What is the treatment for numbness in the hands and feet?
Patient: I have numbness in my lips, tongue and slightly in my hands and feet. I have nausea and weakness. My doctor had me do a 3 hour glucose test and determined I am hypoglycemic. When I feel this way and check my blood sugar it is in a safe range. My problem is I have these symptoms from low 100 s at times, but very bad once in low 90 s and 80 s. It is not dropping below 70. Do I even need to worry about this and do I treat it the same as if it were lower? Doctor: Hi,  If I were your physician I would do a good neurological examination of the face/neck/extremities to map out the exact areas of numbness and to see if there were any altered sensations.    I would send you for a variety of labs having to do with thyroid, (FT4, TSH), Vitamin B12, methylmalonic acid, homocysteine, Folate, Vit. D, and not worry any further about blood sugars.    Hope I have answered your query. Let me know if I can assist you further.  Regards, Dr. Dariush Saghafi,  Neurologist