Your current treatment includes medications for both type 2 diabetes and rheumatoid arthritis, but managing severe joint pain and swelling may require careful adjustment and monitoring.

🩺 Current treatment appropriateness

Your diabetes medications (Gluconorm PG 1 and Gluconorm SR) and rheumatoid arthritis drugs (Hydroxychloroquine, Indomethacin, and previous use of Methotrexate and Methylprednisolone) are commonly used together, but the combination requires close supervision due to potential side effects and interactions.

🩺 Joint pain management

Severe shoulder and finger joint pain and swelling suggest active inflammation that may not be fully controlled. Options to improve relief include optimizing disease-modifying antirheumatic drugs (DMARDs) like Methotrexate or considering biologic therapies if not already tried, alongside pain control measures.

💊 Medication adjustments

Since you previously took Methotrexate and steroids, revisiting these or adjusting doses under rheumatologist guidance might help. Indomethacin (a nonsteroidal anti-inflammatory drug) can relieve pain but should be used cautiously with diabetes. Hydroxychloroquine is appropriate but may need combination with other DMARDs for better control.

🩺 Monitoring and specialist care

Regular follow-up with a rheumatologist is essential to monitor disease activity, medication side effects, and diabetes control. Blood tests and clinical assessments guide treatment changes.

⚠️ Safety considerations

NSAIDs like Indomethacin can affect kidney function and blood pressure, especially in diabetes. Steroid use requires monitoring for blood sugar spikes. Inform your doctor about all medications to avoid interactions.

Consult your rheumatologist to review your treatment plan and consider adjustments tailored to your joint symptoms and overall health.