Hi Sir, I am 62 years old, am diabetic since 2002. It was almost improved between 2011-2014 as I had diet restrictions due to Angioplasty. Now experiencing numbness in fingers of each foot and pain in both legs. Sudden shooting pain all over the body which may happen any time and remains 2 minutes to 12 hrs and some time more. Taking Tramadol 100 mg for pain. Suggest how to over come the numbness and pain (some time chronic) in both legs and feet.

Dr. Prabhakar Laxman JatharEndocrinologist47yrs exp

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Mr. lybrate-user, Thanks for the query, In long standing diabetes peripheral neuropathy is a commonly occurring complication. This is particularly seen if the blood glucose control is not good enough. Plus it is observed even when there is a fairly well controlled diabetes. Since there is no mention of your blood glucose levels and HbA1c%, it is not possible to know how well is the condition controlled. Tramadol does help in giving some pain relief. But there are some other drugs like Gabapentine and Pragabalin which could be useful. But most important is strict blood glucose control with fasting < 100 mg, PP 160 to 170 mg & HbA1c% < 6.8. Thanks.  

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