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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Hand Pain, Has High Sugar Level. On Sugar Medication. Solution?

hi doctor
My mother age is 53, she is a sugar patient, regularly take sugar tablet, five month previoue hand pain effect, no relief till date, we discuss my family doctor, he advice" this pain is normally came every sugar patient , so dont worry continuously take sugar tablet, this pain is decrease few days. so please ask what solution is this pain releaf, ( night time this hand pain is came heavy)
Sat, 20 Apr 2013
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Internal Medicine Specialist 's  Response
Hi,
Thanks for posting your query.
Diabetes is a multi organ disease with involvement of almost all organs of body due to its complications.
Blood sugar both fasting and postprandial must be in controlled range.
Diabetes is due to progressive loss or destruction of beta cells in endocrinal part of pancreas.
With the available describes details, there could be possibility of diabetic neuropathy.
You should consult with internal medicine specialist/ neurologist and should go for thorough neurological check up.
You should also go for complete blood count, nerve conduction studies, glycosylated hemoglobin, 1, 25 dihydroxy cholecalciferol.
She should also take Epalrestat, methycobalamin, pregabalin/ gabapentin, and cholecalciferol sachet.
She should also apply neuro creme at affected site.
Take care,
Dr. Mayank Bhargava
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General & Family Physician Dr. Arif Khan S's  Response
dear Venkat
What your mother is having is Diabetic neuropathy.
if the pain is very severe you can have her take
Tab.Triptomer 10 mg i tab at night
or
Tab Gabapentin 1 tab at night
she will get symptomatic relief and also dont forget to continue the diabetic management
I find this answer helpful

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Hand Pain, Has High Sugar Level. On Sugar Medication. Solution?

Hi, Thanks for posting your query. Diabetes is a multi organ disease with involvement of almost all organs of body due to its complications. Blood sugar both fasting and postprandial must be in controlled range. Diabetes is due to progressive loss or destruction of beta cells in endocrinal part of pancreas. With the available describes details, there could be possibility of diabetic neuropathy. You should consult with internal medicine specialist/ neurologist and should go for thorough neurological check up. You should also go for complete blood count, nerve conduction studies, glycosylated hemoglobin, 1, 25 dihydroxy cholecalciferol. She should also take Epalrestat, methycobalamin, pregabalin/ gabapentin, and cholecalciferol sachet. She should also apply neuro creme at affected site. Take care, Dr. Mayank Bhargava