Conversation: The conversation between human and AI assistant.
[|Human|] Why do the tips of my second and third toe on my left foot go numb, tingling and experience minor pain? Thid has been happening about 3 weeks now, just those toes. Diabetes runs in the family, but I have been recently tested (3mo;s ago) and have no flags un my bloodwork. The endocrinologist insists on me taking Metformin to prolong any onset of diabetes. Could this medication be causing this numbness? It happens no matter what type of she I wear, so he can t be the shoes.
[|AI|]  Hello, Thanks for writing to us, I have read your query, Toe numbness can be due to pinched nerve in spine. Due to compression of nerve root there can be tingling numbness in your foot. I will advise you to do MRI spine and EMG-NCV [Nerve conduction study] and consult to orthopedic surgeon. Peripheral numbness is common in diabetic, but incidence is low in prediabetic.  Change your diet and remove inflammatory foods such as citrus fruits, dairy products and wheat that may aggravate peripheral neuropathy. Simultaneously increase your intake of potassium and calcium-rich foods such as bananas and avocados and green leafy vegetable. Vitamin B12 is important in the maintenance of health and normal functioning of the nerve tissue and deficiency of it can lead to numbness. You can increase B12 level by taking meat and fish, or you can take In methylcobalamine. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care