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<blockquote data-quote="Crocodile" data-source="post: 2218360" data-attributes="member: 468583"><p>It sounds like early stages of peripheral neuropathy. Get it checked out, as although suspicious given your diabetes it could turn out to be unrelated. I have a similar story to yours. Numbness and diminished sensation in my toes and ball of the feet. Once I got my glucose under control it improved to the point that it is not very noticeable now. Supplements of Alpha Lipoic Acid helped in the early stages.</p><p></p><p><a href="https://dmsjournal.biomedcentral.com/articles/10.1186/1758-5996-6-139" target="_blank">https://dmsjournal.biomedcentral.com/articles/10.1186/1758-5996-6-139</a></p><p></p><p>I've linked the above article for you to read. It is quite compelling. The gist of the article is that neuropathy can still occur with well controlled HbA1c if they also have short duration spikes in glucose levels. Since HbA1c is only an average of the last three months, short duration spikes are not detected. If it indeed turns out to be neuropathy you need to do both glycemic control strategies. Keep HbA1c low AND prevent short term spikes. This of course means drastic reductions in carbohydrates. This is where a blood glucose meter is essential, despite the reluctance of many diabetic carers insisting that T2s don't require them. You will only be able to achieve the type of tight control required by measuring your before meal levels and 2 hours post meal and making sure that you record what foods cause spikes. It's tough at first but pretty easy when you get used to it. For the record, I keep my HbA1c between 5.4 and 5.8 ( 36 to 40 in mmol units ) and try to keep the spikes below 2.</p><p></p><p>Good luck,</p><p>Glenn</p></blockquote><p></p>
[QUOTE="Crocodile, post: 2218360, member: 468583"] It sounds like early stages of peripheral neuropathy. Get it checked out, as although suspicious given your diabetes it could turn out to be unrelated. I have a similar story to yours. Numbness and diminished sensation in my toes and ball of the feet. Once I got my glucose under control it improved to the point that it is not very noticeable now. Supplements of Alpha Lipoic Acid helped in the early stages. [URL]https://dmsjournal.biomedcentral.com/articles/10.1186/1758-5996-6-139[/URL] I've linked the above article for you to read. It is quite compelling. The gist of the article is that neuropathy can still occur with well controlled HbA1c if they also have short duration spikes in glucose levels. Since HbA1c is only an average of the last three months, short duration spikes are not detected. If it indeed turns out to be neuropathy you need to do both glycemic control strategies. Keep HbA1c low AND prevent short term spikes. This of course means drastic reductions in carbohydrates. This is where a blood glucose meter is essential, despite the reluctance of many diabetic carers insisting that T2s don't require them. You will only be able to achieve the type of tight control required by measuring your before meal levels and 2 hours post meal and making sure that you record what foods cause spikes. It's tough at first but pretty easy when you get used to it. For the record, I keep my HbA1c between 5.4 and 5.8 ( 36 to 40 in mmol units ) and try to keep the spikes below 2. Good luck, Glenn [/QUOTE]
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