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Diabetes neuropathy pain in feet
My mom is suffering from diabetic neuropathy since 10 years..she has tried many things but no relief.. She has burning and pain in whole foot area.. Can neuropathy be reversed and how to cure?
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Unfortuantely it's a microcomplication
But symptomatic treatment can be done
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consult for further management
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Diabetic neuropathy that has been present for 10 years is unfortunately difficult to fully reverse, but it can be significantly improved with good blood sugar control and the right treatment. The most important step is ensuring her HbA1c is well controlled â high blood sugar is the main driver of nerve damage. Also, if she is on metformin for diabetes, long-term metformin use commonly causes Vitamin B12 deficiency, which itself causes neuropathy and worsens the pain significantly.
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Please consult me directly on Practo for a detailed evaluation â reviewing her current medications, HbA1c, and B12 levels will help identify what can be improved to reduce her pain.
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Check vitamin
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Please share details of her diabetic status, treatment taken so far, then I can help you.
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Very tuff, consult superspecialist like neurophysician
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Yes it can be cured consult a neurologist.
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Hi,
Complete reversal is difficult after 10 years, but symptom relief is possible with proper treatment, better diabetes control, foot care, and specific medicines.
Feel free to consult for further guidance.👍
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Regular check up ..foot care...sensory and motor neuropathy need to be differentiated..diabetic control..t neurobion and calcium try..if fail..
T gabapentin bd for 1 week..
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your mother has been suffering from diabetic neuropathy for 10 years, experiencing burning and pain across the whole foot area. Prolonged exposure to high blood glucose levels causes structural and metabolic damage to the microscopic blood vessels (vasa nervorum) supplying your peripheral nerves, leading to nerve fiber ischemia and persistent, unprovoked pain signaling.
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fully established structural nerve damage from a 10-year history of neuropathy cannot be completely reversed or "cured" back to its original baseline. However, it is highly critical to understand that the condition can be aggressively managed and stabilized; proper therapeutic intervention can significantly reduce the burning sensations, protect remaining nerve fibers, and dramatically improve her daily quality of life.
Health Tips
To structurally analyze your mother's upcoming lower limb Nerve Conduction Study (NCS) results, evaluate her long-term HbA1c trends, and build a targeted prescription layout to minimize her severe foot burning, please book a full consultation session via my Practo profile."
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No reversal.
But can manage.
Free online consultations for age 50 years and older.
Best wishes
www.jgsr-health-education.in
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Do an ncs study to know which all nerves are involved
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Ajay Kumar
Internal Medicine
9 yrs exp
Ahmedabad
First, confirm that it is truly diabetic neuropathy:
• Check HbA1c and glycemic control.
• Serum Vitamin B12 (especially if on metformin).
• CBC, iron studies if anemia.
• Thyroid profile (TSH).
• Renal and liver function tests.
You may be taking some medicines for diabetes which causes b12 deficiency which ultimately leads to neuropathy.
You need to first control your blood sugar, if you can tell me her blood sugar trends and hba1c levels,may be you should go for CGM monitoring for a clear blood sugar picture.
Next Steps
If on pregabalin: titrate up to 150 mg BD (depending on renal function).
• If on gabapentin: gradual escalation up to effective dose.
• Consider adding:
• Duloxetine 30 mg daily → 60 mg daily.
• Or combination of pregabalin + duloxetine if monotherapy fails.
• Alpha-lipoic acid 600 mg daily may help some patients.
• Correct B12 deficiency if present.
If you want the correction, you can book the consultation, otherwise you can follow what I have mentioned, that will help you in general.
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Dr. Nazia Begum M.G
General Physician
15 yrs exp
Belgaum
She needs vit b12 injection regular
Regular Walk simple exercises daily
Physiotherapy
Consult online will discuss
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further evaluation please consult
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Dr. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
Consult to Neurologist
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The main issue here is diabetes
Strict HbA1c control should be there mostly below 7
Diabetic diet 30mins of daily exercise
Avoid too much of non veg or fatty food
Next Steps
Tab pregabalin NT 75 mg can be taken for a period of 30 months helps for the relief of the burning pain
If can be controlled depending on blood sugar level
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Do consult if u feel the need so
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Kindly do connect and consult
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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