Patient: In 2005, my father started to discover diabetes, at that time, his blood sugar was around 13, at present, he mainly takes Reglanet tablets and Acarbose tablets orally, his blood sugar control is still OK, (between 6.8-8.0), but the soles of his feet are still painful and numb, it is very inconvenient to walk. How should I proceed with the treatment? Thank you so much! He was once treated with methylcobalamin and Chuan Gong Dan Shen injection for 15 days at Hainan Provincial People’s Hospital, but he was not well. Liu Yihong, Department of Endocrinology, PLA 520 Hospital: Hello! From your father’s condition, we can initially determine that he is suffering from “diabetic peripheral neuropathy”. It is recommended that he receive regular treatment at a diabetic specialist as soon as possible, and it is best to change his glucose-lowering medication to insulin, and also to test his blood sugar regularly. Patient: Director Liu: Thank you very much! My father was treated at Qionghai Chinese Hospital recently, and the doctor gave him 10 units of long-acting insulin, is it better to inject long-acting insulin or medium-acting or short-acting insulin for a disease like my father? Liu Yihong, Department of Endocrinology, PLA 520 Hospital: I personally think that in order to facilitate diabetic patients to inject themselves, what we have is better: Novalis 30 refills (also known as Menthol insulin 30 refills) 3 times daily treatment, the efficacy is good. But I don’t know if there is such insulin locally. In addition, for “diabetic peripheral neuropathy”, you can also use intravenous Micropoin injection (methylcobalamin), thromboxane injection and Kaiser (prostaglandin) and other drugs. Patient: Director Liu: Hello! Thank you very much! A few days ago I read an article on microscopic nerve decompression treatment for diabetic peripheral neuropathy on the Internet. Do you personally think that diabetic peripheral neuropathy like my father’s can walk, but the pain and numbness in the soles of his feet and the weakness of walking should be treated conservatively with drugs such as intravenous Micropoin injection (methylcobalamin), thromboxane injection and Kaiser (Prostil), or do you think microscopic nerve decompression treatment is needed? Is it more scientific? Please help me to decide, thank you very much! Liu Yihong, Department of Endocrinology, PLA 520 Hospital: Conservative treatment should be the first priority. Patient: Director Liu: Hello! According to your advice, my father went to the endocrinology department of Hainan Provincial People’s Hospital on October 26 to receive treatment. After 20 days of treatment, the first 13 days were treated with methylcobalamin, blood sparing injection and prostaglandin, and the last seven days were treated with methylcobalamin, blood sparing injection and zinc sulfate injection with greater improvement, but he still has symptoms of nodules under the soles of his feet, and he still has pain and numbness. How many days should I use Prostil Injection for the longest time? The actual fact is that you can find a lot of people who are not able to get a good deal on this. Sorry, I was very busy some time ago and only today I came up to see your message. The general course of treatment is 2~4 weeks, depending on the situation you can stop 3~5 days before proceeding to the next course of treatment!