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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Sleeping Disorder And Cramping Foot In A Diabetic Patient

HI I AM FROM BANGLADESH, DHAKA CITY, NAME: FARID HOSSAIN AGE: 63. WEIGHT: 70, HEIGHT 5.7 PRESENT: DIABETIC PATIENT, OPEN HURT SURGARY 2003, TAKING INSULIN MIXTERED 30/70 PEN REFIL TAKES 2 TIMES A DAY MORNING 28 AND NIGHT TIME 24. (100) SIRG NOW A DAYS I HAVE SLEEP PROBLEM NIGHT TIME BEFORE 1.30 I CANNOT SLEEP & ALL THE TIMES MY LEGS FOOT CRAMPING , LICK PINCHING BY A PIN & TOO MUCH CONSTAPANCY,THOH I AM CONTROLING FOOD, ANY KIND OF DRINKS NO, NO FIRST FOOD TAKING VEGETABLE WITH FIBER. 2 TIMES BREAD RED FLOOR, NOON TIME RICE WITH CURRY. TAKING MEDECINE : CARDYZEM SR 90 DAILY MORNING ONE. INDEPREMIDE : ONE TAB IN THE MORNING. EVEN I COULD NT CONTROL MY DIABETIC & WEIGHT.
Mon, 30 Mar 2020
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General Surgeon,  's  Response
Hi,

The severe leg cramps with pinching sensation is due to chronic diabetic neuropathy condition affecting peripheral nerves blood supply via secondary changes in peripheral vessels. My guidelines at present:
- Vigilant control of body weight
- Regular walking, exercises including aerobics
- Strict control of diabetes, blood pressure, serum cholesterol
- Supportive medications with pregabaline, vitamin B12 and folic acid, zinc, magnesium
- Analgesic as tramadol hydrochloride as per the need

Discuss the need of HBA1c and Doppler ultrasound investigation of lower limb with your treating physician during next scheduled visit.

Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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Suggest Remedy For Sleeping Disorder And Cramping Foot In A Diabetic Patient

Hi, The severe leg cramps with pinching sensation is due to chronic diabetic neuropathy condition affecting peripheral nerves blood supply via secondary changes in peripheral vessels. My guidelines at present: - Vigilant control of body weight - Regular walking, exercises including aerobics - Strict control of diabetes, blood pressure, serum cholesterol - Supportive medications with pregabaline, vitamin B12 and folic acid, zinc, magnesium - Analgesic as tramadol hydrochloride as per the need Discuss the need of HBA1c and Doppler ultrasound investigation of lower limb with your treating physician during next scheduled visit. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon