Hi Dr. I am diabetic for 15 yrs. My height is 5 feet 10 inch and weigh 93 kg. Have signs of neuropathy. My calf muscles aches and and my foot can detect vibration only when exposed to 30 volts through the machine. Should I take diabetone pn instead of bevon since it targets neuropathy or take both. I also take human mixtard 50 / 50. Morning and afternoon 35 iu each time. My sugar reading before breakfast 170 and pp is 220. Kindly advice. Thank you.

Dr. Prabhakar Laxman JatharEndocrinologist51yrs exp

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Hello, thanks for the query. In a patient with long standing diabetes peripheral neuropathy is quite common. This can happen even with a fairly good control. Because high blood glucose affects peripheral nerve functions. Treatment is to achieve strict glucose control (fbg < 100 mg, pp 150 to 160 mg & hba1c% <6.5%), plus take drugs that are supposed to be helping in improving nerve function and control the symptoms. Drugs can be b12, lipoleic acid, pragabalin and/ or gabapentine and combinations of these. Another important aspect is with a bmi (body mass index) f 29.43 kg/sq meter (normal < 23 kg/sq mete) you are in grade one obesity with an excess of over 20 kgs. This does affect achieving better glucose control. Therefore, it is absolutely essential to achieve stric glucose control and then look at other drugs. Thanks.  

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