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Can diabetes cause stiffness and burning in the legs?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

My father's age is 62 years. He is suffering from diabetes mellitus and hypertension for more than 25 years. He had a right-sided mild paralysis stroke (PPA) and is suffering from stiffness and burning sensation in his legs and feet. The recent investigations showed fasting blood sugar level- 90 mg/dL, PLBS- 216 mg/dL, HbA1c- 8.5 percent. Lipid profile and urine examination results were normal. He is now using Human Mixtard 40 IU/mL (morning 25 units, evening 20 units), along with Ecosprin Gold, Nurokind-Plus, GABA powder, Telma H 40 mg, Starpress (one per day), and Eliwel 25 mg (when needed). Please advise the treatment and medication. And any further investigations he needs to undergo. He recently had retinopathy in both eyes.
Answered by Dr. Divakara P

Education:

MBBS

Professional Bio:

Dr. Divakara. P is a Diabetologist and an Endocrinologist specializing in Pain Medicine and Pulmonology with 18 years of clinical experience. He completed his MBBS at the Karnataka Institute of Medical Sciences in 2006 and MD in General Medicine at the Rajiv Gandhi University of Health Sciences in 2011. He is qualified to diagnose and treat disorders of the endocrine glands. Currently, he is practicing in Dr. Divakara's Speciality Clinic, Bangalore, Karnataka, India.

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Hi,

Welcome to icliniq.com.

Thanks for posting your query. The stiffness and burning sensation are due to nerve damage (neuropathy) caused due to uncontrolled diabetes. HbA1c of 8.5 percent means your father's diabetes is very poorly controlled and needs some changes in the dosage. I suggest that he take Human Mixtard (30/70), 32 units in the morning and 20 units at night. Also, I suggest you stop GABA powder and start tablet Pregaba- M 150 mg twice daily. Please do podiatry (foot testing) to know the extent of nerve damage. Repeat his FBS (fasting blood sugar), PPBS (postprandial blood sugar) after a week, and revert with reports. Rest other medications he can continue.

Answered by Dr. Divakara P
Medically reviewed by Dr. Sneha Kannan
Published At September 16, 2020
Reviewed At June 19, 2024

Education:

MBBS

Professional Bio:

Dr. Divakara. P is a Diabetologist and an Endocrinologist specializing in Pain Medicine and Pulmonology with 18 years of clinical experience. He completed his MBBS at the Karnataka Institute of Medical Sciences in 2006 and MD in General Medicine at the Rajiv Gandhi University of Health Sciences in 2011. He is qualified to diagnose and treat disorders of the endocrine glands. Currently, he is practicing in Dr. Divakara's Speciality Clinic, Bangalore, Karnataka, India.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. Sneha Kannan is a skilled Dental Surgeon with expertise in providing general dental care, including scaling, fillings, and preventive treatments. She does oral surgery procedures such as extractions and minor surgical interventions. She does procedures in restorative dentistry, including crowns, bridges, and dentures. She is an expert in doing endodontic treatments such as root canal therapy. She is well-versed in doing procedures in cosmetic dentistry, including teeth whitening and smile correction. She can provide pediatric dental care for children’s oral health and preventive treatments. She promotes oral hygiene awareness and preventive dental practices.  

This doctor is not available for online consultations on the platform anymore.

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Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Divakara P
Dr. Divakara P

Internal Medicine

Education:

MBBS

Professional Bio:

Dr. Divakara. P is a Diabetologist and an Endocrinologist specializing in Pain Medicine and Pulmonology with 18 years of clinical experience. He completed his MBBS at the Karnataka Institute of Medical Sciences in 2006 and MD in General Medicine at the Rajiv Gandhi University of Health Sciences in 2011. He is qualified to diagnose and treat disorders of the endocrine glands. Currently, he is practicing in Dr. Divakara's Speciality Clinic, Bangalore, Karnataka, India.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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