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The Question
08/26/09 11:05 AM

"Is there anything else I can take for diabetic neuropathy combined with mortons neuroma, I am on gabapentin 3x's a day."
Asked By: chubbs121  
Category: Neuropathy

Background Info Hide
I was diagnosed in 2007 w/Type 2 diabetes and just before that diagnosis I started experiencing foot pain, and was told that I have both problems. I am 55, I suffer with high blood pressure and have a "little heart disease" and a little high cholesterol, all being managed w/medication.

Expert Answers (1)

08/27/09 02:02 PM

Dear ChubbS121; The diagnosis of this poly-neuropathy nerve damage which has primarily impacted the feet and could be in other areas requires an aggressive approach. Medications as you describe are some, as to help cope with the pain resulting from the injury, however, more medications will not provide for preventions of further damage. Frequent medications used for relief of symptoms have included: tricyclic antidepressants, neuroleptic drugs and topical capsaicin.(Meriting further discussion with your Neurologist/PCP/Endorcrinolgist).

Ty2 diabetes is a chronic disorder characterized by a triad (insulin resistance, insulin deficiency and excess glucose production in the liver) of metabolic abnormalities resulting in blood glucose to rise; this increases glucose then cause's damage to the blood vessels and nerves, very complicated and referenced as an "insidious disease." This nerve damage has occurred due to the excess fueling of a metabolic glucose/'sorbitol' pathway resulting in a loss of transfer of impulses in the affected area. "

In your case, I would strongly recommend, the 'Back to the Basics' approach which involves meal planning, physical activity and medications to reach those basic goals ABC's of Diabetes:

  • A1C<6.5,
  • Total cholesterol<200, LDL<70(with the "touch of heart disease"),
  • Blood pressure<130/80mmHG,
  • If you smoke-stop,
  • if you drink, less or none as to not 'impact' the BP,work closely with your health care team to help you achieve these goals. Additional prevention techniques include
  • reduction of dietary fat,
  • modest weight loss and
  • 150 minutes of moderate physical activity per week, per MD OK. Be your best, call on dLife.com as needed. Regards Sue
    • Answered By: Susan Throop
    Accreditations: RD, CDE, MA
    Sources Show

    Community Answers (0)

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    *** All information contained on dLife.com is intended for informational and educational purposes only. Our Expert Q&A is not intended to be a replacement or substitute for consultation with a qualified medical professional or for professional medical advice related to diabetes or another medical condition. Please contact your physician or medical professional with any questions and concerns about your medical condition.

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