My A1c Is 5.4. Dr Said I’m Pre Diabetic. My

Posted on Mon, 22 Oct 2018

Question: My A1c is 5.4. Dr said I’m pre Diabetic. My legs are hurting up to knee and feet tingle.

Answered by Dr. Dr.Raju.A.T (19 minutes later)

Brief Answer:
Not Prediabetic

Detailed Answer:
Hi,

Thanks for your query.

According to ADA guidelines any A1c more than 5.7 is considered as Pre-diabetic.

Pain in legs could be musculoskeletal pain. Since it is coupled with tingling sensation, it could well be due to neuropathy.

Since your A1c is normal, I do not suspect the problem to be due to Diabetic neuropathy.

The other possibilities for such symptoms could either be Vit B12 deficiency or nerve impingement in the lumbar spine.

I would recommend you to get a Vit B12 level estimation done, if the value turns normal then do get evaluated physically by a Neurophysician.

Hope, I answered your query.

Wish you good health.

Regards,

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr.Raju.A.T (22 minutes later)

I hope PT will correct my problem....it did three years ago...the pool PT helps....am I safe in taking B12 without being checked further.

Thanks for your info...I totally think you diagnosed it right!
XXXXXXX Woody-Granger

Answered by Dr. Dr.Raju.A.T (15 hours later)

Brief Answer:
Yes, you can take Vit B12

Detailed Answer:
Hi,

Thanks for writing back.

Yes, you can take Vit B12 supplements without being tested for.

PT will surely help but do rule out lumbar spine related problem at once.

Regards,

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar