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-   -   Diabetic Neuropathy (https://www.neurotalk.org/peripheral-neuropathy/190660-diabetic-neuropathy.html)

Kitt 06-30-2013 11:01 AM

It also could depend on the location of the Mayo Clinic one goes to. There are quite a number of states where the Mayo Clinic is and obviously they all have different doctors. Just saying.

Hopeless 06-30-2013 01:27 PM

Hi Clay,

So glad to hear from you. Your A1C is fantastic. I started with a 10.2 A1C and since that one have kept them between 6.2 and 6.9 through very strict diet and meds. I am very sedentary due to chronic pain so I have a little bit of an idea of your situation. I especially liked the advice members have offered you. Water exercise is an ideal idea for people limited by pain. Access to that sounds like it would be a problem for you. Years ago I was sent to physical therapy and they did it in an indoor pool. It did nothing for my medical condition but it was at least a way for me to get some exercise. The suggestion given for wheelchair bound people is something I should consider and was glad to see that response to you by a member. When you mentioned in your first post that your feet turned dark, that really worried me. That is what prompted many of my prior questions. Has that been totally resolved? Keep us infomed. We care about you.

Hopeless 06-30-2013 01:40 PM

I have developed a bad habit of waiting until there is little food in the house before I head to the store because it is always a painful experience. I usually only hit the grocery about once a month and get my prescriptions at the same time. Being without food for two days is not good for anyone but especially for diabetics. I realize how difficult it is for you to keep up with stocking the pantry but it is absolutely necessary. I keep a bunch of canned vegetables on hand like cut green beans, etc. and a jar of peanut butter so I am never totally out of food. I also keep some can tuna, salmon, etc. I usually run out of perishable items and just do without them untl grocery time but I always have a stock of those can items. At least enough for 2 weeks.

I was told that extra body weight will affect the results of a NCS/EMG and are more difficult to perform. Maybe as the weight continues to come off, you will be in a better place to get the testing done if it is still necessary at that time.

Good luck to you.

Kitt 06-30-2013 04:36 PM

Quote:

Originally Posted by Hopeless (Post 996284)
I have developed a bad habit of waiting until there is little food in the house before I head to the store because it is always a painful experience. I usually only hit the grocery about once a month and get my prescriptions at the same time. Being without food for two days is not good for anyone but especially for diabetics. I realize how difficult it is for you to keep up with stocking the pantry but it is absolutely necessary. I keep a bunch of canned vegetables on hand like cut green beans, etc. and a jar of peanut butter so I am never totally out of food. I also keep some can tuna, salmon, etc. I usually run out of perishable items and just do without them untl grocery time but I always have a stock of those can items. At least enough for 2 weeks.

I was told that extra body weight will affect the results of a NCS/EMG and are more difficult to perform. Maybe as the weight continues to come off, you will be in a better place to get the testing done if it is still necessary at that time.

Good luck to you.

I was wondering how excess weight can affect the results of EMG/NCV testing.

http://www.webmd.com/brain/electromy...uction-studies

I have never heard of that. Thank you.

Hopeless 06-30-2013 06:01 PM

Dear Kitt,

I do not know the technicalities of why weight affects NCS/EMG testing but that is what the last neuro told me at my most recent test a month ago. He told me that even some edema would alter the results. That was not the first time I was told that excess weight is problematic for the testing and I also read it somewhere within the last few months.

I will see if I can find the particulars for you and get back to you.

Hopeless 06-30-2013 07:01 PM

Dear Kitt,

I just looked it up online in a neuro site. I cut this sentence.

Edema, skin lesions, and obesity are limiting factors
in performing a successful EDX study.


It also states that temperature is a major factor in getting proper results.

My first NCS was very different than the ones by other docs. The last one said he would never do an NCS without also doing an EMG. He also said some other things that I just can't remember at the moment.

The article was in Practical Neurology January/February 2010 issue and is titled EMG and Nerve Conduction Studies in Clinical Practice by Rossitza, MD,MS and Lara Katzin, MD

It is an interesting article but most of it is way over my head.

Kitt 06-30-2013 07:36 PM

Quote:

Originally Posted by Hopeless (Post 996349)
Dear Kitt,

I just looked it up online in a neuro site. I cut this sentence.

Edema, skin lesions, and obesity are limiting factors
in performing a successful EDX study.


It also states that temperature is a major factor in getting proper results.

My first NCS was very different than the ones by other docs. The last one said he would never do an NCS without also doing an EMG. He also said some other things that I just can't remember at the moment.

The article was in Practical Neurology January/February 2010 issue and is titled EMG and Nerve Conduction Studies in Clinical Practice by Rossitza, MD,MS and Lara Katzin, MD

It is an interesting article but most of it is way over my head.

I couldn't find the article. I found Practical Neurology but not the article. Perhaps it is what they are looking for when the testing is done. As you probably know, there are many conditions that they would use EMG/NCV testing. I understand about the temperature thing. It wasn't a factor when mine was done. But was for others I know of. It also matters a lot as far as who is doing the testing.

clay_elder 06-30-2013 09:16 PM

Thanks again,MrsD. Are you a doctor? Just curious. You seem to know alot. I think I should start physical therapy again. Get the circulation going again. I gotta do something. Ever heard of Sanford here in SW Minnesota/Sioux Falls SD? They're not addressing my damn awful pain. I wanna be able to walk..shop for mysel..walk outside like a normal person. Ya know? It's been 5 yrs. :rolleyes:

mrsD 07-01-2013 08:13 AM

Clay.... I have to laugh. No I am not a doctor. (I am however
well educated in the medical arena).

You will learn as a member here, that doctors don't really know as much as you think. And also, they are highly suspicious and threatened by people who learn about their own problems.

So in fact, the reverse of your statement is sadly often true.

If I had become a doctor, you wouldn't find ME here, that is for sure. LOL:D (especially for FREE). Doctors do not donate time to internet forums....their liability insurance would probably
suggest against that. In fact they do not trust the internet at all.
It is only in the teaching hospitals you MAY find doctors using PubMed etc in their practices.

This is why I give links for everything, so the reader can decide for themselves what to do.


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