I have been diabetic for 18 years. I am taking Glucored Forte Tablet, Dronis 20 Tablet, K Vog 0.3 mg Tablet, and K-Glim-M 2 mg Tablet, with a weekly Neurobion injection. I continue to experience leg and hand pain and feel over-tired. My fasting blood glucose level is 139 mg/dL, and two hours after a meal, it is 220 mg/dL. Should my treatment be adjusted? | Apollo Pharmacy

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I have been diabetic for 18 years. I am taking Glucored Forte Tablet, Dronis 20 Tablet, K Vog 0.3 mg Tablet, and K-Glim-M 2 mg Tablet, with a weekly Neurobion injection. I continue to experience leg and hand pain and feel over-tired. My fasting blood glucose level is 139 mg/dL, and two hours after a meal, it is 220 mg/dL. Should my treatment be adjusted?

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I have been diabetic for 18 years. I am taking Glucored Forte Tablet, Dronis 20 Tablet, K Vog 0.3 mg Tablet, and K-Glim-M 2 mg Tablet, with a weekly Neurobion injection. I continue to experience leg and hand pain and feel over-tired. My fasting blood glucose level is 139 mg/dL, and two hours after a meal, it is 220 mg/dL. Should my treatment be adjusted?

Asked by Female, 48 · 6 months ago

Dr. S Aneela

M. Pharm (Pharmacology)., PhD

6 months ago

Your blood sugar levels are above target, and your ongoing pain and fatigue may indicate nerve complications from diabetes. Please consult your doctor to review and adjust your medications and discuss management for diabetic neuropathy.

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How can I improve my blood sugar control?Should I change my diabetes medications?What lifestyle changes can help my condition?Are there specific tests to check for nerve damage?What pain relief options are available for neuropathy?

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.

Answered 6 months ago

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