Hello Doctor, My mom is diabetic since last 6 yrs. She is on oral medications metformin +glimepiride (500/2) bd. From last 6-8 months her blood sugar was not under controlled. Her Hba1c was 9 one month back. Then sitagliptin was added to her medications. Since then her blood sugar is under control. She is hypertensive also for that she is taking telmisartan 40 mg od. Since last 1-2 months consistently she is suffering from pain in both lower limb mainly in calf muscles which get relieved on taking aceclofenac or other NSAIDS. After stopping medicine she develops severe pain in legs. Is it related to diabetes. Plzz give your needful opinion. Thanking you.
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Hi lybrate-user, try to avoid NSAIDs as this is not a permanent solution. You need to control the sugar anyhow to relieve the calf pain or you can go for the Sequential pneumatic compression therapy in physiotherapy clinic. This treatment will help you a lot in calf pain and she need to walk at least half n hour a day which will help you a lot to control diabetes.
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This kind of pain in legs can be due to poor circulation of blood in the legs. Another reason in diabetic patients is diabetic neuropathy. She needs absolute control of diabetes. Check her vitamin B12 and D3 and calcium levels. USG colour Doppler can detect blood circulation problems in the legs. Vitamin E supplements sometimes help.
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