Brief Answer:
several possibilities can be there..

Detailed Answer:
Hello XXXX, Welcome to HCM,
I've gone through your query and understand your concern..

Now, occasional cramps in both hands, need a few investigations followed by a thorough clinical evaluation by an experienced physician..

I'd suggest to undergo few basic investigation eg. CBC, Electrolytes (specifically Calcium, magnesium and phosphorus), FBS, PPBS(2 hr post-prandial), HbA1C, Renal function assay, Vit-B12 and Vit D3 level..

Please let me know if there's any medical/surgical ailments in recent times/past, are you on any medication for any particular reason ?

All those investigations are necessary to provide an insight in this..as of now it can due to simple muscle cramps (due to exertion, electrolyte imbalance) but a detailed look in to it is required as there are several other possibilities..

It's not anything too serious, so simply take your time and get the scheduled appointment with the physician and the relevant investigations as per your convenience..

As of now there's no immediate need for any medications for this till you get those investigations..just try to remain well hydrated..


Let me know if there's any further queries, I'll be glad to clarify..

Take Care
Kind Regards

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Brief Answer:
strict blood sugar control to be achieved..

Detailed Answer:
Hello XXXX, Welcome back,
Thanks for the detailed follow-up,

Yes, now it's quite clear, these symptoms are mostly due to variable trend of blood sugar only..

The A1C level of 8.25 despite anti-diabetic therapy indicates poor glycemic control so the medication doses should be increased along with insulin therapy (which must've been done by your doctor already)..

This symptoms are primarily due to sudden rise as well as fall in blood sugar levels post-meal as well as post medications, which happens at the tissue level (the same can be even experienced over the legs also), don't worry..

You need to keep a record of your blood sugar level daily pre-meals and pre as well as post dinner(2 hrs) for at least a complete week and notify your doctor about the total trend along with this present symptoms as there may be a need to modify your insulin dosage accordingly..

Good to know liver and kidney functions fine (if electrolytes were done along with), please remain well hydrated and don't skip any meals, be extremely cautious about taking the medications in time..

You should follow a strict Diabetic diet chart in order to achieve a better glycemic control (seek out to a dietitian in your area, alternatively you can also request for the Diet chart here in this portal, simply get in touch with the customer care team, they'll help you in this regard)..

Meanwhile simply apply ice-pack/cold compression it'll help with the cramps, taking pain killer like Tab PARACETAMOL 650 mg after food on SOS basis (not to take more than three times a day)..

Wish you good health..


Take Care
Kind Regards

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