Conversation: The conversation between human and AI assistant.
[|Human|] I have had diabetes for 20 years..the past year dependent on insulin but has always been controlled .My feet are now numb, I feel constantly sick ( and occasionally am), I have no appetite at all and am forcing myself to try and eat. I find balance and walking very hard. Dr says is all nerve damage endings and nothing they can do..not sure how this explains the sickness as well
[|AI|]  Hi, Thanks for your question. After going through your question, I can understand your concern. Most likely cause for your symptoms is Diabetic neuropathy. Nerve damage by diabetes. Though other causes need to be ruled out by detailed clinical examination. In such case I may suggest - - Complete Blood Count. - Liver function test. - Renal function test. - HbA1c. - Lipid Profile. - Vitamin B12. - Vitamin D3.- T3, T4, TSH. If there is doubt in diagnosis after clinical evaluation and above test results specialized tests like MRI brain or Spine, Nerve conduction study. In diabetic neuropathy treatment includes - - Good glycemic control. - Blood pressure and Lipid control. - Vitamin B12 supplement. - Chat Doctor.  Hope this helps you, if so do vote as helpful.