Screening for B12 deficiency in diabetic patients
Evidence shows that chronic use of metformin (longer than one year) causes vitamin B12 deficiency. I routinely screen all my diabetic patients for a B12 level, especially those with complaints of neuropathy.What is the treatment goal for B12 in a patient with diabetic neuropathy, given the wide range of normal (200-950 pg/mL)? If a patient's B12 is on the lower end of normal and the methylmalonic acid (MMA) level is normal, would you treat him or her? Would you routinely draw a methylmalonic acid level with every B12 level? — Kristin Andrs, NP, CCRN, CDE, Richmond, Va.
It is known that MMA levels begin to rise when B12 is <400 pg/mL and that neurologic impairment begins at the same level. It seems reasonable to get patients above that. With regard to simultaneously testing MMA and B12, it depends on the insurance companies — will they cover MMA before it is known if the patient is B12 deficient?
How To Reverse Neuropathy - News
I routinely screen all my diabetic patients for a B12 level, especially those with complaints of neuropathy. What is the treatment goal for B12 in a patient with diabetic neuropathy, given the wide range of normal (200-950 pg/mL)?
There is no evidence of radial or ulnar entrapment syndrome or neuropathy." Dr. Nosnik diagnosed Adkins with a cervical sprain/strain resulting from a motor vehicle accident and traumatic bilateral carpal tunnel syndrome with the right side being worse
For example, Picard said he often consults with physicians on the treatment of patients with pain or other medical problems associated with nerve damage from peripheral neuropathy. "We are seeing patients who couldn't walk that well before,
Similar tables related to gastrointestinal side effects (such as nausea or vomiting), kidney toxicity, and peripheral neuropathy (a nerve condition that causes pain, numbness, or tingling in the extremities) have also been included in the updated
anyone have any ideas about how to reverse residual neuropathy ...
Maggie
Starting about 3 montghs after my chemo ended, I took Alpha Lipoic Acid, 600 mg/ day. It did seem to help but I stopped after about 9 months as I wasn't seeing any improvement.
I recently saw a neurologist to evaluate my balance as that seems worse. I felt it was due to the neuropathy but my oncologist did not and suggested I see a neurologist. So I did....and he concurred with me after doing a very thorough neuro eval. He had some machine that he put on various places on my leg, ankles, toes, etc. and said I have no apparent sensation in many of the toes, the ball of the foot and the outer edges of the feet and diminished sensation in my ankles. He definitely feels it is a result of the chemo.
He told me that my balance will get worse as I get older as that is "normal" part of aging. He suggested I try B vitamins (B12, B6, Folic and Thiamine) but felt at this stage it probably would not help. He also told me it takes 3 months before I would notice a difference...but if I could not see an improvement after 3 months, to quit taking them and save my money. Since I decided that I probably would not take them, he did not give me a script as he mentioned dangers in taking too many of the B vitamins, particularly Folic acid. And since I haven't had any levels taken do I really need more???
It is rarely so bad that the pain interferes with my activity or sleep. However, the balance is a problem so I just try to be care, watch what shoes I wear, use a walking stick on uneven terrain in particular and do some exercises that are to help with balance.
Wishing you the very best and am hoping you find some answers!
Karen
One of us could start at the top of the list and one at the bottom and we can meet in the middle....how does that sound? :-)
I will let you know if something works for me...and please let me know if you have any success. Decided I should just start with one thing and try that for awhile...if I try too many things at once I won't know what works and what doesn't.
How To Reverse Neuropathy - Bookshelf
How to Win Friends and Influence People
The first hardcover release since 1981, a newly packaged edition of the multimillion-copy-selling icon of motivational books.Good to Great, Why Some Companies Make the Leap...And Others Don't
After the leap, the good-to-great companies generated cumulative stock returns that beat the general stock market by an average of seven times in fifteen years, ...Built to Last, Successful Habits of Visionary Companies
This is a book about something far more important, enduring, and substantial. This is a book about visionary companies.To the lighthouse
A portrait of members of the Ramsay family follows an English family's complex lives, and then picks them up again after a ten-year hiatus in order to explore ...How to Cook Everything, 2,000 Simple Recipes for Great Food
Ten years after the first edition, this complete revision features more than 50 new recipes, fully updated to reflect contemporary eating habits, and presented ...Information Terminal Directory
How To Naturally Reverse Neuropathy? - The Body
TheBody.com fills you in on the topic, how to naturally reverse neuropathy, with a wealth of fact sheets, expert advice, community perspective, the latest news ...
How to Reverse Alcoholism Neuropathy | eHow.com
How to Reverse Alcoholism Neuropathy. Alcoholism neuropathy results from excessive liquor consumption. Sufferers experience decreased nerve function. Symptoms vary. ...
How To Do Reverse Vincristine Neuropathy? - The Body
TheBody.com fills you in on the topic, how to do reverse vincristine neuropathy, with a wealth of fact sheets, expert advice, community perspective, the latest news ...
How To Do Reverse Peripheral Neuropathy? - HealthCentral
Everything you need to know about how to do reverse peripheral neuropathy, including the most common causes, symptoms and treatments.
How to Reverse Peripheral Neuropathy | eHow.com
How to Reverse Peripheral Neuropathy. When you have damage to your peripheral nervous system, the communication between you nerves and your central nervous system ...