Lidocaine or mexiletine. Lidocaine comes as a patch that you can
place on your skin where the pain is the worst. Mexiletine is an oral medicine
similar to lidocaine. Both medicines are used to relieve pain caused by
Capsaicin cream. Capsaicin is a substance contained in
cayenne peppers. Although it may not provide complete pain relief, it may help
relieve minor pain in some people. Capsaicin cream is applied directly to the
skin over the painful area.
Nonprescription pain relievers. These
include acetaminophen (Tylenol) and nonsteroidal anti-inflammatory drugs
(NSAIDs), such as aspirin, ibuprofen (Advil, Motrin), or naproxen
(Aleve). Although they may provide some temporary pain relief, they are not
effective for long-term treatment of severe pain. Note:
People with diabetes need to be especially careful when taking NSAIDs because
these medicines may upset kidney function.
relievers such as oxycodone, which may reduce moderate to severe pain from
diabetic neuropathy. But narcotics are usually only
given to people who do not have a personal or family history of addiction.
Narcotics may also cause side effects that could make symptoms of autonomic
neuropathy worse. So narcotics are not often the first type of medicine tried
for symptoms of diabetic neuropathy.
If you begin taking a medicine for pain, it may take several
weeks to evaluate whether it is working. The dose may have to be adjusted more
than once to find the best balance between pain relief and medicine side
No food is off-limits when you have diabetes, as long as it's in sensible amounts and as part of a balanced meal. The key is learning how to create a balance in your total meal that will produce normal blood sugars after you eat.
Here are four tips to help you get started, followed by recipe ideas for breakfast, lunch, and dinner.
Use daily testing of blood sugars as a way to learn what is working for you and how your blood sugars are affected by different foods.
Stick to a certain number...
No matter what you or your doctor try, you may not be
pain-free. Your doctor may recommend using two or more drugs together to
control your pain best. Be clear with your doctor about what is working and
what is not. Together you and your doctor can find the best combination of
medicine and other treatments to help you the most.
FDA Advisories. The U.S. Food and Drug Administration (FDA)
advisory on antidepressant medicines and the risk of
suicide. The FDA does not recommend that people stop using these medicines.
Instead, a person taking antidepressants should be watched for
warning signs of suicide. This is especially important
at the beginning of treatment or when doses are changed.
on anticonvulsants and the risk of suicide and suicidal thoughts. The FDA does
not recommend that people stop using these medicines. Instead, people who take
anticonvulsant medicine should be watched closely for
warning signs of suicide. People who take
anticonvulsant medicine and who are worried about this side effect should talk
to a doctor.
The FDA also advises that patients be observed for increases
in anxiety, panic attacks, agitation, irritability, insomnia, impulsivity,
hostility, and mania.
Anticonvulsants may increase the chance of
birth defects. If you are pregnant or thinking of getting pregnant, talk to
your doctor before taking these medicines.
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Your level is currently
If the level is below 70 and you are experiencing symptoms such as shaking, sweating or difficulty thinking, you will need to raise the number immediately. A quick solution is to eat a few pieces of hard candy or 1 tablespoon of sugar or honey. Recheck your numbers again in 15 minutes to see if the number has gone up. If not, repeat the steps above or call your doctor.
People who experience hypoglycemia several times in a week should call their health care provider. It's important to monitor your levels each day so you can make sure your numbers are within the range. If you are pregnant always consult with your health care provider.
Congratulations on taking steps to manage your health.
However, it's important to continue to track your numbers so that you can make lifestyle changes if needed. If you are pregnant always consult with your physician.
Your level is high if this reading was taken before eating. Aim for 70-130 before meals and less than 180 two hours after meals.
Even if your number is high, it's not too late for you to take control of your health and lower your blood sugar.
One of the first steps is to monitor your levels each day. If you are pregnant always consult with your physician.
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