Diabetic neuropathy pain management?
I have Type II diabetes. It is well controlled and my fasting blood sugar is 90 - 95 mg/dl (~5 - 5.25 mmol/l). I am on a severely restricted low carb diet (less than 50g/day typically). I am 173 cm and 66 kg for a BMI of 22. My body fat percentage is ~17%. But I suffer from severe pain from diabetic neuropathy. I have pins and needles all over, but especially in my hands and feet. I have glove-stocking numbness in one of my calves. I'm not dying. It's what it is. It's not getting any worse, but it's not getting any better. I can't, realistically, do anything differently from a dietary or medicinal perspective. But I would like to alleviate the pain. What is the best course of treatment (and please don't say homeopathy or some such brand of voodoo - it's going to take a lot more than sugar pills and the placebo effect to fix this). Ideally I'd be on a time-release opioid like Oycontin but I can't get it where I live, and there are of course addiction/tolerance factors to consider. There's only so much my doctor can do. I do not want pain to dominate my life.
Tagged with: addiction • bmi • body fat percentage • calves • diabetes • diabetic neuropathy • fasting blood sugar • hands and feet • homeopathy • low carb diet • numbness • opioid • pins and needles • placebo effect • severe pain • stocking • sugar pills • time release • type ii diabetes • voodoo
Filed under: diabetic neuropathy treatment
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David, Iwill speak frankly to you. No voodoo. Get a new doctor. A doctor should treat the pain first and then the disease. Period.
The best medication for neuropathy is a Tri-cyclic anti depressant. Not neurontin. .And a great opiate that is non-addictive is Tramadol. And not Vicodin. Just plain ol’ generic Tramadol.
Also add Vitamin B 12 to the list (Mecobalamin) not just plain B12.
About 1000 mcg.
I am the same as you, but my pain starts to dominate at about 5 pm. So at 3:30 pm I take 2 Tramadols and 1 hour later I take 1 tramadol. It lasts me the whole nite. And in the day time I can stand the pain, which is less.
Exercise also helps.
Kitty