Back to Ask the Diabetes Team Ask the Diabetes Team

From West Babylon, New York, USA:

I'm 75 years old, have had type 2 diabetes for about 13 years, and after trying several oral medications, I am now 1 mg of Prandin usua1ly 30 minutes prior to eating. My fast readings are usually below 120 mg/dl [6.7 mmol/L], but my one-hour post meal blood sugar will go to 220 mg/dl [12.2 mmol/L] or more, and then by the fourth hour it sometimes goes as low as 70 mg/dl [3.9 mmol/L]. I am now experiencing tingling in my hands and forearms and my legs, which I have never had before, and my doctor says he doesn't have the answer to improve it. Is there a way to reduce the tingling sensations? Is my condition worsening?


It is not clear to me that the tingling is from diabetic neuropathy. The electrophysiologic test, called an electromyogram (EMG), is nonspecific. For this reason, diabetic neuropathy is usually a clinical diagnosis. Your physician needs to evaluate you for this.

In terms of your sugars, you are taking a low dose of Prandin [repaglinide], but I am not sure it needs to be increased if the two-hour post-meal glucose is doing well. I would also suggest that a hemoglobin A1c test would also help to decide how much more aggressive to be.


Original posting 8 Jun 2003
Posted to Complications


  Back to Ask the Diabetes Team Return to the Top of This Page

Last Updated: Tuesday April 06, 2010 15:09:46
This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other health care professional.

This site is published by T-1 Today, Inc. (d/b/a Children with Diabetes), a 501c3 not-for-profit organization, which is responsible for its contents. Our mission is to provide education and support to families living with type 1 diabetes.
By using this site, you agree to our Terms of Use, Legal Notice, and Privacy Policy.
© Children with Diabetes, Inc. 1995-2018. Comments and Feedback.