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Can Diabetic Neuropathy Be Reversed

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Autonomic Neuropathy In Diabetes Mellitus

1Department of Pediatrics, University of Perugia, Perugia, Italy 2Department of Pediatrics, University of Chieti, Chieti, Italy Diabetic autonomic neuropathy (DAN) is a serious and common complication of diabetes, often overlooked and misdiagnosed. It is a systemic-wide disorder that may be asymptomatic in the early stages. The most studied and clinically important form of DAN is cardiovascular autonomic neuropathy defined as the impairment of autonomic control of the cardiovascular system in patients with diabetes after exclusion of other causes. The reported prevalence of DAN varies widely depending on inconsistent definition, different diagnostic method, different patient cohorts studied. The pathogenesis is still unclear and probably multifactorial. Once DAN becomes clinically evident, no form of therapy has been identified, which can effectively stop or reverse it. Prevention strategies are based on strict glycemic control with intensive insulin treatment, multifactorial intervention, and lifestyle modification including control of hypertension, dyslipidemia, stop smoking, weight loss, and adequate physical exercise. The present review summarizes the latest knowledge regarding Continue reading >>

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Popular Questions

  1. Troy Tucker

    Diabetic Neuropathy

    Hi my name is Troy. I was diagnosed with type 2 diabetes about thirteen years ago. I found out that I have diabetic neuropathy about six months ago. It started with my feet hurting and the pain just keeps getting worse. I am living on percocet and it makes me feel sick, itchy, and tired and only helps the pain for a short time. I have had a neurologist and a podiatrist tell me that there's nothing more they can do and that the nerve damage can't be reversed. My wife has researched it online and has found people who say that it can be reversed with good control of blood sugars for about a year. I lost my job ten months ago and the pain has become excruciating. I don't think I'll be able to work again unless things improve drastically. I would like to know of anyone who has been able to reverse their nerve damage.

  2. Shanny

    Welcome, Troy. How is your control? What was your last A1c? Do you have an endocrinologist who helps you manage your diabetes?
    We have members who work really hard to control neuropathy, but yes, sometimes it goes so far it can't be reversed. It's one of the more serious complications of uncontrolled diabetes.
    Tell us more about what's going on here.

  3. Richard157

    I had neuropathy in my feet a few years ago. It kept me awake for a few hours on many nights. Getting up and walking around was the only way I found relief. Then I started using an insulin pump for my Type 1 diabetes. After a few months of no longer having so much high blood sugar, my neuropathy symptoms disappeared. They have returned only when I have run higher than usual blood sugar for a few days. When my control returns to normal the symptoms are gone again.
    I want to point out that I have had an A1c below 6.0 for several years, even when I was having the neuropathy. I had highs and lows back then that compensated for each other and resulted in a good BS average and A1c's. The trauma to the body caused by the changing from high to low repeatedly, many times, can cause diabetes complications even though the A1c's are very good.
    To reverse neuropathy you need good A1c's and stable BS levels with very few highs and lows. That is very difficult to do, but it may be your only solution. I know several Type 2 diabetics who have excellent control because they are using insulin and an insulin pump. That is not at all unusual in the USA now.
    Richard

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