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Prediabetes and foot pain

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Hello; I am a 62 yr old female, white, and was dx with pre-diabetes two years ago. I take my blood sugar everyday and I have been between 99 and 107 ; usually 104-105 most days. I have been between semesters and have been getting to the gym almost everyday and doing aerobics 1-2 hrs a day. The last week my rt foot has been hurting. I have had this before and usually if I really cut down on any excess sugar it goes away. This has been lingering for about a week with pain on the rt side of the foot and the heal and some pain going up the rt side of the leg to the knee. I cant tell if this is too much coffee, too much diet coke, too much sugar, too much exercise. ? My last HBA1c test was 5.1 and I see that doctor again in two weeks. I don't know what to do about this. No exercise no sugar of any kind what? CW

Category: Internal Medicine Specialist

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Category: HIV- AIDS Specialist
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Hello, and thankyou for approaching DoctorSpring with your query. Your blood sugar levels are within normal range and are not the cause of the pain you are experiencing.
The relation you felt between the pain and your sugar levels was just co-incidental. The pain is not due to excess coffee, diet coke or sugar.

The pain could be due to exercise, during which you either strained your muscle or pinched a nerve. There is nothing to worry about it.
I advise you to do the following
1)Take rest for 1 week. After which you can slowly start again and gain pace with your exercise.
2)Take an over the counter drug Ibuprofen twice a day after a meal for 3 days.
3) Do warm water compresses- Either dip your leg in warm water, or wet a towel in warm water and keep it on the areas of your leg where you feel pain. Do this a few times.

If you feel no improvement in a weeks time, you can visit the doctor for further evaluation. I hope this has helped.
Wishing you a speedy recovery. Feel free to follow up with any further queries.

Patient replied :

Thanks Doctor; will do. CW ----------- Hello: A day and a 1/2 ago I was next door and bent down to pet their dog. She got overly excited and nipped me on the arm and it bled. I went to the ER (Sunday in South Korea) and they gave me a tetinus shot and a series of antibiotics. They called the owner of the dog and were told she has never gotten any vaccinations to include rabies. This hospital told me they have no rabies antiserum so I went to another hospital (the big one ) in town. They told me the same thing. The doc there check with the CDC center for South Korea and says there have been no outbreaks of rabies and it is very rare in Korea. /////The only place that has the antibody serum is the CDC up close to Seoul. //////////////////////////////The dog is a young dog, healthy and friendly. She is confined too much which is why I think she was nipping. We are in a city area not the country and there would be no exposure to bats , racoons or rats that I know of. I went to the local vet and she said there was no blood test to test for rabies , she just needs the dog in there for observation for 10 days. /////I am reading conflicting information about a blood test for me to see if I have been exposed. What do I need to do now? Courtney Webb

Thanks. Get well soon. Take care ---------------------------------------------------------------------------------- Hello Ms. Webb. Welcome back to DoctorSpring. I understand your concern. Bites that occur when a person is trying to handle or feed an animal are considered provoked attacks. Since your bite was provoked, the dog is healthy, and rabies is very rare in your area, the recommended steps for management in your case will be: -Local wound care -Tetanus shot -Quarantine the dog for 10 days for observation. The first two steps have already been done for you. So the next step is to keep the dog in observation for 10 days. If the dog remains healthy for the full 10 days, then it did not have rabies virus in its saliva at the time of exposure. So that will conclusively rule out any exposure to rabies and no further management is required. If in case the dog shows features of infection with rabies during that period, you will have to take rabies post-exposure prophylaxis which includes anti-rabies Immunoglobulin(antiserum) and/or anti-rabies vaccine. So at present you neither require rabies antiserum nor any blood test. I hope this was helpful. Feel free to ask queries. Thank you.

Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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