What is Diabetic Neuropathy?



Diabetic Neuropathy, is a common complication of diabetes, is a nerve disorder caused by diabetes and/or poor blood sugar control. There are a number of ways that diabetes damages the nerves, but they all seem related to blood glucose being too high for a long period of time. Diabetes-related nerve damage can be painful.

The most common types result in problems with sensation in the feet. It can develop slowly after many years of diabetes or may occur early in the disease. The symptoms are numbness, pain, or tingling in the feet or lower legs. The pain can be intense and require treatment to relieve the discomfort. The loss of sensation in the feet may also increase the possibility that foot injuries will go unnoticed and develop into ulcers or lesions that become infected. In some cases, diabetic neuropathy can be associated with difficulty walking and some weakness in the foot muscles.



There are three types of diabetic neuropathy:

1. Diabetic Peripheral neuropathy is damage to peripheral nerves. These are the nerves that sense pain, touch, hot, and cold. The feet and legs are most commonly affected. This type of nerve damage can lead to serious foot problems. The damage usually gets worse slowly, over months or years. You need to practice proper Skin and foot care to avoid these issues – Click here to learn how to prevent these complications. The best prevention is to keep your blood glucose under control.

2. Autonomic Neuropathy is damage to autonomic nerves. These nerves control your heartbeat, blood pressure, sweating, digestion, urination, and sexual function.

3. Focal Neuropathy affects only one nerve, usually in the foot, thigh or wrist. It may also affect the nerves of your back, chest and those that control your eye muscles. This type of nerve damage usually happens suddenly.


What causes Diabetic Neuropathy?

High blood sugar levels over a long period of time causes diabetic neuropathy. The longer you have diabetes, the more likely you are to have nerve damage. People with diabetes who drink excessive amounts of alcohol are a high risk (Click here to learn about alcohol and diabetes).

About half of the people who have diabetes will get diabetic neuropathy. So you can see why it is so important to get that blood sugar under control!


What are the symptoms?

Symptoms depend on which nerves are injured. You may not be able to feel pain, especially in your feet. This can lead to serious infections, because sores or other problems may not get treated. Symptoms may show up as any of the following:

* Tingling or numbness in the fingers, toes or legs
* Feeling of cold, burning or pain in the hands, feet or legs
* Extreme sensitivity to touch, even a light touch
* Sharp pains or cramps
* Loss of balance and coordination

These symptoms are often worse at night

Other symptoms may include:

• Digestive problems, such as bloating, belching, constipation, nausea and vomiting, diarrhea, and belly pain.
• Heavy Sweating at night or when certain foods are eaten.
• Reduced Sweating, especially in their feet and legs.
• Problems with Urination - It may be hard to tell when your bladder is full, or it may be hard to empty your bladder completely.
• Sexual problems, such as erection problems in men and vaginal dryness in women.
• Poor Circulation - Heart and blood vessel problems, which may cause dizziness, weakness, or fainting when you stand or sit up from a reclining position.
• Trouble sensing when your blood sugar is low.

Doctors can't test for all types of nerve damage. So it’s important to tell your doctor about any pain or weakness you feel. Also mention any of the above symptoms that you may notice.

You may find relief through the use of non-drug-based pain management, including hypnosis, relaxation training, biofeedback, acupuncture and transcutaneous electronic nerve stimulation, or TENS, which uses small amounts of electricity to block pain signals. Simple things like walking regularly or the use of elastic stockings may also help alleviate leg pain.



Can Diabetic Neuropathy be prevented?

Keeping your blood sugar levels near normal may help prevent neuropathy from ever developing. The best way to do this is by getting to and staying at a healthy weight by Exercising and eating right!






Click here for tips on proper Diabetic Foot Care.

Click here to return from Diabetic Neuropathy to Natural-Diabetes-Management.


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