I have type 2 diabetes. I have discovered that when my blood sugars get between 50-70 that my pain level goes from a constant 6-7 to a 10+. Why? I asked my doctor and she was unable to give me an answer.
I assume that you are having neuropathic foot pains that worsen with low blood glucose levels. If you are referring to neuropathic pains related to your diabetes, there are well-described instances where these pains can worsen when diabetes control improves significantly. This is called treatment-induced neuropathy. It has been described mostly in relation to individuals with diabetes and chronically elevated blood glucose levels (A1c 12-16%) who have a rapid improvement in diabetes control with insulin therapy. The onset of the treatment-induced pain usually occurs within 6 weeks of rapid glucose control. The good news is that treatment-induced neuropathic pain is typically self-limited and will improve over time. Talk with your healthcare provider about whether you may have treatment-induced neuropathic pains and whether you might benefit from evaluation from a neurologist.
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