I have had Type 2 diabetes for 8 years and currently take Wosulin 30/70 (40 IU), Glycomet 1000, Telma H 40, and Ecosprin AV 150. My blood sugar is 196, my Vitamin D level is 14.3, and I am experiencing numbness in my feet and insomnia. What medicines or treatments would you recommend for my condition?

Your blood sugar of 196 mg/dL is high, indicating your diabetes is not well controlled; your doctor may need to adjust your Wosulin or Glycomet doses. The numbness in your feet suggests diabetic neuropathy. This requires strict blood sugar control and medications like Pregabalin, Gabapentin, or Methylcobalamin to manage nerve symptoms. Your Vitamin D level (14.3 ng/mL) is deficient; I recommend weekly Cholecalciferol (60,000 IU) supplements for 8 weeks. Insomnia can be linked to neuropathy pain or high blood sugar. Please consult your physician immediately to safely adjust your prescriptions, evaluate your feet, and address sleep issues.

I have had diabetes for 32 years and suffer from peripheral neuropathy, which causes constant burning and stiffness in my feet. Despite taking prescribed neuropathy medications like Gabapentin, I am not experiencing any improvement. What alternative medicines or treatments should I take to get relief from these symptoms?

Long-standing diabetes can cause severe peripheral neuropathy, and sometimes Gabapentin alone may not provide enough relief. Doctors may consider alternatives or combination treatment such as Pregabalin, Duloxetine, methylcobalamin (vitamin B12), or topical pain-relief treatments depending on your condition and kidney function. Strict blood sugar control is very important because uncontrolled diabetes can worsen nerve damage. Regular walking, physiotherapy, foot care, proper footwear, and avoiding smoking/alcohol may also help reduce burning and stiffness. Since symptoms are persistent despite treatment, please consult a neurologist or diabetologist for reassessment, dose adjustment, and evaluation for complications such as poor circulation or vitamin deficiencies.

I have diabetic neuropathy with leg pain and swelling, and my blood sugar is high even after taking Galvus Met. What should I do to manage the pain and swelling?

Diabetic neuropathy with ongoing pain and swelling, along with high sugar, suggests your diabetes is not well controlled. Better glucose control is key, as high sugar can worsen nerve damage and symptoms. Measures such as leg elevation, gentle activity, and proper foot care may help reduce discomfort. Consult a doctor to adjust your medicines and manage both pain and swelling effectively.