Conversation: The conversation between human and AI assistant.
[|Human|] I m a diabetic first cramping in the bottom of both feet, and then sharp pain in left inner thigh down to my feet. I was in tears,It felt like a major charley horse . I couldn t stand on it . for 10 or 20 minutes of pain. This morning the area is really sore. Im a childcare person.
[|AI|]  Hi, After going through your case, there is possibility of diabetic sensory (painful) neuropathy. I want to know -1) Your age & Duration of diabetes.2) Current diabetes control (BSL, HbA1c level)3) Any associated High BP, Cholesterol problem.4) Habits like smoking. I would like to advise you -1) Strict diabetes control, regular blood sugar level monitoring, HbA1c level.2) Regular BP control.3) Keep cholesterol level under control. 4) Avoid smoking.5) Check vitamin B12, D3 level and correct it if any deficiency .6) Check renal function test, liver function test.7) Consult your planetologist and get done detailed foot examination.8) Depending upon your clinical examination there may be need for arterial Doppler of lower limbs to assess blood supply.9) Short term use of renal safe painkiller medicine may be used.10) For long term medicine like pregabalin, amitriptyline, duloxetine may be useful.