Problem description: Condition description (time of onset, main symptoms, symptom changes, etc.): numbness, pain, cold weakness, blood sugar 7-8 (fasting), taking potassium cobalamin, lipoic acid, epa Stasis, etc., invalid. , EMG showed that the conduction potential of the left and right peroneal nerves decreased, and the electrophysiological manifestations of neurogenic damage were seen in both plantar muscles. Have you ever gone to the hospital for treatment: Haven’t been to the current medication description: No medication, previous medical and surgical history: none
Date of problem: 2021-02-25
Patient information :Age: 73 years old, Gender: Male
Problem analysis: Fasting blood sugar is too high, except for diabetes. High blood sugar can cause:
1. Peripheral neuropathy
2. Atherosclerosis of both lower extremities
Peripheral neuropathy will have paresthesias, such as numbness, pain, etc.
Atherosclerosis of the lower limbs can cause ischemia and hypoxia in the lower limbs, leading to cold, pain, and numbness in the limbs.
Guiding Suggestions: Suggestions:
1. Diabetes confirmed by glycosylated hemoglobin, fasting blood glucose, and islet function.
If diabetes is diagnosed, blood sugar must be strictly controlled.
2. Do a color Doppler ultrasound (mainly arterial color Doppler ultrasound) of both lower extremities to determine whether there is vascular stenosis or occlusion.
While applying nutrient nerves (methylcobalamin, lipoic acid), it is recommended to use some medicines for promoting blood circulation and removing blood stasis, such as salvia.
If it is clear that there is arteriosclerosis and stenosis ischemia in the lower extremities, you need to take some vasodilator drugs and drugs to prevent arteriosclerosis, such as aspirin, statins (simvastatin tablets, atorvastatin calcium tablets, etc.).
Recommendations are for reference only. If the problem is serious, please go to the hospital for detailed inspection