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Diabetic neuropathy

artfuldodger

Member
Messages
19
Location
clipstone
Type of diabetes
Type 2
Treatment type
Insulin
Dislikes
marmite
hi everyone just wondered how anyone who has diabetic neuropathy copes with it i have it in both legs and both feet and toes they put me on amitriptyline 10mg at night and gabapentin 600m 3 times a day and I use a leg raising pillow which helps a lot
Anybody have any other advise on how to help cope with it
 
Anybody have any other advise on how to help cope with it
Hi @artfuldodger my very limited understanding is the brain misinterpreting the lack of input from nerves in the extremities as cold or pain as its trying to replace the lack of information with past experiences and absence of expected signals.

However there are also physical symptoms which fly in the face of this, my fingers are cold because they are cold. I can measure this with a thermometer, this is empirical. There is no misinterpreting this sensation for pain my brain barely registers any discomfort. I often don't notice it.

My feet on the other hand are often painfully cold although not cold to the touch. Its worse at night. :coldfeet:

What makes both of these things worse, both feet and hands, is coming into contact with anything cold. Simply a cold floor even with slippers, holding a cold glass of water, or a cool mattress at night, used to love that feeling.

Your post doesn't mention any issues with hands so some things I find help a little, when ever possible my feet insulated from the floor, not elevated just off the floor. Changing into different pairs of shoes throughout the day & multiple pairs of slippers seems to help maybe its just a placebo effect or more likely at times I can physical feel the soles of my shoes are cold to the touch perhaps not insulating my feet as well as I think. :confused:

Realising I have been sat in front of the keyboard or TV for to long and getting up and moving around for a bit helps. This also work a bit at night when I have trouble sleeping.

A hot water bottle at the bottom of the mattress to take the chill of, even in summer. :meh:

You said your GP issued amitriptyline 10mg for night times to help. :bookworm:
Same here with the instruction to keep upping the dosage until I found a level that managed the pain effectively.
Perhaps that's something you should check with your GP.

You don't say how long you have been on 10mg for it can take month before you feel the desired effects. There are people on here that have had success by reducing blood sugars, @KennyA has spoken about it recently on a couple of other posts.

For me I didn't like the side effects of amitriptyline, instead I am working on moving around more and simply trying myself out expending some energy , through increased activate through the day, so I can fall asleep more easily at nights.

Seems to be helping.
:bag:
 
Hi there is no spoon some usefully information there will definitely have a word about upping my dose of amitriptyline unfortunately I am very limited to exercise as I am riddled with arthritis and had most of my joints rebuilt just had my thumb done which is a problem with most pain killers like ibuprofen can't take as it messes my insulin up will try and walk a little at night see if that helps with sleep
Thanks for your advice much appreciated
 
I think it also depends on other medication aswell as ibuprofen can cause dangerously low blood sugar having a very high risk of hypo and I have had lots of issues with my kidneys maybe that's why I can not have ibuprofen
 
unfortunately I am very limited to exercise
Have you considered an Electronic Muscle Stimulation (EMS) pad.

The sales pitch:
Electronic foot pads are devices designed to provide warmth, massage, or therapeutic stimulation to the feet. EMS foot pads use low-frequency electrical impulses to stimulate muscles and nerves in the feet, promoting blood circulation and helping to relieve soreness, tension, and pain associated with conditions like arthritis. Heated foot pads are commonly used to provide warmth and relief for cold feet :coldfeet: , particularly beneficial for individuals with poor circulation, arthritis, or conditions like Raynaud's syndrome.

I bought on a while back, I don't use it as often as I should to get the full benefit, you might find it helpful. You can pick them up fairly cheaply on line. :cool:
:bag:
 
problem with most pain killers like ibuprofen can't take as it messes my insulin up will try and walk a little at night see if that helps with sleep
Sorry @artfuldodger just reread your post and missed these points.

Ibuprofen and other such pain killers wont help with neuropathy as the pain is in the coming from the nerve endings, or lack of, which is the reason I suggested checking with your GP, and upping the dosage of the amitriptyline it works differently.

Walking at night I just get up and walk back and forth in the house for a couple of mins, even standing for a little helps. Don't have to strain yourself.;)
:bag:
 
ibuprofen can cause dangerously low blood sugar having a very high risk of hypo and I have had lots of issues with my kidneys maybe that's why I can not have ibuprofen
I'm sorry to hear about your issues including kidney problems, and I'm sorry I don't have much knowledge on this.
But are you sure that ibuprofen can cause hypos/low blood glucose? I haven't been warned about this at all, and haven't had issues with ibuprofen either but if there is a side effect of that kind I definitely want to know about it!
 
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