Age 52 weight 83 height 6.2.diabetic since 3 y fbs 119 pp 200 .hba1c 7.5 .on medicine glykind m twice a day .now m suffering from burning sensation in below my both feet whole time. Please advise any medicine.

Dr. Prabhakar Laxman JatharEndocrinologist50yrs exp

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Hello, thanks for the query. I have seen the details given. Usually in diabetes peripheral neuropathy is a commonly seen long term complication. If glucose is not well controlled then it does occur fairly early. To reduce the intensity or to prevent further deterioration one has to achieve a strict blood glucose level - fbg < 100 mg or closer to it, pp 150 to 170 mg & hba1c% < 6.5% at below 60 years age. Therefore, there is a need for you to achieve a much stricter glucose control. Hence there may be a need to upgrade the treatment plus look at your diet, and exercise. So please come back with following information: current fbg, pp, lipid profile, serum urea & creatinine, bp readings, dietary details and extent of daily exercise. Then based on those details I will be able to advise plus may prescribe if there is a need. In this communication we are supposed to give only general advise no drugs can be prescribed. So please come in a private conversation. Thanks. 

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