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Apr 29, 2022 · Learn how to diagnose and treat diabetic neuropathy, a nerve damage caused by diabetes. Find out about blood sugar management, pain relief, complications and self care tips.
- Overview
- What are the symptoms of diabetic neuropathy?
- What are the different types of diabetic neuropathy?
- What causes diabetic neuropathy?
- How is diabetic neuropathy diagnosed?
- How is diabetic neuropathy treated?
- Can I prevent diabetic neuropathy?
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Diabetic neuropathy is a type of nerve damage that develops gradually and is caused by long-term high blood sugar levels. While there’s no cure, managing blood sugar levels can slow its progression and prevent complications.
Diabetic neuropathy is a serious and common complication of type 1 and type 2 diabetes. It’s a type of nerve damage caused by long-term high blood sugar levels. The condition usually develops slowly, sometimes over the course of several decades.
If you have diabetes and notice numbness, tingling, pain, or weakness in your hands or feet, you should see a doctor or healthcare professional, as these are early symptoms of peripheral neuropathy. The danger is usually when you can’t feel pain and an ulcer develops on your foot.
In cases of severe or prolonged peripheral neuropathy, you may be vulnerable to injuries or infections. In serious cases, poor wound healing or infection can lead to amputation.
It’s common for symptoms of neuropathy to appear gradually. In many cases, the first type of nerve damage to occur involves the nerves of the feet. This can lead to the symptom of sometimes painful “pins and needles” in your feet.
Symptoms vary depending on the areas affected. Common signs and symptoms of the different types of diabetic neuropathy include:
•sensitivity to touch
•loss of sense of touch
•difficulty with coordination when walking
•numbness or pain in your hands or feet
1. Peripheral neuropathy
The most common form of neuropathy is peripheral neuropathy. Peripheral neuropathy usually affects the feet and legs, but it can also affect the arms or hands. Symptoms are varied and can be mild to severe. They include: •numbness •tingling or burning sensations •extreme sensitivity to touch •insensitivity to hot and cold temperatures •sharp pain or cramping •muscle weakness •loss of balance or coordination Some people experience symptoms more often at night. If you have peripheral neuropathy, you may not feel an injury or sore on your foot. People with diabetes often have poor circulation, which makes it more difficult for wounds to heal. This combination increases the risk of infection. In extreme cases, infection can lead to amputation.
2. Autonomic neuropathy
The second most common type of neuropathy in people with diabetes is autonomic neuropathy. The autonomic nervous system runs other systems in your body over which you have no conscious control. Many organs and muscles are controlled by it, including your: •digestive system •sweat glands •sex organs and bladder •cardiovascular system
3. Proximal neuropathy
A rare form of neuropathy is proximal neuropathy, also known as diabetic amyotrophy. This form of neuropathy is more common in adults over 50 years old with type 2 diabetes and is diagnosed more often in men. It often affects the hips, buttocks, or thighs. You may experience sudden and sometimes severe pain. Muscle weakness in your legs may make it difficult to stand up without assistance. Diabetic amyotrophy usually affects only one side of the body. After the onset of symptoms, they usually get worse and then eventually begin to improve slowly. Most people recover within a few years, even without treatment.
Diabetic neuropathy is caused by high blood sugar levels sustained over a long period of time. Other factors can lead to nerve damage such as:
•damage to the blood vessels caused by high cholesterol levels
•mechanical injury such as injuries caused by carpal tunnel syndrome
•lifestyle factors such as smoking or alcohol use
A doctor will determine whether or not you have neuropathy, starting by asking about your symptoms and medical history. You’ll also have a physical examination. They’ll check your level of sensitivity to temperature and touch, heart rate, blood pressure, and muscle tone.
A doctor may do a filament test to test the sensitivity in your feet. For this, they’ll use a nylon fiber to check your limbs for any loss of sensation. A tuning fork may be used to test your vibration threshold. A doctor may also test your ankle reflexes.
There’s no cure for diabetic neuropathy, but you can slow its progression. Keeping your blood sugar levels within a healthy range is the best way to decrease the likelihood of developing diabetic neuropathy or slow its progression. It can also relieve some symptoms.
Quitting smoking, if applicable, and exercising regularly are also parts of a comprehensive treatment plan. Always talk with a doctor or healthcare professional before beginning a new fitness routine. You may also ask a doctor about complementary treatments or supplements for neuropathy.
Diabetic neuropathy can often be avoided if you manage your blood glucose vigilantly. To do this, be consistent in:
•monitoring your blood glucose levels
•taking medications as prescribed
•managing your diet
•being active
If you do develop diabetic neuropathy, work closely with a doctor and follow their recommendations for slowing its progression. With proper care, you can reduce the damage to your nerves and avoid complications.
Diabetic neuropathy is a nerve damage caused by long-term high blood sugar levels in people with diabetes. Learn about the different types of neuropathy, how to prevent and treat them, and when to see a doctor.
Diabetes-related neuropathy is nerve damage caused by high blood sugar levels over time. Learn about the types, symptoms, diagnosis and treatment options for this condition that affects people with diabetes.
Feb 3, 2022 · Although the term “diabetic neuropathy” encompasses a broad spectrum of different neuropathic conditions, diabetic peripheral neuropathy (DPN) is the most common and most studied among them and has the strongest available evidence regarding therapeutic approaches .
Feb 13, 2024 · Learn how to manage your diabetes and nerve pain with medications, over-the-counter products, and other methods. Find out the benefits, risks, and side effects of each treatment option.
May 10, 2023 · A comprehensive overview of diabetic neuropathy, a common complication of diabetes that affects peripheral and autonomic nerves. Learn about the symptoms, diagnosis, treatment, prevention, and complications of this condition.
Diabetic neuropathy is a nerve disorder that affects people with diabetes and can cause pain, numbness, weakness and other problems. Learn about the types, diagnosis and treatment options for diabetic neuropathy, including lifestyle changes and medications.
