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      What part of managing T1D takes the most mental energy for you right now?
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      What part of managing T1D takes the most mental energy for you right now?
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      What part of managing T1D takes the most mental energy for you right now?
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      What part of managing T1D takes the most mental energy for you right now?
      Resolving sticky highs (especially when I had the flu) and coping with the erratic data in the first 24 hours of a sensor change.
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      What part of managing T1D takes the most mental energy for you right now?
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    • 9 hours ago
      TEH likes your comment at
      What part of managing T1D takes the most mental energy for you right now?
      It is the most ironic of ironies. Just as I have seemingly mastered the technical intricacies of gewgaws like CGMs, correction factors, insulin sensitivities, pancreatic enzymes, Kaplen-Meier curves, etc. that I must board the mystery train of insurance/logistics as my favorite form of conveyance. Befuddlement may end up being my BFF. જ⁀➴
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      What part of managing T1D takes the most mental energy for you right now?
      Resolving sticky highs (especially when I had the flu) and coping with the erratic data in the first 24 hours of a sensor change.
    • 9 hours, 27 minutes ago
      John Barbuto likes your comment at
      What part of managing T1D takes the most mental energy for you right now?
      Post meal spikes!!!
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      What part of managing T1D takes the most mental energy for you right now?
      Replacing failed sensors from the manufacturer.
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      What part of managing T1D takes the most mental energy for you right now?
      Other. Trying to find a blood glucose balance or equilibrium, while dealing with gastroparesis, and celiac disease take a lot of mental energy. I'm on a constant roller coaster. It is exhausting.
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      What part of managing T1D takes the most mental energy for you right now?
      Replacing failed sensors from the manufacturer.
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      Vicki Andersen likes your comment at
      What part of managing T1D takes the most mental energy for you right now?
      Preventing highs? I found truly waiting for 15 minutes before eating helps a lot. Sometimes it’s not practical. And exercise. I worry as I age that I will get lazier. Keeping my mouth shut also prevents many highs. Nope, for me, Medicare has just been a nightmare, throwing wrenches into my routine.
    • 10 hours, 17 minutes ago
      Vicki Andersen likes your comment at
      What part of managing T1D takes the most mental energy for you right now?
      It is the most ironic of ironies. Just as I have seemingly mastered the technical intricacies of gewgaws like CGMs, correction factors, insulin sensitivities, pancreatic enzymes, Kaplen-Meier curves, etc. that I must board the mystery train of insurance/logistics as my favorite form of conveyance. Befuddlement may end up being my BFF. જ⁀➴
    • 10 hours, 31 minutes ago
      Lawrence S. likes your comment at
      What part of managing T1D takes the most mental energy for you right now?
      Replacing failed sensors from the manufacturer.
    • 10 hours, 31 minutes ago
      Lawrence S. likes your comment at
      What part of managing T1D takes the most mental energy for you right now?
      Preventing highs? I found truly waiting for 15 minutes before eating helps a lot. Sometimes it’s not practical. And exercise. I worry as I age that I will get lazier. Keeping my mouth shut also prevents many highs. Nope, for me, Medicare has just been a nightmare, throwing wrenches into my routine.
    • 10 hours, 36 minutes ago
      Lawrence S. likes your comment at
      What part of managing T1D takes the most mental energy for you right now?
      I find your answers truly humorous but often very informative.
    • 11 hours, 27 minutes ago
      Kathy Hanavan likes your comment at
      What part of managing T1D takes the most mental energy for you right now?
      I find your answers truly humorous but often very informative.
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      How confident do you feel making diabetes-related decisions without input from apps, algorithms, or other people?
      Day to day I rely entirely on my self knowledge and understanding with over 60 years of experience living in a body with T1D. I do appreciate and rely on CGM technology that enables me to see current BG and trends on pump screen. Other than that, I don't use any bells and whistles apps, or crazy ass algorithms. When i need to I consult with my endo, or more likely, with another T1 PWD who may well have insights from their own real life experience to share.
    • 2 days, 4 hours ago
      Lawrence S. likes your comment at
      How confident do you feel making diabetes-related decisions without input from apps, algorithms, or other people?
      I've been making diabetes decisions for 70 years, long before there was any adjunct technology. I have been in situations where I had to drop back and manage manually. I worry about my granddaughter with T1D, she has been on a pump and CGM since being diagnosed. She might not have he management skills. I am not sure she has even had to draw up a shot and inject herself.
    • 2 days, 4 hours ago
      Lawrence S. likes your comment at
      How confident do you feel making diabetes-related decisions without input from apps, algorithms, or other people?
      I change all of my pump settings on my own as needed and override boluses for what I know I’ll need vs what the algorithm low-ball suggests.
    • 2 days, 4 hours ago
      Lawrence S. likes your comment at
      How confident do you feel making diabetes-related decisions without input from apps, algorithms, or other people?
      I definitely use less insulin using my pump's algorithm than I would using my own guess. However, since I know how much my pump would give me for my typical meal, I would be pretty close to what it deems necessary. My pump is usually pretty correct. However, I do override the bolus the bolus or basal rates as sometimes I know other factors that don't go into the pump's algorithm calculations.
    • 2 days, 4 hours ago
      Lawrence S. likes your comment at
      How confident do you feel making diabetes-related decisions without input from apps, algorithms, or other people?
      I said unsure. Before my pump and CGM, before using a glucometer, I would try to anticipate the answer. I was rarely spot on. But I see now that glucometer isn’t part of the unknown. Still, without my pump algorithm and especially CGM data which is basically on an app I am reading, I’m afraid my decisions would not lead me to where I am today where foot doc, eye doc, etc. say they would not be able to tell from those body parts whether I was diabetic. My Endo is probably way down the list. Yesterday, I was in-and-out in 10 minutes and ordered a script I told him I did not need.
    • 2 days, 4 hours ago
      Lawrence S. likes your comment at
      How confident do you feel making diabetes-related decisions without input from apps, algorithms, or other people?
      I have been on this journey for 45 years. I have lots of experience dealing with decisions.
    • 2 days, 4 hours ago
      Lawrence S. likes your comment at
      How confident do you feel making diabetes-related decisions without input from apps, algorithms, or other people?
      I took it that the assumption was having the test data and knowing what you've previously done already, how comfortable are you making a treatment decision. In that case, like you, after decades of doing it (even without the data), I'm fully confident. I'm sure you are too given what we've been through throughout the decades.
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    If you have peripheral neuropathy in your feet, do you take any medications to help manage it? Please share in the comments how you manage neuropathy pain.

    Home > LC Polls > If you have peripheral neuropathy in your feet, do you take any medications to help manage it? Please share in the comments how you manage neuropathy pain.
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    If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?

    Sarah Howard

    Sarah Howard has worked in the diabetes research field ever since she was diagnosed with T1D while in college in May 2013. Since then, she has worked for various diabetes organizations, focusing on research, advocacy, and community-building efforts for people with T1D and their loved ones. Sarah is currently the Senior Marketing Manager at T1D Exchange.

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    30 Comments

    1. Wanacure

      I think my neuropathy symptoms manifest as lack of feeling, not pain, in my feet. This can contribute to falling. I probably should use a cane for better stability.

      3 years ago Log in to Reply
    2. Linda Pease

      I take meds and super b complex and magnesium to help

      3 years ago Log in to Reply
    3. Linda Pease

      Along with meds I take super b complex and magnesium to help

      3 years ago Log in to Reply
    4. Frederick Schulz

      I have had neuropathic pain in my feet, primarily, and lower legs for many years. I have been on various meds, as they have improved and my symptoms worsened seemingly. I am on a combination of pregabalin and duloxetine for several years, which has provided me with a total absence of pain, with occasional “break-through pain” , as I call it, incidents. These lapses occur every 2 to 3 months, without warning, are severe, in that they cause one leg or the other to basically collapse, so I often walk with a cane for the day or two that these incidents occur. But, thankfully, they are infrequent if an over the counter pain killer does not work, which they normally don’t, I will retreat to the use of oral morphine, every 4 hours. 2 or a maximum of 3 doses will stop the pain, but will also cause me to sleep and be constipated. In such situations, I am “ out of use” for a day.

      2
      3 years ago Log in to Reply
      1. Ahh Life

        Good description. And good advice as to what to do, even in “last resort” situations. 👍

        3 years ago Log in to Reply
    5. gary rind

      Used to have terrible neuropathy pain in my feet at time of diagnosis. Endo put me on gabapentin which did nothing but make me “dopey”. Started taking ALA (alpha lipoic acid) vitamins and the pain was gone in a week! Have been taking it for almost 20 years and the pain has never returned.

      2
      3 years ago Log in to Reply
    6. Melinda Lipe

      One of my feet has been developing numbness for years – no pain, no medication.

      3 years ago Log in to Reply
    7. BARRY HUNSINGER

      I think that I don was peripheral myopathy because I take a prescription called METANX. A prescription base b complex with a proprietary prescription component. I have been taking it for about 12-15 years.

      1
      3 years ago Log in to Reply
    8. TEH

      I don’t have pain in my feet but I have lost nerve feeling in my finger tips, two fingers on both hands… Go figure 🤔

      3 years ago Log in to Reply
    9. pru barry

      None of the several endocrinologists I’ve had over 70 years has ever mentioned using medications for neuropathy. I’ve mentioned it often in the recent past since it feels like being without legs, at this point, but the docs shrug, say there’s nothing to help. What does help is to keep walking, a lot, and I think it may have something to do with not letting those brain cells forget what it used to feel like. I think I owe as much to walking as I do to shots and pumps :^) It’s all good!

      2
      3 years ago Log in to Reply
    10. Lawrence S.

      I occasionally get neuropathy pain in my toes. However, over the years it has never developed into long-term pain. I believe that my running and constant aerobic exercise have prevented the neuropathy from developing. I watched my father go through years of horrendous neuropathy pain. Back then I decided to keep running, with hopes that it will prevent early onset. I think it is working.

      3 years ago Log in to Reply
    11. Joseph Tappel

      I do have peripheral neuropathy, I am currently participating in a clinical trail in which I have experienced 80% improvement. VMDN-003-2 to Assess Engensis

      3 years ago Log in to Reply
      1. Lynn Smith

        Thanks for sharing this info. I will keep a watch over if/when this drug makes it to market.

        3 years ago Log in to Reply
    12. Lynn Smith

      I have been T1D for 55 years. I began having some neuropathy symptoms probably 5 years ago. A year and a half ago it had progressed to numbness and tingling at night. My endo prescribed the Metanx that some have mentioned. I also have osteoarthritis that I inherited from both my parents. It had left me with bone on bone in my knees. So October of last year I had total knee replacement in my left knee. The post-op pain from that was very difficult to tolerate. In addition, for whatever reason, the neuropathy in my feet became much worse. Two months into post-op and very frustrated with the pain, my endo prescribed me gabapentin for the neuropathy. Not only did it help the neuropathy, but my knee pain decreased dramatically. My surgeon had to increase the dosage, but so far I am doing much better with my post-op pain management and my neuropathy. So for those of you who have painful neuropathy and osteoarthritis, you might give gabapentin a try. That said, I may try the alpha lipoic acid that was mentioned sometime in the future.

      3 years ago Log in to Reply
    13. Bob Durstenfeld

      I have autonomic neuropathy and some peripheral neuropathy in my thighs. I take a low dose of Gabapentin at night to sleep.

      3 years ago Log in to Reply
    14. Merry Woolsey

      I tried both lyrica and gabapenetin for a few years. Neither worked and on the highest dose I only had brain fog so bad I resigned from my job (RN working in admin). It took several months to figure out what was wrong and when I stopped taking it was 3 months before I felt better. I’ve also tried medical marijuana for about 1 year with no success. Finally tried a compound that has gabapenetin cream added which does help.

      2
      3 years ago Log in to Reply
    15. Sheri Marcus

      Never so bad that I had to take medication for it. Hot water soak seems to help some.

      3 years ago Log in to Reply
    16. Kathy Morison

      Yes I do have significant peripheral neuropathy in both my feet and my hands. But I do not take any pharmaceutical chemicals to help because the side effects just aren’t worth any help they might be. Currently I’m taking a mushroom blend that seems to be helping to keep things at bay and at the same time helps my immunity and brain health.

      3 years ago Log in to Reply
      1. Kathy Morison

        The thing I found to help the most though is cannabis oil or smoking cannabis for relieving the symptoms.

        3 years ago Log in to Reply
    17. Kristine Warmecke

      I tried gabapentin at one point; not good. I couldn’t function on it.

      3 years ago Log in to Reply
    18. StPetie

      I marked “…do not take medication…” I do, however take over the counter alpha lipoic acid. Since begining it 3 years ago, my neuropathy has stopped progressing. Big thanks to my podiatrist.

      1
      3 years ago Log in to Reply
    19. Pauline M Reynolds

      My foot neuropathy consists of what I call “the itch from hell”. While capsaisin lotion has helped, I usually just keep lightly massaging until it stops usually in 10 or so minutes. So I put “No”. Also, I feel blessed because all I can think of is “at least it’s not pain”.

      3 years ago Log in to Reply
    20. Sheri Marcus

      I have tingling and some numbness sometimes in my feet if I sit too long especially. Like at work I sit at a desk all day long. But not much pain so far thankfully.
      Although I do take gabapentin (Sorry spelling) I have a ruptured disk in my neck and back as well as handicap knees from a motorcycle accident when I was young. I am curious if it makes you gain weight. I have gained 20lbs since I have been taking it but have also been told it could be I have been through menopause and hormones cause hunger and weight gain too. I thought I would try not taking it and see if my hunger slowed down some because I stay hungry all the time and I have always been under weight never have I weighed this much. From 138 to now 157 in just 3-6 months since taking it. Hmmm!? and. I just keep gaining a pound or so at a time. Anyone else notice this with Gabapentin? I actually take Horizant which is Generic Name: Gabapentin enacarbil.

      3 years ago Log in to Reply
    21. AnitaS

      I have SLIGHT tingling in my feet, but it is so slight that I very rarely feel it and my feet have great sensation to stimuli.

      3 years ago Log in to Reply
    22. Sharon Gerdik

      My physiatrist put me on a medication after having a cervical spine ablation. After taking it for almost a year I didn’t think I was getting anything from it and I stated that to my PCP who confirmed I was no longer seeing the MD who prescribed it and he started weening me off it. While my dose was decreased, I started getting pain in my legs and feet and I realized that med was actually helping but in a different way. I’m now continuing the lesser dose unless the higher dose is needed.

      3 years ago Log in to Reply
    23. ConnieT1D62

      I have lived with peripheral neuropathy in my feet and hands for years. At this point I only experience peripheral numbness. About 20 years ago my PCP prescribed Neurontin, then Lyrica for the sharp stabbing pains and neither did anything except to mask the discomfort and make me feel so mentally clouded & stoned that I could barely function. The meds also did nothing to reverse the progression of the neuropathy so I stopped taking them. At this point I no longer experience any pain, just chronic numbness and I have learned to live with it by making functional adaptations as needed.

      3 years ago Log in to Reply
    24. Joan McGinnis

      I have had neuropathy for 13 yrs and i took Gabapentin for years which was helpful but as of about 3 yrs ao no longer find it painful and don’t take Gabapentin for that long. I do take B complex and Alpha lipoid acid and my neuropathy consists of numbness in feet and sometimes I wake with a little numbness in fingers but no pains. I also have very good sensation. Diabetes for 45 yrs within retinopathy or kidney disease.

      3 years ago Log in to Reply
      1. Joan McGinnis

        without retinopathy or kidney disease

        3 years ago Log in to Reply
    25. T1D4LongTime

      T1D 56 years. As a teenager (after 10 yrs T1D), I had horrible neuropathy in my feet. Felt like branding irons. Then all of a sudden, it disappeared and never came back.

      3 years ago Log in to Reply
    26. Kathryn Tippey

      My neurologist has me starting with a supplement called ALA. I have found research papers showing when combined with CoQ it can be even more effective.

      3 years ago Log in to Reply

    If you have peripheral neuropathy in your feet, do you take any medications to help manage it? Please share in the comments how you manage neuropathy pain. Cancel reply

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