bp. Plus since how long is diabetes present. These things usually decide how the severity remains. If motor function is affecting means it could quite sever...more

Hi, please send your diabetic reports for better advised. Gabapentin is good medicines for neuropathic pain.

Dear lybrate-user,
nervigen np contains pregabalin, nortriptyline and methylcobalamin. This combination is usually given for diabetic neuropathy. From what you describe your pain started after you lifted a heavy weight. If the pain is in the shoulder region it may be a tear in the ligament. Nervigen np can be taken along with metformin and it will not interfere with the action of metformin. You may feel somewhat sleepy when you are on this medicine

Pls get your neuropathic assessment different medicines can be used to treat neuropathy based on clinical assessment.
The medicine you mentioned here is a combination of gabapentin 300 with methylcobalamine. It is also used in dspn.
If possible do share your previous reports n records so that I can able to tell you the correct treatment.
Avoid walking barefoot n take care of your feet.

She can start pevesca plus. No problem even if her creatinine is on higher side. She can take one in the night.

We are physiotherapists, we may give you some suggestions over to recover. First try with the physical therapy. This can be done by using braces and splints and nerve stimulation followed by exercises. At the later stages you can go for surgery.