HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

How Can Diabetes And Pain In The Legs Be Treated?

Hi, I have type 2 diabetes and have trouble controlling it. I was put on Innovona months ago and after couple months my legs had gotten very sore and hurt bad, where i couldn't even sleep, well I stop the meds and within two days felt 90 % better, but now they want me to take Farxiga, which i hear is the same thing. scared to try? Wondering if they are the same or different?
Thu, 1 Feb 2018
Report Abuse
Diabetologist 's  Response
Hi,

Thanks for your question.
Noted your concern.

Invokana contains Canagliflozin and Forxiga contain Dapagliflozin both are of same class of antidaibetic medicine SGLT2 inhibitor.
It act by excreting extra glucose from body through urine by lowering renal threshold for glucose excretion.
While excreting glucose there may be loss of water and some essential electrolytes like sodium, potassium through urine which may be responsible for leg cramps.
Adequate water intake and regular monitoring for serum electrolytes may help in prevention of these symptoms.

Diabetic neuropathy may also cause these types of symptoms.

In such a case I may suggest-
- Detailed physical examination to assess neuropathy.
- Investigations
Complete Blood Count
HbA1c
Fasting and Post-prandial Blood sugar level.
Renal function test
Liver Function test
Vitamin B12 and Vitamin D level
Urine examination.
Depending upon above evaluation appropriate changes in medicines if required may be suggested.
Hope this helps you.
I find this answer helpful
Diabetologist Dr. Dr. Abhay A Mali's  Response
Thanks for your question.
Noted your concern.

Invokana contains Canagliflozin and Forxiga contain Dapagliflozin both are of same class of antidaibetic medicine SGLT2 inhibitor.

It act by excreting extra glucose from body through urine by lowering renal threshold for glucose excretion.
While excreting glucose there may be loss of water and some essential electrolytes like sodium, potassium through urine which may be responsible for leg cramps.
Adequate water intake and regular monitoring for serum electrolytes may help in prevention of these symptoms.

Diabetic neuropathy may also cause these types of symptoms.

In such a case I may suggest-
- Detailed physical examination to assess neuropathy.
- Investigations
Complete Blood Count
HbA1c
Fasting and Post-prandial Blood sugar level.
Renal function test
Liver Function test
Vitamin B12 and Vitamin D level
Urine examination.
Depending upon above evaluation appropriate changes in medicines if required may be suggested.
Hope this helps you.
I find this answer helpful

Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Loading Online Doctors....
How Can Diabetes And Pain In The Legs Be Treated?

Hi, Thanks for your question. Noted your concern. Invokana contains Canagliflozin and Forxiga contain Dapagliflozin both are of same class of antidaibetic medicine SGLT2 inhibitor. It act by excreting extra glucose from body through urine by lowering renal threshold for glucose excretion. While excreting glucose there may be loss of water and some essential electrolytes like sodium, potassium through urine which may be responsible for leg cramps. Adequate water intake and regular monitoring for serum electrolytes may help in prevention of these symptoms. Diabetic neuropathy may also cause these types of symptoms. In such a case I may suggest- - Detailed physical examination to assess neuropathy. - Investigations Complete Blood Count HbA1c Fasting and Post-prandial Blood sugar level. Renal function test Liver Function test Vitamin B12 and Vitamin D level Urine examination. Depending upon above evaluation appropriate changes in medicines if required may be suggested. Hope this helps you.