Hello doctor, I am a diabetic patient. I am having weakness, shoulder pain, and tingling sensation on hand. I am taking the following medicines: 1. Lantus injection 26 units in the morning. 2. K GEM (Gliclazide 50 mg and Metformin 500 mg). 3. K pio (Pioglitazone hydrochloride 15 mg). 4. Tendia (Teneligliptin 20 mg). 5. Forxiga (Dapagliflozin 10 mg). Blood sugar level: FBS 200 mg/dl and PPBS 250 to 270 mg/dl. What to do for this? Please help.
Hello. I read your query, and from what you have mentioned, I would suggest increasing the dose of Lantas to 30 units once daily. Try to rotate the insulin injection sites as well. Try to walk for 30 minutes and drink 12 glasses of water daily. It will help the natural lowering of your blood sugar. I suggest taking Neurobion forte one tablet twice daily for your tingling. Try shoulder rotational exercise to help with your shoulder pain, but it should not be a weight-bearing exercise. just do flexibility exercise like yoga for the shoulder. Keep a regular follow up for better diabetes control. I hope this helps.