Tingling in a Diabetic

November 8th, 2010 by DoctorZaidi

Tingling in a diabetic is usually due to a complication of diabetes known as peripheral neuropathy. It usually starts in the toes and in time, can progress to involve the entire foot, bilaterally. Sometimes, it can even extend into the legs below the knees. At times, it can also involve fingers and hands. Hence, the description in medical books as “stockings and gloves” neuropathy.

Tingling due to peripheral neuropathy in diabetics typically starts to occur at night. In more advanced cases, it is present through the day as well, but is worse at night.

Tingling can also be due to other factors such as Vitamin B12 deficiency which is quite common in diabetics who take Metformin to control their diabetes. Some drugs such as Niacin can also give rise toa  tingling sensation.

A good control of diabetes and Vitamin B12 supplements via sublingual route or by subcutaneous injection can make a big difference.

Please refer to my book ” Take Charge of Your Diabetes” for an indepth discussion about the treatment of diabetic peripheral neuropathy.  

 

Written by Sarfraz Zaidi, MD, FACE.

All Rights Reserved.

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Stress of Daily Living

November 8th, 2010 by DoctorZaidi

 

Have you ever observed how your mind stays so busy, even when you are supposed to be resting? Let’s say, you’re home after work. Finally time to relax and unwind. But do you?

If you observe, you will find that your mind is not resting at all. It is busy:

“Why did I have to put up with that ungrateful customer? That rude person on the phone was so obnoxious! My boss is getting more demanding. What if I end up losing my job like my friend did?  How will I pay my mortgage? I may end up losing my house. I may not be able to send my children to college. What if I end up having a health problem?”

Then you turn on the T.V. and find out that some famous person died of breast cancer. Her doctor did not diagnose her cancer until it was too late. “What if I have breast cancer that my doctor has missed?” You go on the internet and read all about breast cancer. You realize that you have most of the risk factors for breast cancer. Meanwhile, your teenager son tells you that you don’t understand him at all and he wants to be left alone. Your husband tells you that the overall financial picture doesn’t look good at all. “We have to cancel the family vacation we’ve been planning for months.”

You browse through your email inbox and find a lot of spam and junk mail. “These people are so unethical, greedy and pushy. Our government should have stricter fines for these people!”

In the meantime, the telephone rings. Neither your son or your husband bothers to pick up the phone. “Why I am the only one in this house who answers the phone?” You pick up the phone and find out it is  a recorded message. It makes you so furious.

 Finally It’s bed time. You toss and turn for hours. Sleep is far away. “I have to get up early to go to work. I need at least a few hours of sleep or I’ll be so tired all day tomorrow.” Finally, you go to the medicine cabinet and find the sleeping pill your doctor reluctantly gave you last time while warning you about its side-effects, including the potential for habit formation. “I don’t care about side-effects. Right now, I need some sleep.”

On the surface, you are a successful person, but inside you feel agitated, stressed out and anxious. You consider this the “stress of daily living”, as if it was an essential part of life… or is it? Just because everyone around you is in the same boat of the “stress of daily living,” you don’t have to succumb to this stress. Is it possible to live a stress-free life while continuing to live in the civilized world? Isn’t it worthwhile to explore this question? Only you can answer this question.

For your comments/questions, email us at contact@innerpeaceandlove.com

Written by Sarfraz Zaidi, MD, FACE.

All Rights Reserved.