toes are partially numb, doctor said begining of dietbetes, no testing with that answer,

ok three things happening, toes are numb , did go to orthepedic dr , he says its cause from a lumbar combustion so going to therepy for this problem and it is starting to correct itself, he also told me that the surgery i had on my cubical tunnel may not ever get better, sometimes the numbness goes away and sometime it don;t , so i quess i have mine for life its already been 4 yrs since surgery. the tiredness could be alot of things i am told, my doctors first reaction was i want you to get a stress test, have not done that yet, i ;m thinking its my weight slowing me down , so i have had my lapband tighned again and hopefully will come down so that my weight isn';t bearing me down. anyway because so many things were wrong i started giving up, thinking i am just getting older, but now i am feeling more confident and raring to go thankyou everyone

Hi anon,
It sounds like you have done a good job of advocating for your health to this point, and I am also not sure what would have happened for your feet to audible "crash" with no signs of broken bones or torn ligaments or other tissue.

I don't understand what is meant by the doctor saying, "must have been a tear in your fishatous tendon on both feet". Is this a confirmed diagnosis? If not, you would need to go to a foot specialist for a diagnosis to inquire if you do indeed have any tears, pulls or stress fractures in tendons, ligaments, muscles, bones or other tissue. This would probably give you the confidence that you KNOW you have a stress fracture or other pulled tissue in your foot (and, given appropriate treatment such as a foot brace or special shoe). Otherwise, if it is confirmed that your feet are healthy, hopefully this would also give you confidence that you can depend on your feet!

I was questioning the end of your story when you were very specific about your symptoms regarding your feet, to then end it saying "i am tired all the time and can;t sleep help". I did not get the sense that this was your primary concern, although it is very legitimate and something worth investigating. I also want to make sure you are not using this description with your doctors at the end of a long visit, as it does not sound like a legitimate concern if you throw it in at the last minute..does that make sense? I want to make sure that you are receiving the best care you can, and that means logically detailing your symtpoms upfront with your doctor ("numbness in my feet, feeling tired and experiencing sleep difficulties").

Please keep a health diary of your symptoms, so that your doctors may know that you are advocating for your health and not just adding symptoms at the end to keep their attention (being specific with "unable to walk 2 feet without sitting" is more effective than "always tired").

The doctors will want to know:
1. Are you experiencing foot pain, numbness, tingling or other symptom? Duration of symptoms, time, severity, what you were doing to lead to the symptom, and what relieved the symptom (if anything)
2. What type of "tired" are you feeling? Is this more emotional/mental tired (not motivated, sad, depressed) or physical (fatigue, certain muscles). Again, listing time of day, duration, what you did before you felt this symptom, what relieved it...all will help
3. List of medications, as well as physical activity, nutrition/diet and other lifestyle factors you can list (stress levels, food log, amount and quality of sleep, etc).

Lastly, if your doctor is concerned with pre-diabetes, you can talk with a Registered Dietitian (R.D.) who can help you determine a food plan that can prevent diabetes diagnosis.

Please keep this list for a week, and see if it helps you determine some causes to your symptoms, and seek help of a professional expert when you determine who you need to meet with. We can help guide you to your next steps!

Go to an orthopedic surgeon.