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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed With T1. On Human Insulin. Having Intense Pain In Joints During Morning, Sole Burning, Pain In The Fist When Closed Tightly. Suggestions?

hello Sir, I am 29 year old diagnosed with T1 3 years back,currently having a shot of 25 units morning and 25 units Night(human insulin 30/70).i was keeping myself fit with all my food habits and exercise,from last 3 month i am feeling intense pain in my joint specially in morning as i woke up.i couldn t be able to make a tight fist of my finger as feeling quite a dry pain in my hand . foot soul is also burning. i have started some physio exercise but still not been able to get rid of it.some hand and foot exercise make me comfortable for some time but it persists almost throughout the day. really worried about my health now.please advise.
Wed, 28 Nov 2012
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Diabetologist,  's  Response
Hello there.

Thank you for your query.

If you have type 1 diabetes then likely you have some other autoimmune disorders which occur concomitantly like thyroid disorders, vitiligo of skin, low cortisol levels, celiac disease, reumatic arthritis etc. The symptoms of stiffness and pain in joints during morning hours warns that you should undergo a blood test for TSH, FT4, Serum RA factor to know the reason.
And I hope your sugars are really under control (HbA1c less tha 7% and). Very high sugars is one of the reasons for joint pain sometimes and certainly a reason for burning sensation in feet soles. Physio exercises unlikely to help. Please make sure your sugars are fine and then you can consult a good Diabetologist for the burning pain in feet if it's not controlled further with good sugar control.
Get back to me with the suggested blood test reports for further guidance. Take care.
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Diagnosed With T1. On Human Insulin. Having Intense Pain In Joints During Morning, Sole Burning, Pain In The Fist When Closed Tightly. Suggestions?

Hello there. Thank you for your query. If you have type 1 diabetes then likely you have some other autoimmune disorders which occur concomitantly like thyroid disorders, vitiligo of skin, low cortisol levels, celiac disease, reumatic arthritis etc. The symptoms of stiffness and pain in joints during morning hours warns that you should undergo a blood test for TSH, FT4, Serum RA factor to know the reason. And I hope your sugars are really under control (HbA1c less tha 7% and). Very high sugars is one of the reasons for joint pain sometimes and certainly a reason for burning sensation in feet soles. Physio exercises unlikely to help. Please make sure your sugars are fine and then you can consult a good Diabetologist for the burning pain in feet if it s not controlled further with good sugar control. Get back to me with the suggested blood test reports for further guidance. Take care.