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Worsening foot pain

Topic drift, but I find it hard to understand when somebody worries that they "look" too thin.

If you are dangerously underweight then that is a problem.

If you have to give away all you favourite clothes (I had to) then that is a pain, especially if you can't replace them. However 38" waist was no longer practical for a 34"-36" waist.

However feeling pressure because you and especially other people have a body image in their heads which is what they expect you to look like seems no good reason not to lose weight.

People say I look too thin. I am still well above the mid point of BMI for my height (6 foot) and my waist measurement is wavering around 36 inches (half of 72 inches) so I am by no means under weight.

I am verging on "critically underweight" according to the health professionals and I look "too thin" so tend not to wear anything sleeveless in the summer. Even during last summer's heat wave a wore short sleeved T shirts..

However, I was normal weight for my height before diagnosis and once I started the low carb diet I dropped one and three quarter stones within a couple of months and since then have remained around 7 stone. I would like to gain some weight but can't eat the things that would increase my weight without my glucose going really high.

We are all different and have to do what works for us as individuals.
 
@PaulWright - I'm really pleased you're being really proactive in getting to the bottom of your foot issues, and seeing a podiatrist. money well spent, I hope. Stating the obvious, our feet are so important to us in so many ways.

If you are considering medications to deal with the pain, then you might care to do a bit of reading around R-ALA. R-ALA is a spplement that quite a number of folks have commented helps with neuropathic type pain. It isn't something I've had to try myself, so can't give you any personal experience.

If you do decide to give it a whirl, please do ensure you try R-ALA, and not just ALA. There's quite a difference in them.

I seem to recall our friend @Bluetit1802 has used R-ALA in the past with some success.
 
@PaulWright - I'm really pleased you're being really proactive in getting to the bottom of your foot issues, and seeing a podiatrist. money well spent, I hope. Stating the obvious, our feet are so important to us in so many ways.

If you are considering medications to deal with the pain, then you might care to do a bit of reading around R-ALA. R-ALA is a spplement that quite a number of folks have commented helps with neuropathic type pain. It isn't something I've had to try myself, so can't give you any personal experience.

If you do decide to give it a whirl, please do ensure you try R-ALA, and not just ALA. There's quite a difference in them.

I seem to recall our friend @Bluetit1802 has used R-ALA in the past with some success.
Thanks, but I did mention in my initial posting that I’ve tried R-ALA but without any noticeable difference to my feet. It’s an expensive supplement, though I would accept that if it helped. It seems R-ALA helps some people, and I certainly think it’s worth a try if someone hasn’t given it a go.
 
Thanks, but I did mention in my initial posting that I’ve tried R-ALA but without any noticeable difference to my feet. It’s an expensive supplement, though I would accept that if it helped. It seems R-ALA helps some people, and I certainly think it’s worth a try if someone hasn’t given it a go.

Apologies, Paul. I didn't go back to the beginning of your thread today, but jumped in where I'd left off. Sometimes, I could swear somebody stole my memory, or just borrowed the useful bits!
 
Thanks Patrick for your support and encouragement. I don’t know how you’re doing with your numbers, but I found the LCHF diet worked wonders for rapidly reducing weight and BS levels, and I never felt particularly hungry as I adapted to my new diet. The main issue was (and always will be), missing all those foods that I enjoyed so much. I’m now very comfortable with my body weight, which is an ideal BMI if you believe the health ‘experts’, and is actually back to what I was in my early 20’s. The issue I never appreciated was the hidden visceral fat around internal organs that can be so damaging for the healthy working of your pancreas and liver etc. The health benefits of achieving an optimum weight for your height are critical for achieving and maintaining non-diabetic numbers, and you may find that if your weight loss is around your middle then you will be both healthier and look better. One minor downside, however, is needing to buy new trousers!

Your experience with your feet is interesting and just reinforces how vulnerable we are to suffering in this part of the body. I’m seeing a podiatrist next week and will be having full assessment and Doppler scan etc. I’m determined not to be beaten by this problem, which I reckon is the legacy of the years of high BS numbers before I was diagnosed as Type 2 diabetic. I can manage without painkillers, though at the moment I take 20mg of Amitriptyline at night to ensure a decent nights sleep. Although my GP has referred me to a dermatologist for my reddened and dried toes, their heightened sensitivity still suggests to me it is diabetes related.

As others have said, managing diabetes is a marathon rather than a sprint and it certainly requires dedication! Getting despondent at times is perhaps just inevitable, but you can get past those low points. Best wishes and a happy New Year.
Thank you.
 
Topic drift, but I find it hard to understand when somebody worries that they "look" too thin.

If you are dangerously underweight then that is a problem.

If you have to give away all you favourite clothes (I had to) then that is a pain, especially if you can't replace them. However 38" waist was no longer practical for a 34"-36" waist.

However feeling pressure because you and especially other people have a body image in their heads which is what they expect you to look like seems no good reason not to lose weight.

People say I look too thin. I am still well above the mid point of BMI for my height (6 foot) and my waist measurement is wavering around 36 inches (half of 72 inches) so I am by no means under weight.
Sorry. Didn’t mean to say the wrong thing and go off topic. Just drawing a comparison.
 
I really wish you to get better! I also have pain and numbness. As much,as i couldn’t sleep for months. Sleepless nights and crying,i guess there are more people that knows what i am talking about. Finally i found two medicines that really helped me. One is “dihydrocodeine” which is the best,however can cause addiction,so doctors do not like prescribe it for long term. I’ve just recently been switched to gabapentin,which does the job,as well. Sometimes it makes me feel i am drunk and a bit confused,but who cares after a lot of pain! My advice is to try them,for me they work! I tried everything before,none of them worked to me! Good luck and get better Sir!!
 
I really wish you to get better! I also have pain and numbness. As much,as i couldn’t sleep for months. Sleepless nights and crying,i guess there are more people that knows what i am talking about. Finally i found two medicines that really helped me. One is “dihydrocodeine” which is the best,however can cause addiction,so doctors do not like prescribe it for long term. I’ve just recently been switched to gabapentin,which does the job,as well. Sometimes it makes me feel i am drunk and a bit confused,but who cares after a lot of pain! My advice is to try them,for me they work! I tried everything before,none of them worked to me! Good luck and get better Sir!!
Thanks Matteo, those of us who live with this condition really understand the affect it has on our lives. I can just about tolerate the discomfort and pain, but have not found drugs effective for me so far. If the pain worsens, I’ll have to try again and meanwhile I’m concentrating on getting my blood sugar levels to even lower levels. As some sufferers have greatly improved their condition, I still hope that things may improve over time.

I hope that you can continue to keep your pain under control, and that over time your nerve damage will begin to subside.
 
After being diagnosed as a T2 four years ago, with an HbA1c of 119, I immediately started a LCHF diet and saw my numbers tumble to 49 within a few months and thereafter stabilise around 39 to 41 (with one blip at 44). Last month it was 36 and I eat carefully to avoid spikes, with post meal blood sugar levels very rarely going over 7. During my first 2-3 years my figures were not quite so good, but even then were normally under 7.8 after meals. I was never obese and at diagnosis weighed about 15st 4lbs, not greatly overweight for my 6’4’’. I’m now 67 years old and have maintained a weight of about 13st (now 12st 8lb).

Ever since diagnosis I’ve been plagued with sore feet, especially toes, with only a small one area of numbness on the edge of my big toes. This made lengthy walks or drives uncomfortable, but by the latter part of 2017 I thought I was doing a bit better and perhaps this was a sign of very slight improvement. I tightened my diet slightly at the start of 2018, but I am so dismayed that the foot pain has got steadily worse, particularly over the last few months. I’ve tried r-alpha lipoic supplements without success and B12 levels are ok following blood test. Various GPs have tried me on Amitriptyline, duloxetine and pregabalin, but none control the pain and the side affects are an issue.

I’m wondering if anyone has experienced anything similar to this? In the last few weeks my feet, toes in particular, have got redder and the skin drier. Of course all this is consistent with advancing peripheral neuropathy but, having been told by GPS that halting or slowing its progress was a real prospect, I’m now despondent. With such discomfort and greatly reduced mobility, and living on my own, it’s difficult to be optimistic.

Oh how terrible to fight with this despite having such a fine level of blood glucose .
Some do get it from other reasons
What to do Can be hard to advice , but if it was me I would buy a inddoor- bike to exercise at least 1 hour daily to get a very High blood flow daily in my legs and eat a good multivitamin pill and a vitamin c pill daily slow release and even add a vitamin b 12 and folicacid ( maybe in a vitamin b-complex pill ) despite what blood test say

My mother do fight with similar problems, and take a lot of morphine all Day lang.

If one has dry skin and poor blood flow , one can also try buy vitamin -E capsules where the vitamin is in a oil and then use a needle to prick a hole in it and then use this freshly opened moisture as a lotion on the very dry skin , vitamin -E is known to heal scars and also for its blood thinning abilities /blood flow easening ; which can become too much if eaten together with other blood thinning medications , but used on the outside on the skin of ones legs it works more locally
 
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Oh how terrible to fight with this despite having such a fine level of blood glucose .
Some do get it from other reasons
What to do Can be hard to advice , but if it was me I would buy a inddoor- bike to exercise at least 1 hour daily to get a very High blood flow daily in my legs and eat a good multivitamin pill and a vitamin c pill daily slow release and even add a vitamin b 12 and folicacid ( maybe in a vitamin b-complex pill ) despite what blood test say

My mother do fight with similar problems, and take a lot of morphine all Day lang.

If one has dry skin and poor blood flow , one can also try buy vitamin -E capsules where the vitamin is in a oil and then use a needle to prick a hole in it and then use this freshly opened moisture as a lotion on the very dry skin , vitamin -E is known to heal scars and also for its blood thinning abilities /blood flow easening ; which can become too much if eaten together with other blood thinning medications , but used on the outside on the skin of ones legs it works more locally
Thankyou Freema. I agree that daily exercise is beneficial to blood circulation and general fitness and wellbeing, but my foot pain has greatly reduced my ability to walk distances and generally get out and do the things I used to enjoy. I’m now making an effort to make sure I have a walk each day, even if only half a mile, as sitting about does not seem to improve neuropathy. Even though I feel every step, I’m told moderate exercise does not do any further damage to nerves and should be beneficial in the long term.

I’m sorry to hear that your mother needs morphine for her pain and wish her well.
 
Thankyou Freema. I agree that daily exercise is beneficial to blood circulation and general fitness and wellbeing, but my foot pain has greatly reduced my ability to walk distances and generally get out and do the things I used to enjoy. I’m now making an effort to make sure I have a walk each day, even if only half a mile, as sitting about does not seem to improve neuropathy. Even though I feel every step, I’m told moderate exercise does not do any further damage to nerves and should be beneficial in the long term.

I’m sorry to hear that your mother needs morphine for her pain and wish her well.

Just a thought.
If walking is painful then how about exercises which do not rely on your feet as much?
There are various upper body exercises in fitness centres, and a rowing machine gives a full body workout (although you do have to push with your feet).
Swimming is also good exercise without putting too much load on the feet.
 
I never really found my neuropathy discomfort to be very much related to activities. Sitting down could easily be more painful than any level of exercise. One has to remember that it’s nerve damage and the pain level isn’t necessarily proportional to what you’re currently doing with your feet.
 
the problem with very low carb foods is that if one is not really aware of the variety of vitamins, some can end up getting too few of some kinds of vitamins without even knowing that, and lacking vitamins can mean over time ending out with chronic nerve damage, sometimes irreversible...

in general one can say that all water-soluble vitamins have to be intaken almost all days , and the oil-soluble ones more like weekly, and all of them in the right amounts.
vitamin C and all of the B-vitamins and K1 and K2 should be eaten almost every day, and it is not bad to get them in high amounts, the best is to get them all because some of them can camouflage the lack of the other like folic acid in relationship to vitamin B12

D and E which many times hide in fats from fish or nuts... should just in average be taken once or twice a week to get enough of them..


Vitamins are defined by being essential to humans and at the same time being nessesary to get it by foods...( and the sun for vitamin D in the summer period)

you could tjeck your favorite daily foods for the amount of the different kind of vitamins and see if you in general lack a few of them... all the b´s are good for nerve health folic acid and vitamin B12 are among them
 
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Hope you get some answers about your feet very soon. I very much doubt your problem is diet related as you already low carb and your BG levels are very good
 
Thanks for good words PaulWright! I wish you the same! We just cannot give it up,i completely agree! For me 2 medicine do great job: dihydrocodeine(very fast relief) and gabapentin(makes me feel drunk and confused). Did you ever tried any of them?
 
i wasn't aware, so it may help others, but b12 isn't tolerated very well by the stomach, and it loses any benefit if taken orally,
( so i believe.)
taken and allowed to melt under the tongue, seems to be the proscribed way to get the most from the vitamin.

can't recall if we bought from HERE, but it is the same as we use.
also gives a decent description of what, why and how to take.

as usual, check your own ground work, before buying or using.
 
Thanks for good words PaulWright! I wish you the same! We just cannot give it up,i completely agree! For me 2 medicine do great job: dihydrocodeine(very fast relief) and gabapentin(makes me feel drunk and confused). Did you ever tried any of them?
Thanks Matteo, I’ve not tried dihydrocodeine, but GPs don’t seem to think it appropriate. If I don’t get some relief in the coming weeks and months, I suppose I’ll have to go back to doctor for help.
 
liver is by the way a very rich kind of food when it comes to both vitamin B12 and folic acid.. in a nice optimal combination if one does not like to eat pills
 
After being diagnosed as a T2 four years ago, with an HbA1c of 119, I immediately started a LCHF diet and saw my numbers tumble to 49 within a few months and thereafter stabilise around 39 to 41 (with one blip at 44). Last month it was 36 and I eat carefully to avoid spikes, with post meal blood sugar levels very rarely going over 7. During my first 2-3 years my figures were not quite so good, but even then were normally under 7.8 after meals. I was never obese and at diagnosis weighed about 15st 4lbs, not greatly overweight for my 6’4’’. I’m now 67 years old and have maintained a weight of about 13st (now 12st 8lb).

Ever since diagnosis I’ve been plagued with sore feet, especially toes, with only a small one area of numbness on the edge of my big toes. This made lengthy walks or drives uncomfortable, but by the latter part of 2017 I thought I was doing a bit better and perhaps this was a sign of very slight improvement. I tightened my diet slightly at the start of 2018, but I am so dismayed that the foot pain has got steadily worse, particularly over the last few months. I’ve tried r-alpha lipoic supplements without success and B12 levels are ok following blood test. Various GPs have tried me on Amitriptyline, duloxetine and pregabalin, but none control the pain and the side affects are an issue.

I’m wondering if anyone has experienced anything similar to this? In the last few weeks my feet, toes in particular, have got redder and the skin drier. Of course all this is consistent with advancing peripheral neuropathy but, having been told by GPS that halting or slowing its progress was a real prospect, I’m now despondent. With such discomfort and greatly reduced mobility, and living on my own, it’s difficult to be optimistic.



Its not a ganglion cyst under the skin making it hurt and numb is it ? I've got one and it really is the most horrible pain and the little toe can go numb at the worse when the cyst is coming through again . I actually push the cyst back in when it pops out its very painful but once i pop it back the pain is less and then the numbness eases too .
 
Its not a ganglion cyst under the skin making it hurt and numb is it ? I've got one and it really is the most horrible pain and the little toe can go numb at the worse when the cyst is coming through again . I actually push the cyst back in when it pops out its very painful but once i pop it back the pain is less and then the numbness eases too .
No it’s not, I wish it was that simple! My problem affects both feet pretty much the same, and have just seen a podiatrist who has done tests for circulation etc and can’t see anything obviously amiss. Everything seems to be pointing back to diabetic peripheral neuropathy. Thanks for your suggestion.
 
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