Possible Causes of Leg and Hand Pain and Fatigue

• Diabetic neuropathy is a common cause of nerve pain and fatigue.
• Medication side effects or vitamin deficiencies, despite Neurobion injections, could contribute.
• Poor blood sugar control or circulatory issues may also be factors.

Interpretation of Current Blood Glucose Levels

• Fasting glucose of 139 mg/dL and post-meal 220 mg/dL indicate suboptimal control.
• Prolonged elevated blood sugar increases the risk of complications.

Treatment Adjustment Considerations

• Review current medications (Glucored Forte, K-Glim-M, K Vog) with a healthcare provider.
• Consider lifestyle factors: diet, exercise, and regular monitoring.
• Medication dose adjustment or addition of other agents may be necessary.

Recommended Next Steps

• Consult an endocrinologist or diabetologist for personalized management.
• Screen for diabetic complications (neuropathy, kidney function, etc.).
• Regularly monitor blood glucose and symptoms.

Supportive Measures

• Explore pain management options and vitamin supplementation.
• Adhere to treatment and report new symptoms promptly.