Diabetes neuropathy | Dr Arvind Kumar

[@bibhuprasadpradhan7689]

Very much informative sir … Please make a video on approach to Tremors in OPD … That will be very helpful

[@drjitendravs]

Earlier I too used to give only methylcobalamine and didn't used alpha lipoic acid .. but it really makes difference in these patients (patients on pregabalin and/or duloxetin) not a major but gives a better outcome when added to methylcobalamine. However it depends completely on manufacturer also. Alpha lipoic acid prep from Nurokind / meganeuron od always work better than only methylcobalamine. Brand too have different role, if you use generic of same companies will still doesn't work.

[@sumankhawas7859]

Sir... One doubt is that...when should we add the 2nd class drug after the 1st class drug? When we have given max possible dose of first class drug and there's no response... Then should we add 2nd class drug? Pls guide sir... 🙏

[@muhammadkhan8094]

❤yes bro

[@DrAbdulRahman-Arz2023]

Dear brother , we dont eventualy wait with monotheraphy till it reaches the highest dose .Meanwhile we can start along the second class drugs after 12 weeks after seeing the prognosis .

[@ramananm6880]

Thank you for this video sir. Please consider to publish common joint issues and management in GP level. Thanks again.

[@LakshmiEre]

Thank you for the one more wonderful video sir . Sir what’s the exact mechanism of action of pregabalin in neuropathic pain.? Literature says it’s at multi levels from brain, spinal cord , periphery .Does it stops Demyelination of neurons sir? I am confused how to explain my patient it’s major action in neuropathy. Thank you very much sir .🤝🙏💐

[@nadimintyganapathisastry771]

Dear Sir, A nice video. However, the monofilament test is known for Loss of protective sensation ie touch sensation is noted when applying 10 gms pressure. There is evidence to say that good control of Diabetes with insulin reduces painful neuropathy. Correction of the internal milieu is important. The studies with Alpha lipoic acid in reducing autonomic dysfunction when given parenterally are noted. thank you for a nice recap.

[@imtiyaz9024]

Resner plus is one of the best drug combination to treat diabetic neuropathy. But remember this drug combination usually cause dizziness, hypotension.

[@user-kd9pt4de7n]

Now a days patients don't have patience, they want to get results immediately, they change doctor. so many Dr s don't follow algorithm. They use multiple drugs in beginning itself😀

[@RUCHITAK-h8b]

How do we up titrate the dose of these drugs sir?

[@DrAbdulRahman-Arz2023]

Mashallah …I really enjoy your videos sir .Being a clinican its very helpfull and in practice its joy to get updated the latest guidelines with the help of you kind of legendary mentors.

[@dr-arvindkumar]

So nice of you

[@Snigdhwala]

Sir 🙏🏻🙏🏻🙏🏻 When the next classes uploaded It's very informative for GP nd medicine PG to practice in rural and suburban area

[@dr-arvindkumar]

As soon as possible

[@Snigdhwala]

Tremor nd parkisniom treatment in OPD.. 🙏🏻🙏🏻🙏🏻

[@DrAbdulRahman-Arz2023]

Dear sir kindly post a detailed video of PTB AND LATEST TREATMENT GUIDELINES in detail.

[@IbrahimShaikh-pt5mt]

Sir chr urticaria ke bare me video daliye

[@jaihanuman1416]

Pls make video on migraine headach

[@nivniv1430]

Sir u r making me a better general practitioner with each video of yours Thankyou sir

[@dr-arvindkumar]

All the best

[@jaffersadiq-nh6ci]

Dr. Valuable

[@dr-arvindkumar]

Thanks

[@roseking84]

Plz explain about antipsychotic/Mood stabilizer/ drugs and doses ..side effects and food interactions..

[@user-re2sd9ez7b]

sir please ek migraine par bhi sir

[@muniralam2625]

What about Mecobalamin 1500mcg sir ?

[@dr-arvindkumar]

If b12 deficiency otherwise no role

[@TastefulGlatt]

FELLAS, *MR OBALAR* ON KZbin CURED ME TOTALLY 😊❤

[@smenon0101]

Namaskar Doctor..I saw ur diabetis video , where u prescribed metformin dosage is after meal and glimipiride before food..but nowadays these two medicines are coming in combination and mostly taken before food..pls guide me the suitable timing for taking this communication? Thanks

[@dr-arvindkumar]

Before

[@smenon0101]

Thanks doctor

[@muhammadkhan8094]

❤take betwen meal

[@Destinyschild777]

Thank you sir🙏🏼

[@dr-arvindkumar]

Most welcome

[@sv0609.]

How effective is TENS sir ? Transcutaneous Electrical Nerve Stimulation in Diabetic Neuropathy sir ..... My mother is having it since 1 year & under medication... taking Amitriptyline & Vitamin B complex ..... What else can be done ? Should we try TENS ? Kindly reply

[@puzzlepediafacts]

Thank you Sir for amazing and simple explanation.

[@dr-arvindkumar]

Thanks and welcome

[@chiragpratapsingh7546]

Thankyou sir ! Please keep uploading such videos.

[@dr-arvindkumar]

Keep watching

[@muhammadkhan8094]

Nice boss.i have much learn from jazak Allah

[@dr-arvindkumar]

Glad to hear that

[@khanboy6653]

After given wrongly IM injection (sciatic nerve injury) what will be the protocol

[@millennialspharmacology2627]

Thank you for the information sir..sir request to you if possible please mention brand names of these drugs which are prescribed by you 🙏🙏

[@Dr-789]

I dont agree at one point Although one need drugs for treating diabetic neuropathy but Even if neuropathy started ,glycemic control halt further progression of neuropathy

[@26.gokulakrishnanr20]

Sir! pls make a video on Acute abodmen! Thank you!!

[@aasthadalmia3982]

sir, how long can we continue these drugs and specifically tramadol.

[@drskhussain1981]

Sir plese any app uploaded playstroe like clinical grugi

[@rhythmbatra2534]

Good evening sir.. please suggest about epalrestat whether it is useful in diabetic nerve disease ?

[@dadakmch]

Sir, before reaching the effective dose, the s\e intervenes and it gets really hard to manage these symptoms

[@drskhussain1981]

Nice class sir plece chekup neropathy stument name

[@Doc_ashu19]

Pls make videos on ipd and icu procedures under medicine

[@kritanpokharel8377]

Please make video on how to treat LFT parameter like sgpt and sgot

[@yasmeenchoudhary3354]

Please make video on modify Att in hepatitis and ckd

[@dadakmch]

Sir neuropathy pe one full lecture willbe of great help

[@ragulanna8413]

Your vedios are very useful sir .... What can be cause of increased phosphorus and decrease chlorine but with normal urea and creatinine sir in diabetic patients

[@dr-arvindkumar]

Most likely lab error

[@mohamedafrath9418]

Very informative video!!!

[@dr-arvindkumar]

Glad you think so!

[@DrHarbeesingh5122]

Beautifully explained 👌

[@dr-arvindkumar]

Thanks a lot 😊

[@chandu77757]

Sir what other videos are there in membership should we have to take it

[@nonozafar824]

sir! What about elderly patients, all these medication are not given in patients age more than 60 .

[@dr-arvindkumar]

Some of these Can be given

[@harsha123ization]

Crisp & clear Sir 🙏

[@dr-arvindkumar]

Keep watching

[@raizulifqar5350]

Well described

[@dr-arvindkumar]

Thanks 🙂

[@ptwarari]

Thank you@

[@dr-arvindkumar]

You're welcome

[@Achhuraja]

Hi sir it was very good learning...one doubt when do we stop if patient is better or pt is free of his symptoms? Should be titrate and stop ?

[@dr-arvindkumar]

Yes,can be stopped after titration

[@sintumourya4299]

Sir please make video on OHA AND its effective use with side effects

[@dr-arvindkumar]

Already uploaded videos in this channel

[@nadirabbas8114]

Thanx

[@dr-arvindkumar]

Welcome

[@azharuddin.neymar]

👌sir

[@dr-arvindkumar]

Keep watching

[@ameenullah3584]

U r my second love ❣️

[@Snigdhwala]

Sir migraine headache treatment protocol 🙏🏻🙏🏻

[@DrAbdulRahman-Arz2023]

Sir has posted the migraine guidelines video .

[@muhammadilyas-zg6ds]

Sir .. any role for aldonil and tapentadol?

[@dr-arvindkumar]

Not approved

[@drsohailzahir2837]

❤❤❤

[@anupamkumar3932]

Sir treatment duration of these agents?

[@muhammadkhan8094]

❤only they mange dear .not permanent covering

[@pneumoniadrrao913]

thank you so much sir

[@dr-arvindkumar]

Most welcome

[@parulgandhi7766]

Very nice and informative

[@dr-arvindkumar]

Thanks for liking

[@Doc_ashu19]

Really helpful ❤

[@dr-arvindkumar]

Glad it was helpful!

[@tinkarsharma4144]

Good evening sir .....sir please make video on insulin dose calculation and method of administration....please it's a request sir

[@dr-arvindkumar]

Already uploaded in this channel

[@parvpatel8349]

Good morning sir