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type 2 diabetes, both legs feeling numb?

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my hubby last week got diagnosed having type 2 diabetes,but previous to this he had to see a doctor as he had balantis and had a urine test and thats when they found sugar in urine and then done another test that showed up his diabetes, hes been told to loose a bit of weight and change his diet but in this short space of time hes been complaining of tops of both legs feeling numb all the time and now has burning sensations on them as well, had a few big spots on bum and itchy arms, can any one tell us whats going on as its all new to us

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replied April 8th, 2012
Diabetes Answer A33661
Welcome to e health forum.

From the history provided it seems that your husband has diabetic neuropathy.

Diabetic neuropathy is a common complication of diabetes, in which nerves are damaged as a result of high blood sugar levels (hyperglycemia).

50% of diabetic patients commonly develop temporary or permanent damage to nerve tissue. Nerve injuries are caused by decreased blood flow and high blood sugar levels, and the severity increases with the duration and severity of hyperglycemia as well if proper treatment is delayed or if it is irregular (noncompliant patients).

Symptoms of this condition include cramping pain, numbness, pins and needles, tingling, burning sensation and weakness of the affected extremities.

The severity of diabetic neuropathy depends on the age, duration you had the disease, the current glycemic control, the degree the nerves and tissues are affected and also the current treatment you are on. The GOALS of treating diabetic neuropathy are to prevent the disease from getting worse and to reduce the symptoms of the disease.

Tight control of blood sugar (glucose) is important to prevent symptoms and problems from getting worse.

Medications may be used to reduce the symptoms in the feet, legs, and arms. These medications include: Amitriptyline, Doxepin, duloxetine, Gabapentin, Pregabalin, and valproate are used to treat the painful symptoms. Capsaicin can be used topically to reduce pain.

In case one of the drug is not helpful over a period of time, your doctor can try a better one after due consideration. Every individual will respond to a different drug depending on the individual situation. But most newer drugs like gabapentin and duloxetine are always helpful to control the pain.

You will need to continue to work with your treating doctor for proper advice regarding monitoring your blood sugars and optimizing your medications. A expert dietician can help you with a proper diet to control your diabetes and also achieve weight loss.

I hope this helps.

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