### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
my toes r are cold numb and dead fealing all the time , i have ask my drs , they say nuropathy , but meds just make me sleepy ,not helping problem is diabeties next have checked while full of soda an was a 90 ,right on the money , so i also have toenail fungus , lost one already , nail that is , but toes have been cold since child hood , so no one has ever given me a gd anaswer ,loss of interest, no motivation , depressed feelin but not harmful to me or others just no motivation any more ,i feel like its adhd more than anything cause i dont want to excercise , do fav things , i have told drs an the give me mild antidepressants , hell im not depressed just loss of interest an no motivation , wtf , im sick of telling them do i need a shrink ajajaja, no i have gd sense of humor , ive had to take pain meds for long time with back issues , ive tried all i know i an get hands on to try problem , adderall seem to help but took 50 mg to do so , an no i do not take street drugs i heard on dr oz that cold feet was sign of bad aorta valve , dad had his replced at 70 im 53 newbie , have had problm for long time , no one is listing where do i go from here , thanks

### output:

Hello! Welcome on Chat Doctor ! I read carefully your question and would agree with your doctor that neuropathy seems to be the cause of your numb and cold toes. From the other hand, the way you feel could be related to depression. For this reason, I recommend consulting with a psychiatrist for a careful evaluation of your situation. An antidepressant could help improve the way you feel, make you more optimistic. Besides, antidepressants are a good treatment option for chronic pain and neuropathy pain. Pregabalin could also be a good treatment option for neuropathy. I would also advise performing HbA1C levels and make the proper changes to your anti-diabetic therapy. Hope you will find this answer helpful! Best wishes, 