[40F] With chronic burning feet and recent leg pain

What might be happening

Based on the symptoms you've described, here are some possible explanations:

Burning Sensation in Feet

1. Diabetic Neuropathy: Given your history of diabetes and high blood sugar levels, diabetic neuropathy is a likely cause. This condition occurs when high blood sugar damages nerves, leading to symptoms like burning, tingling, and numbness in the feet.
   • Typical Treatments: Managing blood sugar levels, medications like gabapentin or pregabalin, and lifestyle changes such as regular exercise and a balanced diet.

Leg Pain

1. Peripheral Artery Disease (PAD): This condition occurs when the arteries in your legs become narrowed or blocked, leading to reduced blood flow and causing pain, especially during physical activity.
   • Typical Treatments: Lifestyle changes, medications to improve blood flow, and in some cases, surgical procedures.

Unifying Diagnosis

1. Diabetic Neuropathy: This condition can explain both the burning sensation in your feet and the leg pain, as it affects the nerves in both areas.
2. Peripheral Artery Disease (PAD): This condition can also cause both leg pain and burning sensations due to poor blood flow.

What you can do

Burning Sensation in Feet

• Manage Blood Sugar: Keeping your blood sugar levels within the target range is crucial. Follow your diabetes management plan, including medication, diet, and exercise.
• Foot Care: Inspect your feet daily for any cuts, blisters, or sores. Wear comfortable, well-fitting shoes and avoid walking barefoot.
• Pain Management: Over-the-counter pain relievers like acetaminophen or ibuprofen may help. Consult your doctor for prescription medications if needed.

Leg Pain

• Consult a Doctor: Given the severity of your pain, it's important to consult a healthcare provider. They may recommend tests like an ankle-brachial index (ABI) to check for PAD.
• Exercise: Gentle, regular exercise like walking can improve blood flow and reduce symptoms. However, avoid overexertion.
• Elevate Your Legs: Elevating your legs can help reduce pain and swelling.

General Tips

• Healthy Diet: Follow a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. This can help manage both diabetes and overall health.
• Stay Hydrated: Drink plenty of water to stay hydrated and support overall health.
• Track Symptoms: Use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.

What you should look out for

Given the severity of your symptoms and the potential for serious underlying conditions, you should seek medical care as soon as possible. Reasons to seek care even more urgently include:

• Worsening Pain: If your pain becomes more severe or unmanageable.
• New Symptoms: If you experience new symptoms like chest pain, shortness of breath, or sudden weakness.
• Infections: If you notice any signs of infection in your feet, such as redness, swelling, or discharge.

Remember, while I can provide information and suggestions, it's important to consult a healthcare professional for a formal diagnosis and treatment plan.