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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Burning On Feet When Suffering From Diabetes?

Sir, I am 62 years male. I am a diabetic type II for the last 7 years and as per Doctor's advise I am taking tablets and the sugar levels are within the parameters. But every day evening my feet is burning very much. I used to put my feet in a halfbucket of cold water. As soon as I leave the waterbucket, the feet will again burn. My doctor advised me to taker newrokind plus caps on alternate days. I was given to understand from my frient that usage of these caps will adversely effect the overall health. Please guide me. Thanks and awaiting a good advise. Prabhudas, Hyderabad.
Wed, 16 Jul 2014
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Internal Medicine Specialist,  's  Response
Thank you for the query.
As per the history, you are a 62 yrs old gentleman, suffering from Type 2 Diabetes mellitus, over the past 7 years on oral hypoglycemic agents with apparent fair control of blood sugar. I would like to know your latest blood sugar profile (FBS, PPBS, HbAic).
In view of the symptoms that you have provided of burning feet, you are most likely suffering from Diabetic neuropathy. This is a recognised microvascular complication of Diabetes mellitus, and occurs commonly in long term diabetics with a poor control of blood sugar. A nerve conduction velocity (NCV) study c
shall confirm this diagnosis. I would like to enquire, which oral medications are you on. Metformin, is a drug, which causes Vitamin B12 deficiency, and can aggravate neuropathy.
Neurokind is a vitamin B supplement, which can be taken for some relief. You can get a serum Vitamin B12 level done, if severely deficient, parenteral administration may be needed. However, if Diabetic neuropathy develops, certain medications are advised for this condition - Duloxetine, Tricyclic antidepressants ( amitriptyline, desipramine), SSRIs (fluoxetine, sertraline), Gabapentin and Pregabalin. These medications should be taken only after being prescribed by your Primary/Treating physician.
Hope this helps you out.
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What Causes Burning On Feet When Suffering From Diabetes?

Thank you for the query. As per the history, you are a 62 yrs old gentleman, suffering from Type 2 Diabetes mellitus, over the past 7 years on oral hypoglycemic agents with apparent fair control of blood sugar. I would like to know your latest blood sugar profile (FBS, PPBS, HbAic). In view of the symptoms that you have provided of burning feet, you are most likely suffering from Diabetic neuropathy. This is a recognised microvascular complication of Diabetes mellitus, and occurs commonly in long term diabetics with a poor control of blood sugar. A nerve conduction velocity (NCV) study c shall confirm this diagnosis. I would like to enquire, which oral medications are you on. Metformin, is a drug, which causes Vitamin B12 deficiency, and can aggravate neuropathy. Neurokind is a vitamin B supplement, which can be taken for some relief. You can get a serum Vitamin B12 level done, if severely deficient, parenteral administration may be needed. However, if Diabetic neuropathy develops, certain medications are advised for this condition - Duloxetine, Tricyclic antidepressants ( amitriptyline, desipramine), SSRIs (fluoxetine, sertraline), Gabapentin and Pregabalin. These medications should be taken only after being prescribed by your Primary/Treating physician. Hope this helps you out.