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What Causes Tingling Sensation In The Feet Along With General Anxiety?
Question: I am aged 58 yrs,male,5ft.10 inches tall, weighing 75 kgs is suffering from tingering sensation in both the feet and hands.It started some 8 months back and recurring again and again and now I am feeling it.Before to it my diabetes was at border ranging from 115 to 135 before food.I was eating all type of food except sugar added.Some 8 months back I took a loan and invested sizeable amount in shares in futures.When the value came down and I suffered loss this tingling sensation in feet and hands started.When I chequed my sugar it was at 180 to 200 before food.Then I went to a diabet a logist and he checked me and prescribed ADGLIM 2,PREGANOR MSR,BENALGIS tablets.I took it for 2 months and sugar came with in 100 before food.In the meantime I booked the loss in shares and withdraw the balance amount.Then I discontinued taking tablets and again sugar went up and started taking ADGLIM 2 for a month and again discontinued. Again the sugar started going up and started taking ADGLIM2 again and continued for a month and switched over to Glimy tablet since a month which is 1 mg as against earlier tablet which is of 2 mg.In between 2 months back I purchased two passenger buses with bank loan up to 90 percent and on putting on road since a month back, the collections came was not sufficient to cover the diesel forget about recovering staff salary,road taxes and repayment of loan and interest.I developed anxiety and again the tingling sensation started both in the feet and hands.But sugar was with in limits as I was taking ADGLIM 2,with in 100 before food.But this sugar went up and 112 and 140 after food with taking Glimy. Now I am taking Preganor MSR since 10 days and tingling sensation came down but not stopped fully.Pl.advise me
Brief Answer:
Diabetic neuropathy causing the symptoms you mentioned
Detailed Answer:
Hello,
Thank you for your query. I understand your concerns.
From what you have mentioned, I feel you are having diabetic neuropathy. Due to raised blood glucose levels in the past, the small nerves of your hands and feet may have become damaged. Though the blood glucose came under control while you were on the Adglim and Glimy, once you stopped the medications, the blood glucose level increased again. This fluctuating blood glucose level or consistently high blood glucose level is not good for the nerves and small blood vessels. Hence you have developed the neuropathy symptoms of tingling of your hands and feet.
Once your blood glucose is well under control, these symptoms will minimize or at least they will not worsen anymore.
So treatment is of neuropathy includes:
1) Good blood glucose control: Your fasting blood glucose levels should be less than 110mg/dl, your 2 hour post prandial blood glucose (post meal glucose levels) should be less than 160-170 mg/dl. Your HbA1C level (which is the average blood glucose over the past 3 months) should be less than 6.8%. Kindly get your HbA1C levels checked if you have not yet done so.
It is not clear from your question whether the recent blood glucose values that you mentioned - 112 and 140 are fasting, 2 hour post prandial or random blood glucose values?
If they are 2 hour post prandial or random values, then they are OK and you could continue with your Glimy 1 mg. Are you taking it once a day or twice a day?
2) Control of your neuropathy symptoms: This is done by nerve pain killer called Pregabalin (which is in your Preganor) and by Vitamin B12 called Methylcobalamin/mecobalamin.
I am not sure of Preganor M-SR dose that you are taking. Is it 75 mg? How much is the mecobalamin/methyl cobalamin dose in it?
Ideally the Methyl cobalamin dose should be 1500 mcgs/day. The Pregabalin dose can be increased based on the relief of your symptoms.
If you can answer the following questions, i can help you to optimise your medication:
1) Glimy 1 mg - are you taking it once or twice a day?
2) Preganor -M dose and are you taking it once or twice a day?
Kindly let me know the answers.
Regards
Dr Sunita Sayammagaru
Diabetic neuropathy causing the symptoms you mentioned
Detailed Answer:
Hello,
Thank you for your query. I understand your concerns.
From what you have mentioned, I feel you are having diabetic neuropathy. Due to raised blood glucose levels in the past, the small nerves of your hands and feet may have become damaged. Though the blood glucose came under control while you were on the Adglim and Glimy, once you stopped the medications, the blood glucose level increased again. This fluctuating blood glucose level or consistently high blood glucose level is not good for the nerves and small blood vessels. Hence you have developed the neuropathy symptoms of tingling of your hands and feet.
Once your blood glucose is well under control, these symptoms will minimize or at least they will not worsen anymore.
So treatment is of neuropathy includes:
1) Good blood glucose control: Your fasting blood glucose levels should be less than 110mg/dl, your 2 hour post prandial blood glucose (post meal glucose levels) should be less than 160-170 mg/dl. Your HbA1C level (which is the average blood glucose over the past 3 months) should be less than 6.8%. Kindly get your HbA1C levels checked if you have not yet done so.
It is not clear from your question whether the recent blood glucose values that you mentioned - 112 and 140 are fasting, 2 hour post prandial or random blood glucose values?
If they are 2 hour post prandial or random values, then they are OK and you could continue with your Glimy 1 mg. Are you taking it once a day or twice a day?
2) Control of your neuropathy symptoms: This is done by nerve pain killer called Pregabalin (which is in your Preganor) and by Vitamin B12 called Methylcobalamin/mecobalamin.
I am not sure of Preganor M-SR dose that you are taking. Is it 75 mg? How much is the mecobalamin/methyl cobalamin dose in it?
Ideally the Methyl cobalamin dose should be 1500 mcgs/day. The Pregabalin dose can be increased based on the relief of your symptoms.
If you can answer the following questions, i can help you to optimise your medication:
1) Glimy 1 mg - are you taking it once or twice a day?
2) Preganor -M dose and are you taking it once or twice a day?
Kindly let me know the answers.
Regards
Dr Sunita Sayammagaru
Above answer was peer-reviewed by :
Dr. Kampana
In between these I had problems in the left eyes where I experienced blur sensation.On examining doctor said pressure in the left eye has reached 42 and he prescribed me drops and it came down.I am experiencing not only tingling sensation in the feet and hands and some time numbness in hands and fingers and feet.When tingling is extreme I experience itching sensation and spine like sensations in the body.
You have said nerves has already damaged because of fluctuations in the level of sugar.Does these damaged nerves regenerate by taking tablets or they lead to any further complications.You have said by limiting sugar level at 110 it will not further worsen.Suppose if I am unable to control it at 110 further worsening means what it will lead to.
I am consuming alchoholic taking 2 pegs of whisky a day for the last two years.Earlier it was occasional. For the last 15 days taking single beer instead of whisky.
I have seen people with elevated sugar level more than 200 but they don't have these symptoms of tingling,numbness or spine like sensations.Mine is just above normal and when I had tingling sensations a month back,my fasting sugar was within 100.It is because I was taking ADGLIM 2 that time.But I am sure that whenever I had tingling sensation my mind was preoccupied with worries with anxiety
I am also having neck pain and back pain.I tested for it and doctor advised me to do some exercises which I did for some time and now I have stopped because these pains are not grave now.
Blood sugar level of 110 is on fasting
Blood sugar level of 140 is post pandian
I have tested XXXXXXX level today and it is 110 fasting and 147 post prandial
HbA1C is 6.6 as on today.It was 7.6 two years back when I tested at Thyrocare and at 9 some 8 months back when my fasting sugar level elevated to 180-200.
Pregabalin (sustained release) is 75 mg and methylcobalamin is 1500 mg
I am taking Glimy in the morning only and Preganor MSR both in the morning and at night.
Pl.advise me
You have said nerves has already damaged because of fluctuations in the level of sugar.Does these damaged nerves regenerate by taking tablets or they lead to any further complications.You have said by limiting sugar level at 110 it will not further worsen.Suppose if I am unable to control it at 110 further worsening means what it will lead to.
I am consuming alchoholic taking 2 pegs of whisky a day for the last two years.Earlier it was occasional. For the last 15 days taking single beer instead of whisky.
I have seen people with elevated sugar level more than 200 but they don't have these symptoms of tingling,numbness or spine like sensations.Mine is just above normal and when I had tingling sensations a month back,my fasting sugar was within 100.It is because I was taking ADGLIM 2 that time.But I am sure that whenever I had tingling sensation my mind was preoccupied with worries with anxiety
I am also having neck pain and back pain.I tested for it and doctor advised me to do some exercises which I did for some time and now I have stopped because these pains are not grave now.
Blood sugar level of 110 is on fasting
Blood sugar level of 140 is post pandian
I have tested XXXXXXX level today and it is 110 fasting and 147 post prandial
HbA1C is 6.6 as on today.It was 7.6 two years back when I tested at Thyrocare and at 9 some 8 months back when my fasting sugar level elevated to 180-200.
Pregabalin (sustained release) is 75 mg and methylcobalamin is 1500 mg
I am taking Glimy in the morning only and Preganor MSR both in the morning and at night.
Pl.advise me
Brief Answer:
Please see below
Detailed Answer:
Hello Sir,
Welcome back to Healthcare magic.
The blurred vision is due to glaucoma; here the eye pressure is increased. It can settle down with eye drops.
Tingling, numbness, pricking, stabbing, burning sensation, shock like sensations, extreme sensitivity to touch or pain, throbbing pain, freezing pain etc. are all symptoms of peripheral neuropathy. Not every patient will have all the symptoms, some will have only mild symptoms. Some patients will have severe symptoms but their glucose levels would only be borderline high. Some patients will not have any symptoms at all, yet their peripheral nerves would have been damaged.
Some patients will have problems with digestion; they may have diarrhoea or constipation, urinary problems, problems with heat regulation in the body, sweating etc. This is called Autonomic neuropathy, where the autonomic nerves may have been damaged due to diabetes.
Based on your recent blood glucose results, your diabetes over the past 3 months in in good control.
But your blood glucose levels were likely to have been high when you had stopped the medications in the past. At that time, it could have damaged your nerves. Once your blood glucose is under control, the nerves can recover and the symptoms may subside. In some patients despite good glucose control, the symptoms may not completely subside as nerves have already been damaged, but the symptoms should hopefully not worsen either. Unfortunately, this is the way how peripheral nerves are and there is no way to predict the outcome.
People who are more prone to develop peripheral neuropathy are patients who have other risk factors like high blood pressure, raised cholesterol levels, smoking, alcoholism, obesity etc. Based on your weight and height you are in the ideal weight range and you are not obese. I do not know whether you smoke or not and if you have raised blood pressure or abnormal cholesterol levels.
You were consuming 2 pegs of whiskey /day; this is equal to 2 units/day. This is in the moderate drinking category. Similarly 1 single beer/day is in moderate drinking limit too.
When a person is stressed or anxious, he may unknowingly breathe fast. This is called hyperventilation. This can cause tingling in the hands and feet and around lips. This is due to washout of carbon-di-oxide from the lungs.
You mentioned that you notice the tingling more when you are anxious/stressed, this hyperventilation could be a possible reason too. The next time you get the tingling, watch whether you are breathing fast (normal person’s breath rate is 12-16/minute). If you are breathing fast, take a thick polythene bag and cover your mouth and breathe in and out into this bag. Hopefully this can reduce your symptoms.
As your blood glucose results are near to the normal range, you can continue with Glimy 1 mg once a day. You can even add Glycomet 500 mg twice a day (this is Metformin, and it has cardio-protective action). You can continue with the Preganor-M twice a day or stop it altogether if you are not seeing any benefit. Instead take Gabantin 100 mg twice a day for 4-5 days and gradually increase the dose to 300 mg twice a day, the dose can be increased further based on relief from your symptoms. Additionally, take Nurokind/Nervup OD, where the methylcobalamin should be 1500 mcgs/tablet.
Do not stop your diabetic medication, it should be continued for the rest of your life. If your sugar levels go down, then the dose needs decreasing, but you cannot stop them completely.
If your sugar levels worsen, then you need to see your doctor for change of medication or increase in the dose of medication. Keep checking your FPG and PPG every month and HbA1C every 3 months.
Above all, limit your stress levels. When a patient is stressed his glucose levels increase. You could try meditation or relaxation therapies. I hope you are sleeping well. Exercise at least 45 min/day and eat a healthy diet
I wish you good health.
I hope this answer has been helpful to you.
Regards
Dr Sunita Sayammagaru
Please see below
Detailed Answer:
Hello Sir,
Welcome back to Healthcare magic.
The blurred vision is due to glaucoma; here the eye pressure is increased. It can settle down with eye drops.
Tingling, numbness, pricking, stabbing, burning sensation, shock like sensations, extreme sensitivity to touch or pain, throbbing pain, freezing pain etc. are all symptoms of peripheral neuropathy. Not every patient will have all the symptoms, some will have only mild symptoms. Some patients will have severe symptoms but their glucose levels would only be borderline high. Some patients will not have any symptoms at all, yet their peripheral nerves would have been damaged.
Some patients will have problems with digestion; they may have diarrhoea or constipation, urinary problems, problems with heat regulation in the body, sweating etc. This is called Autonomic neuropathy, where the autonomic nerves may have been damaged due to diabetes.
Based on your recent blood glucose results, your diabetes over the past 3 months in in good control.
But your blood glucose levels were likely to have been high when you had stopped the medications in the past. At that time, it could have damaged your nerves. Once your blood glucose is under control, the nerves can recover and the symptoms may subside. In some patients despite good glucose control, the symptoms may not completely subside as nerves have already been damaged, but the symptoms should hopefully not worsen either. Unfortunately, this is the way how peripheral nerves are and there is no way to predict the outcome.
People who are more prone to develop peripheral neuropathy are patients who have other risk factors like high blood pressure, raised cholesterol levels, smoking, alcoholism, obesity etc. Based on your weight and height you are in the ideal weight range and you are not obese. I do not know whether you smoke or not and if you have raised blood pressure or abnormal cholesterol levels.
You were consuming 2 pegs of whiskey /day; this is equal to 2 units/day. This is in the moderate drinking category. Similarly 1 single beer/day is in moderate drinking limit too.
When a person is stressed or anxious, he may unknowingly breathe fast. This is called hyperventilation. This can cause tingling in the hands and feet and around lips. This is due to washout of carbon-di-oxide from the lungs.
You mentioned that you notice the tingling more when you are anxious/stressed, this hyperventilation could be a possible reason too. The next time you get the tingling, watch whether you are breathing fast (normal person’s breath rate is 12-16/minute). If you are breathing fast, take a thick polythene bag and cover your mouth and breathe in and out into this bag. Hopefully this can reduce your symptoms.
As your blood glucose results are near to the normal range, you can continue with Glimy 1 mg once a day. You can even add Glycomet 500 mg twice a day (this is Metformin, and it has cardio-protective action). You can continue with the Preganor-M twice a day or stop it altogether if you are not seeing any benefit. Instead take Gabantin 100 mg twice a day for 4-5 days and gradually increase the dose to 300 mg twice a day, the dose can be increased further based on relief from your symptoms. Additionally, take Nurokind/Nervup OD, where the methylcobalamin should be 1500 mcgs/tablet.
Do not stop your diabetic medication, it should be continued for the rest of your life. If your sugar levels go down, then the dose needs decreasing, but you cannot stop them completely.
If your sugar levels worsen, then you need to see your doctor for change of medication or increase in the dose of medication. Keep checking your FPG and PPG every month and HbA1C every 3 months.
Above all, limit your stress levels. When a patient is stressed his glucose levels increase. You could try meditation or relaxation therapies. I hope you are sleeping well. Exercise at least 45 min/day and eat a healthy diet
I wish you good health.
I hope this answer has been helpful to you.
Regards
Dr Sunita Sayammagaru
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
I am very thankful to you for your advice.
When I stopped medications my sugar was around 140-160 on fasting when checked.
My BP is normal so also cholesterol and all lipid profile are with in limits. I don't smoke.My BMI is within 25.I am taking alchohol at 2 pegs in night and I am ready to quit also.Pl.let me know whether my taking alchohol is contributing to spike in sugar.I am from coastal XXXXXXX and we take boiled rice for both the meals in noon and night.For breakfast we take idli or dosa made of rice again.We consume curries made of coconut.All these are contributing to increase in intake of carbohydrates which in turn leads to rise in sugar.Pl. advice whether I have to go for diet.
I am not stressed to that extent.My only worries are I could not make money in business.I am prepared to accept it.I sleep for 8 hours a day.I walk in the morning for 45 mts.covering covering a distance of 5 kms and I do it 4-5 days a week.Is it that not taking vitamin E,B1,B6 and B12 in right quantities causing nerve damage.You have not clarified me whether damaged nerves can be regenerated again by taking right vitamin supplements and by controlling sugar.
I read that peripheral nueropathy 60 percent of which comes from diabetes and rest I have spondylitis both neck and lower back.Besides I am using hair XXXXXXX for blackening both head and moustache.I read use of chemicals also contributes to peripheral nueropathy.Mine is a peculiar case where my sugar is within limits still experiencing tingling sensation.I am having it daily even today also.But severity is not that much.
I received one promotional mail saying vitamin B1,deficiency of which is causing tingling sensation.They say eliminating the sugar byproduct that harms our nerve cells when the excess sugar in our blood stream reacts with the protein in our cells it creates Advanced Glycation End Products (AGEs)which "toast"and damage cells through out the body.Vitamin B1 blocks AGES from forming by reducing on amount of sugar in our blood and stimulating the production of enzymes that convert dangerous AGES in to harmless substances.They say they have a vitamin other than B1 by subscribing to it tingling sensation can be eliminated all together.
In another mail it said what ever drinks be it soda beer or whisky along with other food daily consumption of which equals to consuming 25 teaspoon full of sugar directly.
All the above XXXXXXX may be promotional.Pl.let me know what they have said is correct.
Thanking You
When I stopped medications my sugar was around 140-160 on fasting when checked.
My BP is normal so also cholesterol and all lipid profile are with in limits. I don't smoke.My BMI is within 25.I am taking alchohol at 2 pegs in night and I am ready to quit also.Pl.let me know whether my taking alchohol is contributing to spike in sugar.I am from coastal XXXXXXX and we take boiled rice for both the meals in noon and night.For breakfast we take idli or dosa made of rice again.We consume curries made of coconut.All these are contributing to increase in intake of carbohydrates which in turn leads to rise in sugar.Pl. advice whether I have to go for diet.
I am not stressed to that extent.My only worries are I could not make money in business.I am prepared to accept it.I sleep for 8 hours a day.I walk in the morning for 45 mts.covering covering a distance of 5 kms and I do it 4-5 days a week.Is it that not taking vitamin E,B1,B6 and B12 in right quantities causing nerve damage.You have not clarified me whether damaged nerves can be regenerated again by taking right vitamin supplements and by controlling sugar.
I read that peripheral nueropathy 60 percent of which comes from diabetes and rest I have spondylitis both neck and lower back.Besides I am using hair XXXXXXX for blackening both head and moustache.I read use of chemicals also contributes to peripheral nueropathy.Mine is a peculiar case where my sugar is within limits still experiencing tingling sensation.I am having it daily even today also.But severity is not that much.
I received one promotional mail saying vitamin B1,deficiency of which is causing tingling sensation.They say eliminating the sugar byproduct that harms our nerve cells when the excess sugar in our blood stream reacts with the protein in our cells it creates Advanced Glycation End Products (AGEs)which "toast"and damage cells through out the body.Vitamin B1 blocks AGES from forming by reducing on amount of sugar in our blood and stimulating the production of enzymes that convert dangerous AGES in to harmless substances.They say they have a vitamin other than B1 by subscribing to it tingling sensation can be eliminated all together.
In another mail it said what ever drinks be it soda beer or whisky along with other food daily consumption of which equals to consuming 25 teaspoon full of sugar directly.
All the above XXXXXXX may be promotional.Pl.let me know what they have said is correct.
Thanking You
Brief Answer:
See below
Detailed Answer:
Hello Sir,
Welcome back to HealthcareMagic.
Fasting blood glucose of 140-160 mg/dl is still considered high. For appropriate control it should be less than 110 mg/dl.
Can you tell me how many mls is one peg for you? There are small pegs and big pegs. It all comes down to the exact amount of alcohol in ml and the alcohol content of the drink that you are consuming. Alcohol can definitely cause raise in blood glucose levels.
A diabetic patient must watch out for a number of carbohydrates he is consuming. Rice, wheat, millets everything has carbohydrate and carbs are needed by all the people (including diabetic persons) as we derive strength to do our day to day activities from it. But in a diabetic patient the metabolism of carbs is deranged, hence he needs to watch out for the total amount of carbs he is consuming as well as the type of carbs.
White polished rice when consumed gets metabolized quickly and causes sugar spikes in the blood. It is better if you can switch over to brown rice or unpolished rice, here the sugar gets released slowly in the blood and prevents the spikes.
Even better would be substituting rice for wheat, jawar, ragi, bajra, oats etc. These are whole grains, and these release the sugar slowly in blood. Further, as they are whole grain products, they release other nutrients and anti-oxidants.
What is also important is the quantity of carbs consumed. Your carbs should be only 1/4th of your plate. At least half of your plate should be filled with vegetables either as salads or in a curry form (avoid potato and restrict carrots, green peas, and beetroot to once a week). Of the rest of the 1/4th plate - about 80% should be made of protein like eggs, non-veg or pulses and small 20% should be of fat.
Avoid saturated fats like butter, cheese, ghee; restrict the use of coconut as it is high-calorie food. You can take fruits – at least 2/day. Avoid mangoes, custard apple, chikoo, and jackfruit. You can take 4-6 nuts like almonds, walnuts etc. Can consume toned milk/yogurt/buttermilk etc.
Hair XXXXXXX should not cause peripheral neuropathy.
As explained in my previous answer, it is impossible to say with 100 percent surety, that peripheral nerves once damaged will recover back to normalcy with by taking correct nutritional supplements and with good sugar control. The damaged nerves may or may not recover fully, but at least the symptoms may not become worse than what you are currently having if you control your blood glucose level is controlled well. If your blood glucose levels become high again, your symptoms are more likely to worsen. You are having the tingling now in spite of blood glucose being normal, as the nerves were damaged in the past when your sugars were high.
You are right about Advanced glycation end products due to raised blood glucose levels.
You are also right about vitamin B-1 deficiency causing nerve damage but is mainly seen in alcoholics and people with malnourishment (I think this is not applicable to you).
I can advise you to take Nervup OD/Nurokind/ Rejunuron OD where the B-12 is 1500 mcgs and it has other nerve-friendly vitamins like B6 etc in them. This would be more appropriate for diabetic peripheral neuropathy. You could still go ahead and take Vitamin B-1 supplements as well.
I hope this answer has been helpful to you.
Regards
Dr. Sunita Sayammagaru
See below
Detailed Answer:
Hello Sir,
Welcome back to HealthcareMagic.
Fasting blood glucose of 140-160 mg/dl is still considered high. For appropriate control it should be less than 110 mg/dl.
Can you tell me how many mls is one peg for you? There are small pegs and big pegs. It all comes down to the exact amount of alcohol in ml and the alcohol content of the drink that you are consuming. Alcohol can definitely cause raise in blood glucose levels.
A diabetic patient must watch out for a number of carbohydrates he is consuming. Rice, wheat, millets everything has carbohydrate and carbs are needed by all the people (including diabetic persons) as we derive strength to do our day to day activities from it. But in a diabetic patient the metabolism of carbs is deranged, hence he needs to watch out for the total amount of carbs he is consuming as well as the type of carbs.
White polished rice when consumed gets metabolized quickly and causes sugar spikes in the blood. It is better if you can switch over to brown rice or unpolished rice, here the sugar gets released slowly in the blood and prevents the spikes.
Even better would be substituting rice for wheat, jawar, ragi, bajra, oats etc. These are whole grains, and these release the sugar slowly in blood. Further, as they are whole grain products, they release other nutrients and anti-oxidants.
What is also important is the quantity of carbs consumed. Your carbs should be only 1/4th of your plate. At least half of your plate should be filled with vegetables either as salads or in a curry form (avoid potato and restrict carrots, green peas, and beetroot to once a week). Of the rest of the 1/4th plate - about 80% should be made of protein like eggs, non-veg or pulses and small 20% should be of fat.
Avoid saturated fats like butter, cheese, ghee; restrict the use of coconut as it is high-calorie food. You can take fruits – at least 2/day. Avoid mangoes, custard apple, chikoo, and jackfruit. You can take 4-6 nuts like almonds, walnuts etc. Can consume toned milk/yogurt/buttermilk etc.
Hair XXXXXXX should not cause peripheral neuropathy.
As explained in my previous answer, it is impossible to say with 100 percent surety, that peripheral nerves once damaged will recover back to normalcy with by taking correct nutritional supplements and with good sugar control. The damaged nerves may or may not recover fully, but at least the symptoms may not become worse than what you are currently having if you control your blood glucose level is controlled well. If your blood glucose levels become high again, your symptoms are more likely to worsen. You are having the tingling now in spite of blood glucose being normal, as the nerves were damaged in the past when your sugars were high.
You are right about Advanced glycation end products due to raised blood glucose levels.
You are also right about vitamin B-1 deficiency causing nerve damage but is mainly seen in alcoholics and people with malnourishment (I think this is not applicable to you).
I can advise you to take Nervup OD/Nurokind/ Rejunuron OD where the B-12 is 1500 mcgs and it has other nerve-friendly vitamins like B6 etc in them. This would be more appropriate for diabetic peripheral neuropathy. You could still go ahead and take Vitamin B-1 supplements as well.
I hope this answer has been helpful to you.
Regards
Dr. Sunita Sayammagaru
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Answered by
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