I am a diabetic since 2005. I take Nurokind plus along with Isryl m1 two doses and Dynaglipt M one (3 tabs for diabetes and one dose of nurokind plus, Telma 80 is taken for high bp. My present sugar level is 137/157 and bp level is 160/120. Above medication is continuing for 4 months. No drastic difference is observed. Besides, feet irritation and low sensation occur. Do not decrease. Current test indicates -Vitamin B12 is1862 pg /ml. Means too high. I need your advise at least to vanish my foot pain and increase sensation level.

Dr. Prabhakar Laxman JatharEndocrinologist46yrs exp

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Mr. lybrate-user, Thanks for the query. Diabetes when continues for a long time (many years) does affect small and large blood vessels, nerves, eyes, kidney, lower limbs and heart. The damage to various organs does occur even with fairly good glucose control. But if a person has uncontrolled disease then complications are more severe. So peripheral neuropathy is a quite a commonly seen complication. Your B12 levels are high, which means there is no need for taking Nurokind (which contains B12). Strict blood glucose control is one of the prime requirements to control symptoms of neuropathy. If pain and burning sensation continue to cause problem, then you may take drugs like Gabapentine of pragabalin. But your BP needs to be controlled more effectively. It should be maintained around 120 to 130 /70 to 80 mm Hg. Thanks. 

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