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Is Neuropathy Related To Diabetes?

Diabetic Neuropathy (nerve Damage) - An Update

Diabetic Neuropathy (nerve Damage) - An Update

Nerve damage or diabetic neuropathy resulting from chronically high blood glucose can be one of the most frustrating and debilitating complications of diabetes because of the pain, discomfort and disability it can cause, and because available treatments are not uniformly successful. Some patients find some relief from this nerve damage or neuropathy by keeping blood sugars as closely controlled as possible, getting regular exercise and keeping their weight under control. Using non-narcotic pain relievers consistently throughout the day—rather than waiting until nighttime when symptoms can become more severe—also seems to help if pain is the major symptom. Surprisingly, clinicians have also found that certain antidepressants may be helpful and can take the edge off the pain of neuropathy. Although pain or numbness in the legs or feet may be the most common complaint from people diagnosed with neuropathy, it is not the only symptom of this complication. Neuropathy can cause a host of different types of symptoms, depending on whether nerves in the legs, gastrointestinal tract, or elsewhere in the body are affected. If you have any of these symptoms, neuropathy may be the culprit: inability to adequately empty the bladder of its contents, resulting in frequent infections; nausea, vomiting, abdominal fullness or bloating, diarrhea, or constipation; low blood pressure upon standing that causes fainting or dizziness; inability to lift the foot or new deformities of the foot, or foot ulcers; trouble achieving or maintaining an erection. Although physicians have found some medications and other treatments that help ease these symptoms in some people, prevention continues to be the key. "Hemoglobin A1C readings should ideally be at 7.0% or lower. Those that are consistently n Continue reading >>

Diabetic Neuropathy

Diabetic Neuropathy

Diabetic neuropathies are nerve damaging disorders associated with diabetes mellitus. These conditions are thought to result from a diabetic microvascular injury involving small blood vessels that supply nerves (vasa nervorum) in addition to macrovascular conditions that can accumulate in diabetic neuropathy. Relatively common conditions which may be associated with diabetic neuropathy include third, fourth, or sixth cranial nerve palsy[1]; mononeuropathy; mononeuropathy multiplex; diabetic amyotrophy; a painful polyneuropathy; autonomic neuropathy; and thoracoabdominal neuropathy. Signs and symptoms[edit] Illustration depicting areas affected by diabetic neuropathy Diabetic neuropathy affects all peripheral nerves including sensory neurons, motor neurons, but rarely affects the autonomic nervous system. Therefore, diabetic neuropathy can affect all organs and systems, as all are innervated. There are several distinct syndromes based on the organ systems and members affected, but these are by no means exclusive. A patient can have sensorimotor and autonomic neuropathy or any other combination. Signs and symptoms vary depending on the nerve(s) affected and may include symptoms other than those listed. Symptoms usually develop gradually over years. Symptoms may include the following: Trouble with balance Numbness and tingling of extremities Dysesthesia (abnormal sensation to a body part) Diarrhea Erectile dysfunction Urinary incontinence (loss of bladder control) Facial, mouth and eyelid drooping Vision changes Dizziness Muscle weakness Difficulty swallowing Speech impairment Fasciculation (muscle contractions) Anorgasmia Retrograde ejaculation (in males) Burning or electric pain Pathogenesis[edit] The following factors are thought to be involved in the development of dia 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 Neuropathydiabetic Neuropathy Symptoms, Causes, Diagnosis, And Treatment

Diabetic Neuropathydiabetic Neuropathy Symptoms, Causes, Diagnosis, And Treatment

Diabetic neuropathy definition and facts Diabetes is thought to damage nerves as a result of prolonged elevated levels of blood glucose. Peripheral neuropathy most commonly causes: Autonomic neuropathy causes symptoms related to dysfunction of an organ system, such as: Diagnosis of diabetic neuropathy is usually done by a clinical exam. There is no cure for diabetic neuropathy, but treatments are available to manage the symptoms. Diabetic nerve pain may be controlled by medications such as tricyclic antidepressants, duloxetine (Cymbalta), or certain antiseizure medications. Keeping tight control of blood sugar levels is the best way to prevent diabetic neuropathy and other complications of diabetes. Diabetic Peripheral Neuropathy: Improve Diabetes Nerve Pain What are the symptoms and signs of diabetic neuropathy? The symptoms and signs of diabetic neuropathy depend upon the type of neuropathy that is present. Signs and symptoms can also vary in severity among affected people. Signs and symptoms of diabetic peripheral neuropathy include: Numbness or tingling of the feet and lower legs Pain or burning sensations Loss of sensation in the feet or lower legs Sometimes, but less commonly, these symptoms can occur in the hands or arms Signs and symptoms of diabetic proximal neuropathy include: Pain, usually on one side, in the hips, buttocks, or thighs Signs and symptoms of diabetic autonomic neuropathy depend upon the organ system that is involved and can include: Feeling full after eating a small amount Inability to empty the bladder completely Decrease in vaginal lubrication in women Rapid resting heartbeat Signs and symptoms of diabetic focal neuropathy also depend upon the location of the affected nerve. The symptoms can appear suddenly. It usually does not cause a long t Continue reading >>

Tips For Treating Diabetic Nerve Pain

Tips For Treating Diabetic Nerve Pain

Diabetes can cause long-term problems throughout your body, especially if you don’t control your blood sugar effectively, and sugar levels remain high for many years. High blood sugar can cause diabetic neuropathy, which damages the nerves that send signals from your hands and feet. Diabetic neuropathy can cause numbness or tingling in your fingers, toes, hands, and feet. Another symptom is a burning, sharp, or aching pain (diabetic nerve pain). The pain may be mild at first, but it can get worse over time and spread up your legs or arms. Walking can be painful, and even the softest touch can feel unbearable. Up to 50 percent of people with diabetes may experience nerve pain. Nerve damage can affect your ability to sleep, decrease your quality of life, and can also cause depression. Damaged nerves can’t be replaced. However, there are ways that you can prevent further damage and relieve your pain. First, control your blood sugar so the damage doesn’t progress. Talk to your doctor about setting your blood sugar goal, and learn to monitor it. You may be asked to lower your blood sugar before meals to 70 to 130 milligrams per deciliter (mg/dL) and your blood sugar after meals to less than 180 mg/dL. Use diets, exercise, and medications to decrease your blood sugar to a healthier range. Monitor other health risks that can worsen your diabetes, such as your weight and smoking. Ask your doctor about effective ways to lose weight or quit smoking, if necessary. Your doctor might suggest trying an over-the-counter pain reliever, such as acetaminophen (Tylenol), aspirin (Bufferin), or ibuprofen (Motrin IB, Advil), which are available without a prescription but can cause side effects. Use a low dose for a short time to control your symptoms. Other options exist for stronger Continue reading >>

Peripheral Neuropathy Has Causes Other Than Diabetes

Peripheral Neuropathy Has Causes Other Than Diabetes

DEAR DOCTOR K: I have peripheral neuropathy. I know that people with diabetes often get neuropathy, but I'm not diabetic. What else can cause this condition? And what can I do about it? DEAR READER: Neuropathy is a medical term that means nerve damage. The type of nerve damage that people with diabetes get involves specific nerve fibers in all nerves, particularly the nerves that travel to the legs and feet. (There are other conditions in which a single nerve leading to the legs and feet is pinched, causing pain. An example is what is often called a "slipped disk" or "herniated disk" in the lower part of the spine). The symptoms of peripheral neuropathy include numbness and tingling. Some cases cause burning, shooting or stabbing pain. When the doctor does a physical examination and touches your feet and lower legs with something as light as a feather (like some cotton), you may not feel it. However, you will feel it if the cotton touches your skin in the thigh or elsewhere in the body. You may also lose sensation to a pinprick in the lower legs and feet, but not the rest of you. Diabetes is the most common cause of peripheral neuropathy. But neuropathy can result from other causes as well. These include: -- Excessive alcohol intake. -- Hypothyroidism. In this condition, the thyroid gland does not produce enough thyroid hormone. -- Amyloidosis, a disease in which an abnormal protein accumulates in the body. -- Vitamin deficiencies, particularly vitamin B1, B12 and folate deficiency. -- Critical illness, particularly if you develop a severe inflammatory response to infection. -- Guillain-Barre syndrome. This uncommon autoimmune disorder damages the peripheral nerves. Diagnosing peripheral neuropathy is best done by electromyography (EMG) and nerve conduction studies (NCS Continue reading >>

Diabetic Neuropathy: A Position Statement By The American Diabetes Association

Diabetic Neuropathy: A Position Statement By The American Diabetes Association

Diabetic neuropathies are the most prevalent chronic complications of diabetes. This heterogeneous group of conditions affects different parts of the nervous system and presents with diverse clinical manifestations. The early recognition and appropriate management of neuropathy in the patient with diabetes is important for a number of reasons: Diabetic neuropathy is a diagnosis of exclusion. Nondiabetic neuropathies may be present in patients with diabetes and may be treatable by specific measures. A number of treatment options exist for symptomatic diabetic neuropathy. Up to 50% of diabetic peripheral neuropathies may be asymptomatic. If not recognized and if preventive foot care is not implemented, patients are at risk for injuries to their insensate feet. Recognition and treatment of autonomic neuropathy may improve symptoms, reduce sequelae, and improve quality of life. Among the various forms of diabetic neuropathy, distal symmetric polyneuropathy (DSPN) and diabetic autonomic neuropathies, particularly cardiovascular autonomic neuropathy (CAN), are by far the most studied (1–4). There are several atypical forms of diabetic neuropathy as well (1–4). Patients with prediabetes may also develop neuropathies that are similar to diabetic neuropathies (5–10). Table 1 provides a comprehensive classification scheme for the diabetic neuropathies. Due to a lack of treatments that target the underlying nerve damage, prevention is the key component of diabetes care. Screening for symptoms and signs of diabetic neuropathy is also critical in clinical practice, as it may detect the earliest stages of neuropathy, enabling early intervention. Although screening for rarer atypical forms of diabetic neuropathy may be warranted, DSPN and autonomic neuropathy are the most common Continue reading >>

7 Natural Diabetic Neuropathy Treatments That Work

7 Natural Diabetic Neuropathy Treatments That Work

Diabetes itself is extremely common, affecting about one in every three adults in the U.S., and diabetic neuropathy is one of the most likely complications to develop as a side effect because high blood sugar levels affect nerve fibers throughout the body. Neuropathy is a pathological condition that encompasses more than 100 different forms and manifestations of nerve damage, both in people with diabetes and those without. (1) Diabetic neuropathy (also sometimes called peripheral neuropathy) is the term for nerve damage caused by diabetes, a chronic condition that occurs when the body doesn’t use the hormone insulin properly. Neuropathy can form anywhere but is most likely to affect nerves running through the limbs, hands and feet. Not every person with diabetes symptoms develops complications such as neuropathy, but many do. In fact, up to 60 percent to 70 percent of all diabetics experience some form of neuropathy. For some people, only mild symptoms develop from nerve damage, such as tingling or numbness in the limbs. But for others, neuropathy causes a good amount of pain, digestive issues, problems with the heart and blood vessels, the inability to go about life normally, and even death if major organs are affected badly enough. Diabetic neuropathy can trigger a cascade of events that lead to even more serious complications. Just like with diabetes itself, there is no known “cure” for peripheral neuropathy, only ways to manage it and stop progression, similarly to the natural treatments for diabetes. It’s a dangerous problem to have, but fortunately most people are able to keep it under control by regulating their blood sugar levels, changing their diets and adopting healthier lifestyles overall, all of which help control their diabetes. 7 Natural Remedies Continue reading >>

Diabetic Neuropathy

Diabetic Neuropathy

Print Overview Diabetic neuropathy is a type of nerve damage that can occur if you have diabetes. High blood sugar (glucose) can injure nerve fibers throughout your body, but diabetic neuropathy most often damages nerves in your legs and feet. Depending on the affected nerves, symptoms of diabetic neuropathy can range from pain and numbness in your extremities to problems with your digestive system, urinary tract, blood vessels and heart. For some people, these symptoms are mild; for others, diabetic neuropathy can be painful, disabling and even fatal. Diabetic neuropathy is a common serious complication of diabetes. Yet you can often prevent diabetic neuropathy or slow its progress with tight blood sugar control and a healthy lifestyle. Symptoms There are four main types of diabetic neuropathy. You may have just one type or symptoms of several types. Most develop gradually, and you may not notice problems until considerable damage has occurred. The signs and symptoms of diabetic neuropathy vary, depending on the type of neuropathy and which nerves are affected. Peripheral neuropathy Peripheral neuropathy is the most common form of diabetic neuropathy. Your feet and legs are often affected first, followed by your hands and arms. Signs and symptoms of peripheral neuropathy are often worse at night, and may include: Numbness or reduced ability to feel pain or temperature changes A tingling or burning sensation Sharp pains or cramps Increased sensitivity to touch — for some people, even the weight of a bed sheet can be agonizing Muscle weakness Loss of reflexes, especially in the ankle Loss of balance and coordination Serious foot problems, such as ulcers, infections, deformities, and bone and joint pain Autonomic neuropathy The autonomic nervous system controls your hea Continue reading >>

What Is Diabetic Neuropathy?

What Is Diabetic Neuropathy?

Diabetes can harm your nerves. That damage, called neuropathy, may be painful. It can happen in several ways, and they all seem to be related to blood sugar levels being too high for too long. To prevent it, work with your doctor to manage your blood sugar. You may hear your doctor mention the four types of diabetes-related neuropathy: peripheral, autonomic, proximal, and focal. Peripheral Neuropathy This type usually affects the feet and legs. Rare cases affect the arms, abdomen, and back. Symptoms include: Tingling Numbness (which may become permanent) Burning (especially in the evening) Pain Early symptoms usually get better when your blood sugar is under control. There are medications to help manage the discomfort. What you should do: Check your feet and legs daily. Use lotion on your feet if they're dry. Take care of your toenails. Ask your doctor if you should go to a podiatrist. Wear shoes that fit well. Wear them all the time, so your feet don't get injured. Autonomic Neuropathy This type usually affects the digestive system, especially the stomach. It can also affect the blood vessels, urinary system, and sex organs. In your digestive system: Symptoms include: Bloating Diarrhea Constipation Heartburn Nausea Vomiting Feeling full after small meals What you should do: You may need to eat smaller meals and take medication to treat it. In blood vessels: Symptoms include: Blacking out when you stand up quickly Faster heartbeat Dizziness Low blood pressure Nausea Vomiting Feeling full sooner than normal If you have it: Avoid standing up too quickly. You may also need to wear special stockings (ask your doctor about them) and take medicine. In Men: Symptoms include: He may not be able to have or keep an erection, or he may have “dry” or reduced ejaculations. What Continue reading >>

Diabetic Peripheral Neuropathy

Diabetic Peripheral Neuropathy

Diabetic neuropathy, or nerve damage caused by diabetes, is one of the most common known causes of neuropathy. It is one of many complications associated with diabetes, with nearly 60 percent of diabetics having some form of nerve damage. It is a progressive disease that can involve loss of sensation, as well as pain and weakness, in the feet and sometimes in the hands. Peripheral neuropathy may be more prevalent in people who have difficulty managing their blood sugar levels, have high blood pressure, are overweight, and are over 40 years old. A clinical examination may identify early signs of neuropathy in diabetics without symptoms. Today, doctors are exploring a link between pre-diabetes (also known as impaired glucose tolerance or IGT) and peripheral neuropathy. Approximately 10% of adults in America have what is being called “pre-diabetes” or “borderline diabetes”—a condition where the body has higher than normal blood sugar levels, but not high enough to be diagnosed as true diabetes. If left untreated, people with pre-diabetes are at risk of developing type 2 diabetes, heart disease, and nerve damage (which could result in peripheral neuropathy.) People with pre-diabetes or IGT can significantly reduce their risk of developing type 2 diabetes through diet, exercise and learning to control their blood sugar levels. Pre Diabetes Symptoms & Signs (Not all symptoms and signs may be present.) People with IGT often have no symptoms. People who actually have diabetes—and who therefore are at greater risk of developing peripheral neuropathy—often don’t realize it because the symptoms of diabetes come on so gradually. Pre Diabetic symptoms and its complications include: Frequent urination Blurred vision Constant thirst Fatigue Frequent infections Cuts and Continue reading >>

Everything You Should Know About Diabetic Neuropathy

Everything You Should Know About Diabetic Neuropathy

What is diabetic neuropathy? Diabetic neuropathy is a serious and common complication of type 1 and type 2 diabetes. It’s a type of nerve damage caused by uncontrolled high blood sugar levels. You may not initially have any symptoms. The condition usually develops slowly, sometimes over the course of several decades. If you have diabetes and are experiencing numbness, tingling, pain, or weakness of your hands or feet, call your doctor. These are the early symptoms of peripheral neuropathy. In cases of severe or prolonged peripheral neuropathy, you may experience injuries or infections in your extremities. In some cases, these can lead to amputation. Damage to other nerves of the body can cause other symptoms. That’s why it’s important to regularly monitor your blood sugar levels and contact your doctor if have any symptoms of neuropathy. 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 symptoms such as the sensation of pins and needles in your feet. Symptoms vary depending on the nerves affected. Common signs and symptoms of diabetic neuropathy include: sensitivity to touch loss of sense of touch difficulty with coordination when walking numbness or pain in your extremities muscle weakness or wasting nausea and indigestion diarrhea or constipation dizziness upon standing excessive sweating vaginal dryness in women and erectile dysfunction in men Symptoms may vary depending on the type of neuropathy you’re experiencing. The term neuropathy is used to describe several types of nerve damage. In people with diabetes, there are four main types of neuropathy you may develop. Peripheral neuropathy The most common form of neuropathy is peripheral neuropa Continue reading >>

What Is Diabetic Neuropathy?

What Is Diabetic Neuropathy?

Diabetic neuropathy refers to the damage that affects the nerves of the body in people who have diabetes. It is a progressive disease, and symptoms worsen over a number of years. People who do not control their blood sugar levels and those who have high blood pressure, high blood cholesterol, or who are overweight are more susceptible. Neuropathy can affect any nerve in the body, but especially the nerves of the ganglia, the outside of the skull, the spinal cord, and those that impact the functioning of fundamental organs, such as the heart, bladder, intestines, and stomach. Problems can occur in the nerves that control the periphery, or outside, of the body, such as the feet and hands, those that control the automatic functions of the body, such as heart rate and digestion, or just one or a small group of nerves. Different nerves are affected in different ways. Around 60 percent to 70 percent of people with diabetes develop diabetic neuropathy, but symptoms may take 10 to 20 years to appear. The highest rates of neuropathy are found in patients who have been diagnosed with diabetes for 25 years or more. Types of diabetic neuropathy There are four main types of neuropathy, and they are: Peripheral neuropathy, which affects the feet and hands, is the most common form of diabetic neuropathy Autonomic neuropathy, affecting the nerves that control the involuntary functions of the body, like digestion Proximal neuropathy, which affects the legs Focal neuropathy, in which damage can occur in any nerve or any group of nerves. The symptoms of neuropathy depend on the nerves affected. A range of problems is associated with diabetic neuropathy. These include cardiovascular issues, intestinal problems such as constant diarrhea, nausea, and vomiting, weakness, muscle pain, and para Continue reading >>

Diabetic Neuropathy: Causes And Symptoms

Diabetic Neuropathy: Causes And Symptoms

Diabetic peripheral neuropathy—DPN for short—is diabetes-related damage to nerves that sit near the surface of your skin. DPN usually affects the feet and the hands, but can also harm nerves in arms and legs. Approximately 50 percent of people with type 2 diabetes and 20% of those with type 1 diabetes develop this kind of nerve damage.1 DPN can be extremely painful—or cause numbness so that you have little feeling, especially in your feet. DPN damages two different types of nerves close to the surface of your skin. DPN can affect small nerves that protect your body by sending signals about pain and temperature changes to your brain. This condition can also attack large nerves that detect touch, pressure and help you keep your balance. 2 Symptoms are different for each type. Most people with DPN have damage to both types of nerves. DPN usually affects extremities—feet, hands, legs and arms—where nerve fibers are the longest and most numerous. 3 Causes Experts are still investigating exactly how diabetes harms and kills these nerve cells. “The causes remain unknown,” the American Diabetes Association noted in a definitive 2017 review. One thing is certain: The conventional wisdom—that high blood sugar is the cause—is just part of the story. New research is revealing a bigger cast of culprits. These include high cholesterol, high triglycerides (another blood fat), high blood pressure, obesity and smoking, according to a British research report in a widely-cited 2005 study that tracked 1,172 people with diabetes for seven years. 4 The threats are major: Obesity and high triglycerides each doubled risk in people with diabetes in a 2013 University of Utah study of 218 people with type 2 diabetes. 5 Smoking increased risk by as much as 42% in a 2015 Harvard M Continue reading >>

Diabetic Nerve Problems

Diabetic Nerve Problems

If you have diabetes, your blood glucose, or blood sugar, levels are too high. Over time, this can damage the covering on your nerves or the blood vessels that bring oxygen to your nerves. Damaged nerves may stop sending messages, or may send messages slowly or at the wrong times. This damage is called diabetic neuropathy. Over half of people with diabetes get it. Symptoms may include Shooting pains, burning, or tingling Nausea, vomiting, constipation, or diarrhea Problems with sexual function Urinary problems Dizziness when you change positions quickly Your doctor will diagnose diabetic neuropathy with a physical exam and nerve tests. Controlling your blood sugar can help prevent nerve problems, or keep them from getting worse. Treatment may include pain relief and other medicines. NIH: National Institute of Diabetes and Digestive and Kidney Diseases Continue reading >>

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