[37F] With severe hand pain and tingling, likely diabetic neuropathy

What might be happening

Based on the information you have provided, it sounds like you might be experiencing diabetic neuropathy. This is a type of nerve damage that can occur if you have diabetes. High blood sugar levels can injure nerves throughout your body, but diabetic neuropathy most often damages nerves in your legs and feet. However, it can also affect your hands, as you are experiencing.

Diabetic Neuropathy:

• Symptoms: Pain, tingling, numbness, and weakness in the affected areas.
• Typical Treatments: Managing blood sugar levels is crucial. Medications to manage pain, such as anticonvulsants, antidepressants, or pain relievers, may be prescribed. Physical therapy and lifestyle changes can also help.

Given your high blood sugar level (385), it is important to address this as it can exacerbate neuropathy and other complications.

What you can do

1. Manage Blood Sugar Levels:

   • Diet: Adopt a balanced diet rich in vegetables, lean proteins, and whole grains. Avoid sugary foods and drinks.
   • Exercise: Regular physical activity can help manage blood sugar levels.
   • Medication: Consult your healthcare provider about starting or adjusting diabetes medications.

2. Pain Management:

   • Over-the-counter pain relievers like acetaminophen or ibuprofen may help, but consult your doctor before taking any new medication.
   • Topical treatments like capsaicin cream can sometimes provide relief.

3. Protect Your Hands:

   • Avoid activities that can cause further injury to your hands.
   • Use ergonomic tools and take frequent breaks if you use your hands a lot during the day.

4. Regular Monitoring:

   • Keep track of your blood sugar levels regularly.
   • Use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.

What you should look out for

• Worsening Symptoms: If the pain, tingling, or numbness worsens, or if you notice new symptoms, seek medical attention.
• Infections: Be vigilant for signs of infection in your hands, such as redness, swelling, or warmth.
• Severe Complications: If you experience severe weakness, loss of function, or other concerning symptoms, contact your healthcare provider immediately.

Remember, while I can provide information and suggestions, it is essential to consult with a healthcare professional for a formal diagnosis and treatment plan. Managing diabetes and its complications often requires a comprehensive approach tailored to your specific needs.