How to treat eye issues and feet numbness in diabetics?

Question

Hello doctor,

I have had type 1 diabetes for 20 years now, and I thought I was managing it well. But lately, I have been having problems with my eyesight; everything is a bit blurry. I have also noticed some numbness in my feet. My last HbA1c was 7.8, which is higher than usual for me.

I am worried about developing serious complications.

Are these symptoms related to my diabetes?
What tests should I have done?

I am finding it harder to tell when my blood sugar is low, which is scary.

Is there anything I can do to reverse or slow down these complications?
Should I be changing my insulin regimen or diet?
I am also planning to start a family soon; how will my diabetes affect pregnancy and the baby?

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern about the new symptoms you are experiencing.

The blurry vision could be a sign of diabetic retinopathy, a condition where high blood sugar levels damage the blood vessels in the retina, and the numbness might be diabetic neuropathy, which is nerve damage caused by prolonged high blood sugar. It is essential to have a comprehensive eye examination, foot examination, and possibly a nerve conduction study.

I would also suggest you check for

Hb1C (glycated hemoglobin).
KFT (kidney function test).
Vit-B12 (vitamin B12).
Vit-D (vitamin D).
CBC (complete blood count).

BP levels, as the symptoms you mentioned, can also be due to vitamin deficiency.

I would suggest you consider changing the insulin regime and using a combination of insulin and also consider using a continuous glucose monitor (CGM) to help avoid hypoglycemia and maintain better overall control.

Focus on a balanced diet with low glycemic index foods, plenty of fiber, and healthy fats. I would suggest you consult a dietitian to adjust your meal plan.

Regular physical activity can improve blood sugar control and reduce the risk of complications. Just ensure you monitor your blood sugar levels closely to avoid hypoglycemia.

I would suggest you use B-complex supplements to avoid nerve issues.

Managing blood sugar is even more crucial when planning a pregnancy. High blood sugar levels can increase the risk of complications for both you and the baby, including congenital disabilities.

Pre-pregnancy planning should involve optimizing your blood sugar control, possibly adjusting your insulin regimen, and consulting with a specialist in maternal-fetal medicine who has experience managing diabetes in pregnancy.

Kindly consult a physician, discuss with them, and start taking the medications with their consent.

I hope I have answered your question.

Let me know if I can assist you further.

Regards.