I did smoke for many years but rarely more than 10 a day and stopped 9 years ago. I have been taking ALA but my pharmacy has either stopped getting it or cannot fins a supplier. It looks like I will have to go online and make sure I get the R-ALA. Does anyone have the name of a reputable supplier - I am always wary of online shopping.Stephen - Have you ever been a smoker, and if you were, when did you stop?
Secondly, have you been taking ALA or R-ALA. I've not used it myself, but my understanding is the R-ALA is much more effective than straightforward ALA, and worth paying the premium for.
I think those who use it in the UK, often source it online, maybe even via Amazon, but don't quote me on that!.
Try supplement R-ala up to 600mg daily but start on low dose first.I have severe nerve pain in my feet and have to take pregabalin to help with sleep etc. The garbage is that this is supposed to be damage to the nerves that cannot be cured and/or damage to the capillaries. You may remember as a child that stopping blood flow to the feet caused pins and needles. The nerves were providing a warning that you needed to change your sitting position. In fact the main purpose of the nerves was originally to provide warnings of danger. Pregabalin may help the pain but it does not treat the cause - so typical of drug companies to treat symptoms as this keeps the money rolling in!
I even get more discomfort when there is a quick increase in air pressure. The nerves responding to increased pressure.
Does anyone know of a treatment that will help improve the blood flow except for high blood pressure tablets which did help a couple of years ago?
I did smoke for many years but rarely more than 10 a day and stopped 9 years ago. I have been taking ALA but my pharmacy has either stopped getting it or cannot fins a supplier. It looks like I will have to go online and make sure I get the R-ALA. Does anyone have the name of a reputable supplier - I am always wary of online shopping.
Thanks Glenn for the carb suggestion. I will try to bring my amount down to 50 gms a day or less and try to get my BG down to the 5s.
I also read the research paper suggested by Indy51 and it looks as if continuous monitoring is the way to go and make sure I eat low GI foods to monitor and reduce the spikes.
I agree with NicoleC1971 that the nerve issue is more to do with the signalling which is why the pregabalin does help as it reduces the intensity of the signal in the brain which is interpreted as less pain.
Thanks everybody at least I now have some treatment ideas and objectives to provide motivation.
Don't smoke, have maybe 3 1/2 pints of pale ale a year, take vitamin B12, have lost 20 lbs in the past 6 months so BMI is good, my last 2 A1Cs were 6.0 and 6.3 and my 3 times daily bg is averaging 6.0 for the last month. The problem started 17 months ago when my so called specialist cut my Metformin dose in half and my A1C shot up to 11.3 in November 2017 and the pain started. Got worse on insulin from last February.
But I don't think the nerves are in any way damaged. They are hyper sensitive especially to pressure so are sending the full message plus some to the brain. Not sure why hypersensitive would be classed as damaged. Just need a cure not a symptom treating drug.
This has been an interesting thread and an interesting read. But I cant help but think maybe there is an element of treatment induced neuropathy, which is different from regular diabetic PN. Maybe someone with more knowledge about it may shed some information. Not a diagnosis; but your symptoms appeared when your meds got messed up, is that right?
Do you think your A1c can come down further. I noticed much better improvement after a few months of A1c with a 5 in front of it. Hard work and vigilance but worth the effort.I could even smoke marijuana in Canada but I suspect that will not help. I am continuing with my low carb diet that has really helped the glucose levels - A1c down to 6.9 from 9.5 last February. Earlier in this thread it was suggested using R-Alpha Lipoic Acid and my diabetic clinic said I could have up to 1800 mgs per day. This would have been very expensive at over $16 for 60 100 mg tablets. I am currently taking 3 x 400 mg per day that cost about $12 for 60. The increased dose is much more effective. The pain is less. I also try and keep my feet very warm as this helps to increase blood flow which hopefully will stop the nerves from reacting. The pregabalin seems to help but I may cut the quantity if the improvement from ALA continues.
BTW - my neuropathy got worse on insulin that I no longer take.
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