A 62-year-old male was referred to a diabetologist for neuropathic pain and dystrophic, “dry” changes to his feet. He complained of the burning, tingling pain in the toes and hands, especially at night when he was trying to fall asleep. His HbA1C is in the 7 to 7.5 range in last 1 year. He complained about the recent forgetfulness. He was panicking and wondered if the high blood sugar could lead to mental changes and foot pain. He was a vegetarian and exercised regularly. He also complained of diarrhoea and noted it at the same time while he experienced burning and tinging in his extremities. He also complained of hair loss. The patient was not drinking alcohol regularly.
Medications: He took a cholesterol-lowering drug, metformin for his diabetes, a multivitamin, OTC ranitidine for occasional gastroesophageal reflux disease (GERD) and a daily low-dose aspirin as a cardiac precaution. He also drank two teaspoons of apple cider vinegar and a tablespoon of honey in a cup of hot water with his meals three times a day.
Diagnostic workup:
The treating physician had looked for causes of his undiagnosed neuropathy and other symptoms in the thyroid, HIV/AIDS, anaemia and many others. All these tests were negative.
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