
What Causes Swelling And Pain In Lower Legs And Ankles While On Lantus?

Any suggestions?
Rule out charcot foot
Detailed Answer:
Hello,
Thanks for writing to HCM. Noted the contents.
Well, please titrate the dose of lantus. Increase it by 3 units every three days until your fasting sugar is less than 130 mg/dl (7.2 mmol)
Insulin can contribute to some swelling in some patients but it will improve with time. Since there is swelling in both the legs there are a few things you need to evaluate - your kidneys (rule out albumin in the urine), heart (if you are quite active with no effort intolerance you should be ok most of the time) and liver (get a lft done), thyroid function as well.
In all the above conditions, the swelling will be equal in both legs. Since you mentioned that its significant in the left ankle and in view of diabetes you will surely need to rule out charcot foot with a clinical examination, X-ray/MRI of the ankle.
I will be glad to answer if you have any more queries.
Regards
Dr Praveen

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