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Hand pain

M

Metforman

Member
Messages
9
Location
Scotland
Type of diabetes
Treatment type
Tablets (oral)
I have been diabetic type 2 for about 10 years and my last review showed reasonable management over the previous year. I have been having problems with pain in my left hand first and now experiencing the same pains in my right hand. I was on Naproxen for 3 months with no relief and then switched to Diclofenac with the same result, I now have an appointment with a Rheumology consultant in a few days time with my GPs hope that he will find something rheumatic related causing the pain. I have just had a look at some information that seems to describe my symptoms exactly and what looks like a sensible explanation for the pain I am experiencing. I found this after 10 minutes search on Google, am I just naive or do our GPs just not think a little before launching into treatments in the hope that they will work?

doi: 10.2337/diaclin.19.3.132
Clinical Diabetes July 2001 vol. 19 no. 3 132-135
Not sure if you can get the article I am referring to but it was. Real eye opener for me.
 
I think many of them are not up to date as medicine marches on at at a very fast pace and they just don't have the time to read all the literature etc. Hope the rheumotologist is a help even if it is only to tell you that you don't have "his" disease.
 
I can understand the rate of progress but the article I quoted was dated 2001 and I would have thought that my diabetes may have been a clue to the problem although I had never heard of the condition before either! I was wondering if I would be impertinent to take along a copy of the article?
 

When I first went to see the diabetic nurse she put me on sitagliptin and metformin. When I had time, being a biochemist, I started researching them on line and was horrified by one research paper on sitaglyptin so immediately stopped taking it and made an appointment to see the DN. I printed out the paper and I highlighted the areas of concern and took it with me. I told her I had stopped taking the sitagliptin the previous week and told her why and gave her the paper. She said she was unaware of the findings and said she would make a note and print the paper and take it with her to their next diabetes meeting. I told her to keep it as I no longer needed it, don't know if she took it or not as I haven't seen her since her meeting.

So, in answer to your question no, I don't think it would be impertinent, they don't have time to read every research paper and even if they did they couldn't possibly remember it all.

When I got my last results there was a note next to one of my values saying "Ask xxx about this" (name deleted by me) so I asked her why ? She said "I didn't know what it meant and hadn't got round to asking but I am sure you can tell me" so I did!
 
Thank you for your reply but you have now intrigued me as I am on Sitagliptin and Metformin ! I was put on Sitagliptin January 2014 as my levels were all over the place, I was taking Gliclazide along with Metformin then. My level dropped from 65 to 47 in the space of 6 weeks and my nurse was delighted at my review meeting, I am not due to go again until April 2016.
 
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