Tests to Evaluate Leg Pain and Diabetes-Related Complications

• Consider nerve conduction studies, Doppler ultrasound, and HbA1c to assess nerve damage, blood flow, and blood sugar control.

Tests to Investigate Constipation

• Abdominal X-rays, colonoscopy if needed, and blood tests for thyroid and electrolyte levels can help identify causes.

Review of Current Medication (Pyridostigmine)

• Evaluate Pyridostigmine use, its effects, and potential side effects related to symptoms.

Treatment Approaches for Leg Pain

• Options include pain management, physical therapy, and optimizing diabetes control. Medications like gabapentin and lifestyle modifications may be beneficial.

Management of Constipation

• Implement dietary changes, ensure adequate hydration, and consider laxatives while addressing underlying causes.

Coordination with Specialists

• Consult endocrinologists, neurologists, and gastroenterologists for comprehensive care.

Monitoring and Follow-up

• Regularly monitor diabetes and symptoms to adjust treatment plans as needed.