Jump to content

Photo

Foot neuropathy

- - - - -

  • Please log in to reply
9 replies to this topic

#1
orpy

orpy

    Member

  • 500 plus
  • 310 posts
What are the odds that I would have neuropathy in my feet given that my A1Cs have been pretty good for several years. Recently I have been feeling a sort of vibration in my feet and waking with my left middle toe in some pain. Once I start to walk, the toe pain goes away. My primary seems to think it's neuropathy. I am kind of depressed about this as I felt that I was avoiding this by having decent BS control. Does a vibrating feeling with one toe that hurts sound like neuropathy?
Orpy

A1C changes: 6.8-->6.6-->6.5-->6.1-->6.4-->7.2 --> 6.0-->6.4-->6.3-->5.9!!! (June 2009) (I am so happy I made the 5 club)-->6.2.

Type 1

Officially pumping as of 2/1/2011!
Humalog
Animas Ping!

I have my ups and downs.

#2
ramon

ramon

    Senior Member

  • 500 plus
  • 3,109 posts
  • LocationHouston Texas
  • I am a:Type 2
Hi orpy, same thing happened to me and from what I understand your nerves are damaged slowly without you realizing it when you have diabetes. That's why they say you must pay special attention to your feet cause they could be injured with out you even realizing it. When you sort of get you D under control like it seems you have been, your nerve endings are repairing themselves and thus the discomfort. Of coarse YMMV. It SEEMS LIKE YOU ARE ON THE RIGHT TRACK. Good job and keep up the good work.:)

#3
aiah23

aiah23

    Senior Member

  • 500 plus
  • 1,748 posts
I guess if you want more peace of mind you should see a podiatrist. I know I routinely worried about foot problems, especially given my years of poor control in my late teens and early 20s. It will either grant you the peace of mind you're looking for or it will teach you specifically what to be on the lookout for. Ramon's post is dead-on too so don't neglect pursuing those excellent blood sugars, they will pay off in the long-term! Your PCP/GP would probably want you to start seeing a podiatrist if he suspects you have neuropathy in order to test for blood flow at your feet and various tests at the extremities (sp?). I've also been told, but do not know from experience, that people with severe issues with neuropathy and poor blood sugar control, who choose to rein in blood sugars, often have less severe issues or some of them even go away after some months of better A1Cs (that said they still must be diligent in regular self examinations of their own feet). So it's possible to improve symptoms merely by attaining/maintaining better blood sugar control. Best of luck!

Fawn

#4
NickP

NickP

    Senior Member

  • 500 plus
  • 1,895 posts

I guess if you want more peace of mind you should see a podiatrist. I know I routinely worried about foot problems, especially given my years of poor control in my late teens and early 20s. It will either grant you the peace of mind you're looking for or it will teach you specifically what to be on the lookout for. Ramon's post is dead-on too so don't neglect pursuing those excellent blood sugars, they will pay off in the long-term! Your PCP/GP would probably want you to start seeing a podiatrist if he suspects you have neuropathy in order to test for blood flow at your feet and various tests at the extremities (sp?).
Fawn


+1 -- definately ask for a referral to a podiatrist. This is not a symptom that you "hope goes away."
Nick
Feb 17, 2010 - Initial A1C 9.3 Weight 238
May 26, 2010 - A1C 6.0
Aug 20, 2010 - A1C 5.6
Nov 19, 2010 - A1C 5.8
Mar 1, 2011- A1C 5.7 (No Meds)
Jun 3, 2011 - A1C 5.7 (No Meds)
Oct 31, 2011 - A1C 5.3
Nov 6, 2012 - A1C 5.3
Feb 18, 2014- A1C 5.6 Weight 199

Current Meds:
Metformin 500mg x 2

#5
Big_Al

Big_Al

    Member

  • 500 plus
  • 111 posts

When you sort of get you D under control like it seems you have been, your nerve endings are repairing themselves and thus the discomfort.


Do they actually repair themselves? I was under the impression that neuropathy was largely irreversible, hence my hyper-fear of it.
Al

1/15/2010 - A1c - 9.7
4/23/2010 - A1c - 6.2 ;)
10/25/2010 - A1c - 6.1 :o (I was expecting lower)

Weight 1/15/2010 - 383 :(
Weight 5/14/2010 - 299 :D

Meds - 2000 mg Metformin

#6
amiguita

amiguita

    Member

  • 500 plus
  • 390 posts
  • I am a:Type 1.5
My father (type 2) suffered from what I believe was a form of peripheral neuropathy. There are several types and varying degrees of damage.

Dad was just awful at controlling his diabetes. For the most part, it affected his leg muscles and feet. He would be walking and then for no reason (well, we thought that at the time) he would just collapse. His legs would quite literally fold underneath him with no warning leaving him in a pile on the ground.

This was his wake-up call and he was extremely fortunate that he was able to reverse it through better control and exercise. It was an amazing reversal but having said that, I know he was in such bad shape that it was nothing short of a miracle.

Keep up the good work and don't hesitate to see the podiatrist :D
[SIGPIC][/SIGPIC]
diagnosed in 2/2010, Type 2 then 1.5
HbA1c
05/26/12 6.9 :mad: !!
03/13/12 6.6 :eek:
02/03/12 6.3 :mad:
11/01/11 5.8 :smile:
07/12/11 5.6 :dancing:
02/03/2011 5.8
10/2010 - 7.2 :(
6/10/2010 - 5.8 :)
5/04/10 - 6.5
3/24/2010 - 7.4
2/2010 - 8.5

FBG
05/26/12 190 :eek:
11/01/2011 - 177
07/12/2011 - 110
02/03/2011 - 104 :star:
10/2010 - 235
6/10/2010 - 145
3/24/2010 - 130
2/2010 - 250

Levemir: start 6/12/12. Levemir/Humalog basal/bolus regimen. 2000 mg Metformin ER daily

#7
ramon

ramon

    Senior Member

  • 500 plus
  • 3,109 posts
  • LocationHouston Texas
  • I am a:Type 2

Do they actually repair themselves? I was under the impression that neuropathy was largely irreversible, hence my hyper-fear of it.


My doc tells me they do repair the endings but Im not sure if they are repaired all the way. I know they did a needle test on me and compared to the earlier results. My feeling is much better, thus the occasional tingling and hot toe sensation coming back that I could not notice before. Keep in mind that YMMV. Another example of this would be sexual pleasure. We know that diabetics with poor glucose control loose sexual interest but once you start having good control ( maybe without insulin) that sex drive and heightened pleasure returns.;)

#8
PatrickR

PatrickR

    Member

  • 500 plus
  • 127 posts
To me, it certainly sounds like neuropathy, and I strongly second the opinion you should see a podiatrist. I see mine every 6 mos. - I definitely have it.

My personal experience is that it can be improved, and by quite a bit. I doubt I'll ever get rid of it, but I'm working on it. Many reports indicate that as nerve damage is repaired/rejuvenated/etc. there is an increase in sensation (tingling, burning, etc.) as a natural part of the healing process.

An interesting (well, to me, at least) is that my podiatrist tells my my symptoms are "moving around". I can't really tell that, but then, symptoms vary day to day, and during the day as well. Perhaps I'll know more after my next visit - 6/16.

I'd like to see what others think about using supplements to improve and/or correct neuropathy. I've seen a fair number of references to Alpha Lipoic Acid (ALA), and I started taking that about a month ago. Too early to tell for me.

Also, everyone with D should take excellent care of their feet. Washed, dried and inspected every day. If it looks like you need to moisturize - it's probably fungus. Also check between toes - should be smooth, with no cracking/peeling (i.e., macerated) areas. Both of these problems can be quickly and cheaply fixed with Clotrimazole, an OTC for athletes foot. $4 tube (CostCo) should last a few months.

Best wishes!
Dx'd - August '07
Metformin - 1g 2x/day
Lantus 20u/day
Novolog as needed
Forget those other Rx meds!
Various supplements - still tuning . . .

Mostly lo carb, but loving life
A1c: 5.9
HDL: 119
LDL: 65
Trigs: 87

#9
orpy

orpy

    Member

  • 500 plus
  • 310 posts
Thanks everybody...I know people say to go see a podiatrist...but what will one do for me that I can't do myself? I will continue to try to lower my BS...
Orpy

A1C changes: 6.8-->6.6-->6.5-->6.1-->6.4-->7.2 --> 6.0-->6.4-->6.3-->5.9!!! (June 2009) (I am so happy I made the 5 club)-->6.2.

Type 1

Officially pumping as of 2/1/2011!
Humalog
Animas Ping!

I have my ups and downs.

#10
orpy

orpy

    Member

  • 500 plus
  • 310 posts
Oh, I'll never be off of insulin, unless I completely never eat again. I only weigh around 120-124 at 5'4". I dropped to 114 for a bit which was way too thin.

I asked about the neuropathy because I have been fooling myself all this time that I'll be fine but clearly, as I age I will probably get some other issues. I just figured that my control was pretty darn good but apparently not good enough.

Talk about depressing...how can you tell if lack of sexual interest is from diabetes or menopause? LOL!

Sometimes I wonder if a pump is in order for me.
Orpy

A1C changes: 6.8-->6.6-->6.5-->6.1-->6.4-->7.2 --> 6.0-->6.4-->6.3-->5.9!!! (June 2009) (I am so happy I made the 5 club)-->6.2.

Type 1

Officially pumping as of 2/1/2011!
Humalog
Animas Ping!

I have my ups and downs.




0 user(s) are reading this topic

0 members, 0 guests, 0 anonymous users