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When did this start ?
Any other conditions other then diabetes ?
Pins and needles is usually because of some nerve compression or irritation in the neck at this age. It can be because of diabetes but in that case it should be Bilateral. For treatment please add in amitryptiline 10mg once a day if its not already in her treatment. Nothing else needs to be done. Use a pillow that keeps the neck at level with the body while sleeping
Best wishes. Please feel free to contact me if you have any further queries or need to follow up. I will be happy to help and guide. Have a nice day