instruction: hello doctor I am years 175 am 72 keg I have diabetes from 2009 and hypothyearoid from 2011 I am taking janumet 50 500 be and thyearonorm 75 od my blood sugar is 105 hba1c 7 ash is1 93 and he is 9 my lipid profile is normal serum creatinine is 16 my diabetes has been under control by medicines since inception my be is 125 82 mhg temperature is 98 f sometime I feel cold in my toes even when my feet are sweating can you suggest some remedies
output: hi hba1c glycated hemoglobin is still on the higher side it should be below to be normal do regular testing of fbi fasting blood sugar pubs postprandial blood sugar to monitor the blood sugar levels coldness in feet can be due to less blood supply to feet that can happen in case of any clot in blood vessels peripheral neuropathy is also common in diabetes which can lead to less sensation in feet I would suggest you undergo color doppler leg to rule out any clot tablet gabapentin once daily you can start along with previous medicines