I am a 28 year old type 1 diabetic, diagnosed at age 9 . In early February (2015) I had a urinary tract infection which was cured through antibiotics. Suspecting a possible link to the care of my diabetes (or lack thereof), I fully committed to the care and control of my blood sugar. The month following, I started getting cold toes and hands. I went in for a blood test and my A1c was 7.1 and there was no detection of "plasma." Few weeks followed and I continue to get cold toes and now feet, especially when I am sitting. Once I move around or even when I lie down, the temperature appears to return to normal after a while. Please note that the feet are cold to the touch by others and I've noticed all my hair on both my toes are gone. I have been quite inactive for the past year given my profession requires me to sit in front of the computer for 8 hours.
I went to the podiatrist mid march and he says there are no real signs of neuropathy, as there is no numbness at all. However, earlier this month I started getting slightly prickly feet every so often, especially after having the blood return to my feet. My GP scheduled me for an appointment for neuropathy testing.
My question is this, is there a link between poor circulation to the foot and toes and neuropathy? What is the potential of neuropathy given the symptoms described? Could it possibly be the change of blood sugar control that is causing the symptoms to appear and if so, would the symptoms only be temporary?
It seems like a minefield when researching the subject online so I am really worried and clueless as to what exactly is going on.
Thank you for your time.
Thanks for your query and an elucidate history.
To recapitulate: Male 28 / DM Type I - cured UTI Feb 2015 - committed to the care and control of sugar - cold toes and hand - HbA1c 7.1 - no detection of plasma - cold toes and now cold feet ''especially when sitting - job of 8 hours on computer - temperature returns to normal if you lie down or move around - hair on toes gone and feet are cold on touch by others too - to Podiatrist Mid- March - says no signs of neuropathy as there is no numbness - now prickly feet, this month - especially when the blood returns to the feet - appointment for neuropathy testing -
-Is there a link between poor circulation to the foot and toes and neuropathy?
-Potential of neuropathy
-Could it possibly be the change of blood sugar control that is causing the symptoms to appear and if so, would the symptoms only be temporary?
Either of it, the problems is due to the DM Type 1
Loss of hair is a classical sign of low / poor circulation.
*Poor circulation can add on neuropathy (nerves too need blood supply)
*Potential of Neuropathy- although less, is still there as a secondary effect of DMT1 as well as poor circulation (which itself may be due to DM).
*Could it possibly be the change of blood sugar control that is causing the symptoms to appear and if so, would the symptoms only be temporary?
I think the symptoms may not be due to change of blood sugar control as this is a gradual process going on since inception and incidentally noted by you with the way you changed the control your sugar.
Color Doppler for vascular study of the lower limbs is also required along with Neurologists's opinion
I hope these answer your queries; please feel free to discuss further if you need to or if you feel that there is a gap of communication.
These Q&A’s are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.