Foot issue - could better control be causing it?

Hi, within the last 3 weeks ive started on tandem tslim and dexcom 6 closed loop. My overall control and time in range has increased quite dramatically which I’m really pleased about. Over the last week or so I’ve become conscious of a buzzing sensation in the soles of both feet and i am wondering, counter intuitively, if this is due to my better control, or is this just a crazy hypothesis?
In my 36th year of type 1, a1c over last 10 years or so have been around 7 -7.5% mark (i know a1cs hide a multitude of sins, I’m just trying to give a little bit of context), projected a1c now showing at 6.7, SD 2.3.
Thanks!

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Just because 2 events happened within a short time frame does not mean that they are related. More likely, is that the foot issue is due to some other reason such as gradual damage from 36 years as T1D. Or changes in blood flow clogged arteries or some other blood vessel changes. Best to talk with your doctor.

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Yeah i get that. Thanks for responding. I feel as though i have heard at some point over the years about sudden changes in control (for better as well as for worse ) causing changes in other areas. I will mention it to my diabetes specialist nurse.

I sincerely doubt that BETTER control would cause foot problems. As some have suggested, the foot pain could be caused by years of diabetes that just happened to show up at the time you made other changes. However, think of some other changes in your life. Have you been standing or walking more recently? Have you started a new exercise routine? Are you wearing new shoes? A new type or brand of socks? Have circumstances caused you to be standing or walking on a new textured surface – gravel, concrete, sand, etc.?

If the foot pain persists more than a couple of days, I agree that a visit to the doctor is necessary-- and the sooner, the better.

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Thanks for replying. It is good to look at all possibilities. I started running (gently) again last week, but that’s all that’s changed. I don’t remember this issue from when i was last running about a year ago. Just to be clear it’s not pain - it’s a buzzing. I don’t feel it when i move but am pretty conscious of it when sat still. Like i say, I’ll call my DSN to discuss and I need to get myself re-referred to podiatory.

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@CharlotteEngland – I suspect your symptoms of recently improved glucose control and this bottom-of-the-feet sensation are coincidental. You’re right to follow up with a specialist as you may be experiencing neuropathy and/or impaired peripheral circulation symptoms.

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I think there is a chance your improved control might be the cause and that it will subside. My A1c dropped when I started closed loop five years ago and I got temporary carpal tunnel type symptoms (tingling, pressure) which resolved within a couple of months. I am quite sure the two were related. The fact that you’ve just started running again seems pertinent too. Good luck!

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I’ve given my feet a really good check tonight and there are zero numb spots, so I’m pleased about that. Great that your problem ironed itself out and hopefully will be the same for me. Thanks for your comments.

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UPDATE : I saw the podiatrist a few days ago and explained my symptoms. Her first question was to ask if my exercise regime had changed and if i was a runner. She said that the impact on the feet through running can cause nerve issues. She said to make sure i wear really good shoes and to fasten them nice and tight using the holes at the top of the shoes which don’t normally get used. She said there are lots of runner vids on YouTube which show how to fasten trainers properly. She gave my feet a thorough check using the doppler and various other things and said she was happy with everything. Thanks again for everyone’s replies.

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Thanks for the update. Had been wondering how you were getting on. And good timing too! I bought a pair of runners yesterday and your information, plus my own concerns about my purchase, have prompted me to return the shoes and get a better fitting pair. (Long story!) hope you can keep up the running and that things settle down completely for you.

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