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Diabetes And Loss Of Leg Strength

When Diabetes Leads To Nerve Damage

When Diabetes Leads To Nerve Damage

Tingling, numbness, pain in the arms, legs, hands, or feet — these are all common signs of diabetic neuropathy, or nerve damage. Up to 70 percent of people with diabetes will develop some type of neuropathy, making it one of the most common side effects of this disease. Diabetes: Understanding Neuropathy Although tingling, numbness, or pain in the extremities are common signs of neuropathy, others may experience no symptoms at all. Nerve damage can also occur in internal organs, such as the heart or digestive tract. Diabetes-related neuropathy can affect muscle strength, sensation in various parts of the body, and even sexual function. People who develop diabetic neuropathy are typically those who have trouble controlling their blood glucose levels, blood pressure, cholesterol, and body weight. Although researchers haven't quite figured out exactly why this happens, they know that neuropathy can occur due to: Alcohol use and smoking Genetic predisposition Injuries such as carpal tunnel syndrome Nerves that become inflamed related to autoimmune conditions Neurovascular issues that damage the blood vessels responsible for bringing nutrients and oxygen to your nerves Your risk also increases the older you get and the longer you have diabetes, with the highest rates of neuropathy occuring in people who have had diabetes for at least 25 years. Diabetes: Where Neuropathy May Strike Here are some of the specific types of neuropathy that occur in people with diabetes: Autonomic neuropathy impairs the functioning of the digestive system, resulting in diarrhea or constipation as well as impaired bladder function. This type of neuropathy also affects how you perspire and even your sexual response — men may have trouble getting an erection and women may experience vaginal dryne Continue reading >>

Muscle Weakness

Muscle Weakness

A Progressive Late Complication in Diabetic Distal Symmetric Polyneuropathy Abstract The aim of the study was to determine the progression of muscle weakness in long-term diabetes and its relation to the neuropathic condition. Thirty patients were recruited from a cohort of 92 diabetic patients who participated in a study on muscular function 6–8 years earlier. Nine subjects were nonneuropathic, 9 had asymptomatic neuropathy, and 12 had symptomatic neuropathy. Thirty matched control subjects who participated in the initial studies were also included. At follow-up, isokinetic dynamometry at the ankle, electrophysiological studies, vibratory perception thresholds, and clinical examination (neuropathy symptom score and neurological disability score [NDS]) were repeated. The annual decline of strength at the ankle was 0.7 ± 1.7% in control subjects, 0.9 ± 1.9% in nonneuropathic patients, 0.7 ± 3.1% in asymptomatic neuropathic patients, and 3.2 ± 2.3% in symptomatic neuropathic patients. In the symptomatic patients, the decline of muscle strength at the ankle was significant when compared with matched control subjects (P = 0.002) and with the other diabetic groups (P = 0.023). Also, the annual decline of muscle strength at the ankle was related to the combined score of all measures of neuropathy (r = −0.42, P = 0.03) and to the NDS (r = −0.52, P = 0.01). In patients with symptomatic diabetic neuropathy, weakness of ankle plantar and dorsal flexors is progressive and related to the severity of neuropathy. Diabetic polyneuropathy presents with sensory disturbances. Later on, motor disturbances can occur in more severe conditions, leading to distal weakness and atrophy of the muscles of the lower leg and foot. Accordingly, inability to walk on heels is used to identif Continue reading >>

Decreased Muscle Strength And Quality In Older Adults With Type 2 Diabetes: The Health, Aging, And Body Composition Study

Decreased Muscle Strength And Quality In Older Adults With Type 2 Diabetes: The Health, Aging, And Body Composition Study

In our study, older adults with type 2 diabetes had a greater muscle mass in their arms and legs than those without diabetes. But despite this larger muscle mass, those with diabetes were either weaker (men) or not stronger (women) than those without diabetes. This finding was somewhat surprising because the quantity of muscle mass had been known as a primary determinant of muscle strength.[ 13 , 18 , 19 , 20 ] We have clearly demonstrated that muscle quality was consistently lower in older adults with type 2 diabetes, regardless of sex and muscle groups examined (arm or leg). This is a novel finding possibly explaining a pathophysiological mechanism for increased risk of functional limitations and disability in older adults with type 2 diabetes, because low muscle strength or poor muscular function is predictive of physical disability.[ 8 , 9 , 10 , 11 , 12 ] Our finding is consistent with the study in patients with type 1 diabetes.[ 21 ] We have also found that lower muscle quality in older adults with diabetes was largely attenuated by adjustment for BMI, indicating that obesity might have an important role in this association. We have previously reported that skeletal muscle attenuation coefficient determined by computerized tomography was lower with increasing BMI, and it was independently associated with muscle strength and quality.[ 22 ] Low muscle attenuation was also found in older adults with impaired glucose tolerance or type 2 diabetes.[ 23 ] Reduced muscle attenuation values have been associated with reduced oxidative enzyme activity[ 24 ] and lower maximal aerobic capacity.[ 25 ] It is possible that alterations of muscle composition with increased fat infiltration into the skeletal muscle as evidenced by low muscle attenuation in type 2 diabetes, which is Continue reading >>

How To Treat Muscle Loss In Diabetics

How To Treat Muscle Loss In Diabetics

Diabetes mellitus has many symptoms, including overactive bladder, excessive thirst and hunger, weight loss, a tingling sensation in the digits, and weakened vision. Another lesser known symptom of diabetes is muscle loss. The diabetic mechanism of muscle loss is multifactorial. In other words, diabetes can contribute to muscle loss in several ways. The three main ways muscle loss may occur in diabetics includes: 1. Muscle contracture and disuse It is common for patients with diabetes to suffer from hardened muscles, or muscles that have contracted as a result of thickening soft tissue. This type of general diabetic muscle contracture can be pervasive, and makes it much harder for a patient to move or use their muscles. Movement becomes limited, and muscle disuse that leads to atrophy is the result. 2. Atherosclerosis While atherosclerosis and diabetes are not directly related, diabetes can promote atherosclerosis, or the thickening of arterial walls. This contributes to restricted blood flow, which can cause cramps, pain, or general discomfort. In severe cases, the lack of oxygenated blood to localized areas of muscle can cause infarction, or tissue death caused by restricted blood flow. Infarctions of the heart can lead to heart attacks. 3. Nerve damage Lastly, infarction can cause the death of motor and sensory neurons that are involved in muscle movement and blood supply. The death of these vital neurons can further contribute to muscle disuse and atrophy, and can lead to muscle twitching and pain. An uncomfortable type of muscle atrophy in which the muscles of the shoulders and hips waste away, known as “limb girdle wasting”, is common in diabetics and often referred to as diabetic amyotrophy. In all three cases, muscle loss occurs slowly, but is pervasive and Continue reading >>

The Neuropathy In My Legs Is Causing Severe Muscle Weakness, Loss Of Balance And Coordination?

The Neuropathy In My Legs Is Causing Severe Muscle Weakness, Loss Of Balance And Coordination?

Home Q & A Questions The neuropathy in my legs is... The neuropathy in my legs is causing severe muscle weakness, loss of balance and coordination? depression , peripheral neuropathy , vertigo , back pain , fatigue , muscle This is steadily getting worse. I called my neurologist and could not even get an appointment to discuss anything. She said there is nothing that can be done for me. I asked about special shoes or anything to help with the balance and lack of coordination. I walk like a drunk all the time and have fallen a lot. I am very discouraged as I feel like the medical world has given up on me. My pain doctor will only discuss a pain stimulator. Has anyone else gotten to this point or know of something I can try? I am desperate, I feel like there is no hope Have you asked about physical therapy? You should be using a walker to help you ambulate if you are weak and unbalanced to the point of falling. Sometimes neuropathy does get to a point where nothing much can be done. Physical therapy should be able to help you strengthen to your maximum ability and a walker will help keep you balanced so that you dont fall. I have done therapy, insurance says I have had enough and cant pay out of pocket as it is very expensive. I use a cane most days and I do have a walker I use when I have to but I have also fallen using the walker. My legs just give out and I fall. I try to do some light stretching every day I cant do anything strenuous I have back issues also. Its very frustrating. Thanks, I appreciate your feedback Have you spoken to a podiatrist? They are "foot and ankle" specialists and may be able to fit you for orthotics. Keep hollering and complaining. A squeaky wheel gets greased! Sometimes you just have to keep after some Drs. Get second opinions and third opin Continue reading >>

Managing Diabetes With Exercise: 6 Tips For Nerve Pain

Managing Diabetes With Exercise: 6 Tips For Nerve Pain

What kind of exercise is safe -- and fun -- if you have nerve damage from diabetes, called diabetic neuropathy? And how can you stay motivated after that first flush of inspiration fades? "It depends on where you're starting," says Dace L. Trence, MD, an endocrinologist and director of the Diabetes Care Center at the University of Washington Medical Center in Seattle. "For the person who has been doing nothing, you would certainly want to start doing something that's comfortable and enjoyable and can be maintained." If you have diabetic nerve pain in your feet, legs, arms, or hands, consider this: research published in The Journal of Diabetes Complications in 2006 showed significant benefits of exercise in controlling peripheral neuropathy. The study showed that for people who took a brisk, one-hour walk on a treadmill four times a week, exercise slowed how quickly their nerve damage worsened. There's no quick fix here, though; the study lasted four years. Let's face it: when it comes to managing a lifelong condition like diabetes, it makes sense to think long-term. It's all about lifestyle changes to protect yourself from diabetic nerve damage. Becoming more active can help you control blood sugar levels, feel good, and lighten the load on painful feet and legs, especially if you're overweight. These tips can help you start and stick with an exercise plan for more than the first few days. Continue reading >>

Weak Legs And Balance Problems

Weak Legs And Balance Problems

Diabetes Forum The Global Diabetes Community Find support, ask questions and share your experiences. Join the community Hi. I was wondering if anyone else has or is experiencing the same complications that I am. My sugars have been very high for some time now as I suffer with Diabulimia. For the last several months I have foung that I am unable to climb a flight of stairs. The only wsy I can do it is to pull myself up using the banister or go up the stairs on all fours. Its as if I have no strength in my legs. I slso find that I am unable to wear heels anymore and can only walk short distances before I need to take a rest...not because im tired but because my legs feel like they're going to give way. They always feel as if ive walked fifty miles already when I've just started and dont improve with more walking. The other thing that is affecting me is my balance. I didnt even know this could be affected...my dsn confirmed my balance has been affected by nerve damage. It feels like I'm drunk when I'm stood up or walking...not as in having a fuzzy head but in the respect that i have to really concentrate on standing and walking my feet and legs wont always do what I want them too. I know this is all down to my Diabulimia which I am trying to get help with.iam only 37 but honestly feel like a 90 year old. I was wandering if anybody else suffers with these complications as id love to hear from you. There's a number of possibilities with these symptoms , most but not all of them related to diabetes, so best to ask to have them checked out. Postural hypotension (auto nerve damage) can cause dizziness due to blood pressure not responding quickly enough when you first stand up from sitting etc. Trick is to take your time when first standing. Peripheral neuropathy can cause diff Continue reading >>

The Reasons Why The Strength In One's Legs Weakens As You Age

The Reasons Why The Strength In One's Legs Weakens As You Age

You know it's bad to sit too much. However, you don't think you have a problem until you need your hands to get out of a chair. Physiological changes in the muscles make loss of leg strength a common problem as people age, and insufficient activity, diabetes and other health problems can make matters worse. Normal Changes Some loss of muscle mass, called atrophy, is normal with aging, and the amount may be determined partly by genetics. The working fibers of the muscles shrink, and fat and fibrous tissue replace some of former muscle volume. This atrophy may begin in males in their 20s and in women in their 40s. Changes in nerve function also reduce the amount of muscle contraction and tone, causing muscles to lose strength. Lack of Exercise Too much chair time may make age-related weakness in your legs worse. If you have outsourced the cleaning and gardening, you probably aren't as active as you used to be. Even 90-year-olds can improve muscle strength through strength training, notes Roy J. Shephard of the University of Toronto Faculty of Medicine. Some helpful methods include bodyweight exercises, such as squats, free weights and weight machines. Ask your physician what leg exercises are best for you. Endocrine Problems Endocrine disorders can cause leg weakness. For example, diabetes often causes nerve damage in the legs and feet, called diabetic neuropathy. The result is pain or numbness and weakness in the legs. Overweight diabetics and those with poor blood sugar control are more likely to have these problems. People with insufficient thyroid hormones also sometimes experience weak muscles in the legs and elsewhere. Spine and Back Problems Various problems with the spine and back can cause weakness in one or both legs. In sciatica, for example, a spinal disk or a Continue reading >>

Study Uncovers Extent Of Muscle Weakness In People With Type 2 Diabetes

Study Uncovers Extent Of Muscle Weakness In People With Type 2 Diabetes

Study uncovers extent of muscle weakness in people with type 2 diabetes Study uncovers extent of muscle weakness in people with type 2 diabetes Researchers use fluorescent lights and islet cell transplants to monitor insulin resistance in mice 24 February 2016 Patients with type 2 diabetes have muscle weakness in more areas of the leg than previously thought, according to new research. It is well known people with diabetes can suffer from muscle weakness of the lower limbs, such as the calf muscle, which increases the risk of falling. In this new study, researchers at Manchester Metropolitan University assessed muscle strength in 20 patients with type 2 diabetes. They were measured for severity of neuropathy , intramuscular noncontractile tissue (IMNCT), and vitamin D deficiency. The participants were then matched with 20 healthy control subjects matched by age, sex and BMI . Using Magnetic Resonance Imaging (MRI) scans, the researchers found that people with diabetes had an increased amount of intramuscular fat in the lower leg muscles. This was due to an "infiltration" of fat within muscles that inhibited diabetic participants from producing muscle force relative to the muscle size. This increased fat meant that type 2 diabetes participants had significantly reduced knee extensor strength, reduced muscle volume of both knee extensors, and substantial muscle weakness further up in the leg, including the quadriceps. Patients with diabetic neuropathy had significantly less knee extensor strength than those without, but no significant differences were observed in knee extensor volume and ankle strength. Additionally, no muscle differences were found among patients with or without vitamin D deficiency . Professor Neil Reeves, Professor of Musculoskeletal Biomechanics at M Continue reading >>

Nerve Damage (diabetic Neuropathies)

Nerve Damage (diabetic Neuropathies)

What are diabetic neuropathies? Diabetic neuropathies are a family of nerve disorders caused by diabetes. People with diabetes can, over time, develop nerve damage throughout the body. Some people with nerve damage have no symptoms. Others may have symptoms such as pain, tingling, or numbness—loss of feeling—in the hands, arms, feet, and legs. Nerve problems can occur in every organ system, including the digestive tract, heart, and sex organs. About 60 to 70 percent of people with diabetes have some form of neuropathy. People with diabetes can develop nerve problems at any time, but risk rises with age and longer duration of diabetes. The highest rates of neuropathy are among people who have had diabetes for at least 25 years. Diabetic neuropathies also appear to be more common in people who have problems controlling their blood glucose, also called blood sugar, as well as those with high levels of blood fat and blood pressure and those who are overweight. What causes diabetic neuropathies? The causes are probably different for different types of diabetic neuropathy. Researchers are studying how prolonged exposure to high blood glucose causes nerve damage. Nerve damage is likely due to a combination of factors: metabolic factors, such as high blood glucose, long duration of diabetes, abnormal blood fat levels, and possibly low levels of insulin neurovascular factors, leading to damage to the blood vessels that carry oxygen and nutrients to nerves autoimmune factors that cause inflammation in nerves mechanical injury to nerves, such as carpal tunnel syndrome inherited traits that increase susceptibility to nerve disease lifestyle factors, such as smoking or alcohol use What are the symptoms of diabetic neuropathies? Symptoms depend on the type of neuropathy and which Continue reading >>

Diabetic Amyotrophy

Diabetic Amyotrophy

Diabetic amyotrophy is a nerve disorder complication of diabetes mellitus. It affects the thighs, hips, buttocks and legs, causing pain and muscle wasting. What is diabetic amyotrophy? Diabetic amyotrophy is a nerve disorder which is a complication of diabetes mellitus. It affects the thighs, hips, buttocks and legs, causing pain and muscle wasting. It is also called by several other names, including proximal diabetic neuropathy, lumbosacral radiculoplexus neurophagy and femoral neurophagy. What is diabetic amyotrophy like? The main features of diabetic amyotrophy are: Weakness of the lower legs, buttocks or hip. Muscle wasting, usually in the front of the thigh, which follows within weeks. Pain, sometimes severe, usually in the front of the thigh but sometimes in the hip, buttock or back. Other features which occur in some (but not all) patients are: Altered sensation and tingling in the thigh, hip or buttock, which tends to be mild in comparison to the pain and weakness. About half of patients also have distal neuropathy, meaning that sensation in the nerves of the lower legs and feet may be separately affected by this condition (which is the most common form of diabetic neuropathy). Learn more about diabetic neuropathy. About half of people affected lose weight. Symptoms generally begin on one side and then spread to the other in a stepwise progression. The condition may come on quickly or more slowly and usually remains asymmetrical (ie the two sides of the body are unequally affected) throughout its course. About half of patients also have distal symmetrical polyneuropathy, which means the sensation in their feet and toes on both sides is also affected. The condition tends to go on for several months but can last up to three years. By the end of this time it usuall Continue reading >>

Causes Of Leg Weakness

Causes Of Leg Weakness

Muscle atrophy, often seen in people in wheelchairs, can lead to leg weakness. Helen Nnama has six years of writing experience. She is a health contributor to TBR Journal, editor of fertility confidential manuals, published poet, and a greeting card writer. She has a B.S. in microbiology, an M.S. in epidemiology, and is an M.D. candidate. A former state HIV/AIDS epidemiologist and NIA fellow at Johns Hopkins, she has research experience with published work. The power and ability to move one's legs stems from the interaction of two processes. These are the nerve signal that is sent to the muscles from the brain and passes via the spinal cord, and the muscle's intrinsic power to contract. Any interruption in this pathway in the lower limb can result in leg weakness. As such, leg weakness can be caused by a muscle disease or a nerve disease. Sudden onset leg weakness may be a very serious symptom; as it could be a sign that the patient is experiencing a stroke. Leg weakness is common in stroke because many stroke patients have brain damage in the brain areas controlling the nerve signal sent to the legs. This damage results in weakness or paresis, which means complete paralysis. Sometimes this leg weakness is perceived as "heaviness" by the patient at the onset of the stroke. The patient suffers from right-sided leg weakness if the stroke is on the left side, and the opposite is true. Stroke-caused leg weakness is also associated with weakness of the same-side arm. Leg weakness is one of the many complications diabetics can suffer from. Sometimes diabetics experience a form of nerve damage known as proximal neuropathy. This nerve damage affects the lower limbs and causes leg weakness. The National Diabetes Information Clearinghouse estimates that around 60 percent of diab Continue reading >>

Muscle Fatigue And Leg Weakness In Chronic Kidney Disease And Diabetic Patients

Muscle Fatigue And Leg Weakness In Chronic Kidney Disease And Diabetic Patients

Muscle fatigue is a feeling of tiredness, exhaustion or lack of energy in legs or arms that makes you get tired even after a few steps. It can greatly impact your quality of life, making you fell like not doing ANYTHING except resting to regain your strength - only to find that you still feel weak afterward. One viewer wrote, "Just wondering, does anyone else deal with constant fatigue in their legs? My appetite and numbers are both fine, and I feel pretty good otherwise, but when it comes to walking around I can only take a few steps and then I feel exhausted. I really need a solution." Recommended Reading: A Review of Treatments to Relieve Muscle Cramps in Patients with Chronic Kidney Disease on Dialysis If you have Chronic Kidney Disease, you are more prone for muscle fatigue and leg weakness because your damaged or already failed kidneys cannot circulate oxygen or filter waste out of your blood. Also, High Blood Sugar has been linked to leg tiredness in those with Diabetes. Recommended Reading: CKD Patients improve Muscle Power, Leg Strength and less Fatigued by Exercising During Dialysis In either case, tiredness in the legs when walking or climbing stairs as well as cramping and pain may not sound like the symptoms of a serious condition, and in fact many people believe that they are normal signs of aging. However they can actually be signs of Peripheral Arterial Disease, a severe condition that can lead to Gangrene (bacterial infection that produces gas within tissues) and amputation if left untreated. This disease affects between 8 to 12 million Americans and those with Diabetes and Chronic Kidney Disease are at an elevated risk. So if you have these symptoms, be sure to tell your Specialists. Recommended Reading: Foods That Stop Chronic Inflammation, Reduce Hea Continue reading >>

Symptoms Of Diabetic Peripheral Neuropathy

Symptoms Of Diabetic Peripheral Neuropathy

Diabetic peripheral neuropathy is a condition caused by long-term high blood sugar levels, which causes nerve damage. Some people will not have any symptoms. But for others symptoms may be debilitating. Between 60 and 70 percent of people with diabetes have some form of neuropathy, according to the National Institute of Diabetes and Digestive and Kidney Diseases. Peripheral neuropathy, the most common form of diabetic neuropathy, affects the legs, feet, toes, hands, and arms. Many people do not know that they have diabetes. People unaware of their diabetes may not know what’s causing some of the unusual sensations they’re experiencing. Nerve damage is the result of high levels of blood glucose over long periods of time. It isn’t entirely clear why high glucose levels damage nerves. A number of factors may play a role in nerve fiber damage. One possible component is the intricate interplay between the blood vessels and nerves, according to the Mayo Clinic. Other factors include high blood pressure and cholesterol levels and nerve inflammation. Diabetic peripheral neuropathy usually first appears in the feet and legs, and may occur in the hands and arms later. A common symptom of diabetic peripheral neuropathy is numbness. Sometimes you may be unable to feel your feet while walking. Other times, your hands or feet will tingle or burn. Or it may feel like you’re wearing a sock or glove when you’re not. Sometimes you may experience sudden, sharp pains that feel like an electrical current. Other times, you may feel cramping, like when you’re grasping something like a piece of silverware. You also may sometimes unintentionally drop items you’re holding as a result of diabetic peripheral neuropathy. Walking with a wobbly motion or even losing your balance can res Continue reading >>

Diabetic Leg Pain And Peripheral Arterial Disease

Diabetic Leg Pain And Peripheral Arterial Disease

Cramping, pain, or tiredness in the legs when walking or climbing stairs — these may not sound like symptoms of a serious condition. In fact, many people believe that they are normal signs of aging. But they can be signs of peripheral arterial disease, a severe condition that can lead to gangrene and amputation if left untreated. So if you have these symptoms, be sure to tell your doctor. Peripheral arterial disease (PAD) is a condition in which arteries leading to the legs and feet (or in some cases the arms) become clogged with fatty deposits called plaque, resulting in reduced or blocked blood flow to these areas. It affects between 8 million and 12 million Americans, and people with diabetes are more likely to develop PAD than the general population. PAD is also known as peripheral vascular disease (PVD), leg atherosclerosis, or simply poor circulation. PAD and diabetes Anyone can develop PAD, but people with diabetes, especially those with Type 2 diabetes, have a higher risk of developing it because of a series of bodily changes associated with diabetes, including insulin resistance, a higher level of blood fats, and an increase in blood pressure. All of these contribute to arteries becoming clogged with fatty deposits, leading to the hardening and narrowing of these blood vessels. Having diabetes also increases the risk of developing neuropathy, or nerve damage, as a result of high blood glucose. Neuropathy can cause decreased sensation in the feet and legs, which can cause a person not to notice small injuries to the foot, such as blisters or cuts. If a person continues to walk on an injury, it is likely to enlarge and get infected. The combination of PAD and neuropathy is particularly dangerous because when blood flow to the feet is reduced, the body has a har Continue reading >>

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