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Why Do Your Feet Go Numb With Diabetes?

Peripheral Neuropathy And Diabetes

Peripheral Neuropathy And Diabetes

Pain. Tingling. Numbness. If you have a type of nerve damage from diabetes called diabetic peripheral neuropathy, chances are you've experienced these symptoms, especially in your hands and feet. The discomfort can affect your mood, sleep, and overall quality of life. Prescription medications can help. But research shows that they only ease the pain by about 30% to 50%. How can you bridge the gap? Learn how you can get relief now -- and prevent the condition from getting worse down the road. If don't manage your diabetes, your blood glucose levels get too high. Over time, excess blood sugar can damage your peripheral nerves. These connect your brain and spinal cord to the rest of your body. That could set the stage for diabetic neuropathy. If you bring your blood sugar into the healthy range (a hemoglobin A1C reading of 7% or lower), you'll reduce your risk of nerve damage by 60%, according to research from the National Institute of Diabetes and Digestive and Kidney Diseases. "Healthy blood sugar levels can slow the process and ease the pain of diabetic neuropathy," says Aaron I. Vinik, MD, PhD, the director of the research and neuroendocrine unit at Eastern Virginia Medical School. How can you keep your blood sugar in check? First, talk to your doctor. "A rapid drop can actually make the pain worse," Vinik says. Your doctor can suggest changes to gently bring your levels down into the healthy zone, like: Eat a diet high that's in fruits, vegetables, low-fat dairy, and whole grains; contains a moderate amount of fish, poultry, nuts, and beans; and has a very low amount of red meat. Manage your stress levels. Exercise for at least 30 minutes, 5 days a week. If your doctor prescribes medication for your blood sugar, take it as recommended. Acetaminophen, aspirin, ibuprofe Continue reading >>

Don't Ignore Burning Feet Or Numb Toes

Don't Ignore Burning Feet Or Numb Toes

| Medically reviewed by a board-certified physician |Updated May 13, 2019 Burning feet, numb toes , or tingling in your toes or feet are more than annoying symptoms from walking. They may be warning signs of diabetes and the condition known asdiabetic peripheral neuropathy. If left untreated, it can lead to foot ulcers and, potentially, amputation. "Diabetic peripheral neuropathy is not only painful but dangerous," says Dr. John M. Giurini, president of the American College of Foot and Ankle Surgeons (ACFAS) in a press release. "It's a leading contributor to foot ulcers in people with diabetes." Diabetes is the leading cause of these symptoms in the United States. One out of four people with diabetes are undiagnosedand burning or tingling toes may be the first symptom they notice. Even people with diabetes who maintain good blood sugar levels can develop peripheral neuropathy . If the condition leads to foot ulcers, it leads to amputation 20 percent of the time, according to the ACFAS. There are other health concerns that can cause burning feet and numb toes as well. For instance, thyroid problems, especially hypothyroidism, and nutritional deficiencies, especially vitamin B12 and B6, may also cause this feeling. The side effects of chemotherapy agents and some medications include neuropathy. People who have Lyme disease or HIV/AIDS are also at higher risk. If you have back problems and pinched nerves in the ankles, your chances of neuropathy increase. In addition, alcohol abuse is a leading cause of leg neuropathy. There's no need to panic, however. Not every case of burning toes is tied to neuropathy, which is why it's important to see your doctor. For example, your toes may be burning from something like athlete's foot, a common fungal infection of the foot. Shoe al 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 >>

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 >>

Numbness Toes: Symptoms & Signs

Numbness Toes: Symptoms & Signs

Numbness of the toes generally is a result of conditions that affect the nerves and/or blood vessels that supply the foot. Numbness of the toes is often associated with tingling. Numbness and tingling sensations in the toes is referred to as paresthesia of the toes. The most common cause of toe numbness is direct compression of the nerves of the foot from footwear from shoes. Numbness of the toe can occur because of injury to the foot, nerve damage (neuropathy), and poor circulation to the foot (such as with diabetes and peripheral vascular disease). Numbness to the foot can also be caused by irritation of nerves in the low back with radiculopathy and herniated disc, Guillain-Barré syndrome, frostbite, stroke, diabetic neuropathy, beriberi, multiple sclerosis (MS), Raynaud's phenomenon, and vasculitis. There is increased potential for irritation of nerves in the foot when skeletal deformity occurs, such as from bunions. REFERENCE: Firestein, Gary S., et al. Kelley's Textbook of Rheumatology, Ninth Ed. China: Elsevier Saunders, 2012. Continue reading >>

How To Avoid Amputations If You Have Diabetes

How To Avoid Amputations If You Have Diabetes

In people with diabetes, a trifecta of trouble can set the stage for amputations: Numbness in the feet due to diabetic neuropathy (nerve damage) can make people less aware of injuries and foot ulcers. These ulcers may fail to heal, which can in turn lead to serious infections. "Normally a person with an injury on the bottom of their foot, such as a blister, will change the way they walk. Your gait will alter because you are going to protect that blistered spot until it heals up," says Joseph LeMaster, MD, an assistant professor at the University of Missouri–Columbia School of Medicine. "People with a loss of sensation don't do that. They will just walk right on top of that blister as though it wasn't there. It can burst, become infected, and turn into what we call a foot ulcer," he says. "That ulceration can go right down to the bone and become an avenue for infection into the whole foot. That's what leads to amputations." Foot injuries are the most common cause of hospitalizations About 15% of all diabetics will develop a foot ulcer at some point and up to 24% of people with a foot ulcer need an amputation. You're at extra-high risk if you're black, Hispanic, or Native American. These minority populations are two to three times more likely to have diabetes than non-Hispanic whites, and their rates of amputations are higher. "It's the most common reason that someone's going to be hospitalized with diabetesnot for high blood sugar or a heart attack or a stroke," says David G. Armstrong, DPM, a specialist in diabetic foot disease at Rosalind Franklin University of Medicine and Science in North Chicago. "It's for a hole in the foot, a wound." About a year ago, Dr. Armstrong treated a 59-year-old man with type 2 diabetes who had been working out at a local health club; 12 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 Neuropathy Symptoms

Diabetic Neuropathy Symptoms

The symptoms of diabetic neuropathy depend on what type of neuropathy you have. Symptoms are dependent on which nerves have been damaged. In general, diabetic neuropathy symptoms develop gradually; they may seem like minor and infrequent pains or problems at first, but as the nerves become more damaged, symptoms may grow. Don’t overlook mild symptoms. They can indicate the beginning of neuropathy. Talk to your doctor about anything you notice—such as any pain, numbness, weakness, or tingling—even if it seems insignificant. Your pain may mean the control of your diabetes could be improved, which will can help slow down the progression of your neuropathy. Pain and numbness are also important warning signs to take very good care of your feet, so you can avoid wounds and infections that can be difficult to heal and even raise risk for amputation. 1 Peripheral Neuropathy Symptoms Peripheral neuropathy affects nerves leading to your extremities—the feet, legs, hands, and arms. The nerves leading to your feet are the longest in your body, so they are the most often affected nerves (simply because there’s more of them to be damaged). Peripheral neuropathy is the most common form of diabetic neuropathy. Peripheral neuropathy symptoms include: Pain Burning, stabbing or electric-shock sensations Numbness (loss of feeling) Tingling Muscle weakness Poor coordination Muscle cramping and/or twitching Insensitivity to pain and/or temperature Extreme sensitivity to even the lightest touch Symptoms get worse at night. 2, 3 Autonomic Neuropathy Symptoms The autonomic nervous system is in charge of the "involuntary" functions of your body. It keeps your heart pumping and makes sure you digest your food right—without you needing to think about it. Autonomic neuropathy symptoms i Continue reading >>

Numbness In Feet, But No Diabetes? Heres What Else It Could Be

Numbness In Feet, But No Diabetes? Heres What Else It Could Be

Numbness in the feet is one of the most common complications of diabetes but there are many other reasons why your feet may feel numb. Even if youre not diabetic, you can still suffer from this problem. Here are some of the possible causes. Several conditions can cause foot numbness when not enough blood is getting through to your feet. This is likely to be especially noticeable at the tips of your toes, and sometimes also at the backs of your heels. A podiatrist will be able to give you further information. If your arteries or veins have become narrowed, blocked, or tangled, you may lose some feeling in your feet. Deep vein thrombosis (DVT) can be caused by sitting in a cramped space , such as an airline seat, for long periods. If your feet get extremely cold, especially for long periods of time, this can give you frostbite and make you lose feeling. Your feet may go numb if you have suffered certain types of injury or disease. Because of the way your bodys nerves work, some conditions that affect other areas of your body can also cause numbness, so it may not be a foot injury that is the root cause. Many back injuries, such as slipped disks or brittle bone disease, can cause your feet to become numb. You can also get foot numbness if you have a trapped nerve, for example from sitting awkwardly for too long. If you have a broken bone that is supported by a cast, making the cast too tight can cause numbness. You can experience numbness if the nerves inside your feet stop working properly. There are many possible causes of this type of damage, so its important that you get advice from a podiatrist to make sure that you receive the correct treatment. If you dont get enough Vitamin B12, your feet can go numb. People on vegan diets are most at risk for this problem. Some b Continue reading >>

Why Does Type 2 Diabetes Cause Your Feet To Go Numb?

Why Does Type 2 Diabetes Cause Your Feet To Go Numb?

Numbness in the feet is a symptom of neuropathy or nerve damage, one of the most common long-term complications of type 2 diabetes. Neuropathy is caused by poor blood sugar control that persists over a long period of time. “The higher the blood sugars and the longer they stay high, the greater the chance of the person developing neuropathy,” says Joel Zonszein, MD, director of the Clinical Diabetes Center at the University Hospital of the Albert Einstein College of Medicine, Montefiore Health System in the Bronx, New York. “The nerves that get affected by high sugars tend to be the longest nerves in the body,” explains Dr. Zonszein. These nerves go from the spine to the toes, which is why the feet get affected before the arms or hands. Diabetic neuropathy also tends to be bilateral. “Both feet will be affected equally,” he says. If blood sugar remains poorly controlled, it can lead to serious complications. In the feet, diabetic neuropathy can not only cause numbness but pain and injuries. It can change the shape of your feet, deforming them so they no longer fit into regular shoes. It can also dry out and damage your skin, cause calluses and ulcers on your feet, and interfere with circulation. The numbness also makes it hard to tell if there is a cut or injury which can increase your risk of infections and amputation. People with diabetes are also at an increased risk for amputation. In 2010, approximately 73,000 non-traumatic lower-limb amputations were performed on adults (20 years or older) diagnosed with diabetes, according to the American Diabetes Association. The good news is that most amputations are preventable when you manage your diabetes well, take good care of your feet, and wear proper footwear. If you have circulatory problems or you’ve alre Continue reading >>

Sensitive Feet And Diabetes: Why My Feet Hurt?

Sensitive Feet And Diabetes: Why My Feet Hurt?

What is nerve damage from diabetes? Diabetic neuropathies are nerve damage caused by diabetes. Neuropathy is one of the most common long term complications of diabetes. It can occur anywhere in the body, and in any organ. Symptoms such as numbness, tingling, and loss of protective sensation can be found in the hands, arms, fingers, feet, legs, toes, and lips. You may also have symptoms of nerve damage in the digestive system (gastroparesis), in the heart, or in sexual organs (erectile dysfunction, or vaginal dryness). In this article, we will be mainly looking at peripheral neuropathy in the feet, also commonly known as sensitive feet. What are sensitive feet? Patients complain about numbness and tingling in their feet and toes, or elsewhere, with a frequency that is more often than in similar reports of other diabetes complications they experience. It’s no wonder these patients with diabetes have complaints of neuropathy symptoms. Other than the tingling sensation or the numbness usually associated with neuropathy, those who have it complain about how much it hurts to put their socks and shoes on. The skin is sensitive to touch, to a point where one can’t even brush up against anything. It is likened to an over-sensitivity and mild pain that is uncomfortable. If it goes on day in and day out, it can be frustrating. Sometimes, a person with diabetes may also get other related foot problems, such as plantar fasciitis. This condition affects the heel of the foot, and can be extremely painful. You will find it too sore to walk with plantar fasciitis. Even without heel problems, the generalized foot pain and soreness can become severe. It has been found that as many as 60 to 70% of people with diabetes have neuropathy somewhere in their body. The longer you have diabete Continue reading >>

Healing Numb Feet

Healing Numb Feet

Overview of treatment approaches: • Nondrug therapies • Relaxation and biofeedback • Anodyne therapy • Exercise • Massage • Daily foot care Diabetes is hard on feet. Because the feet are farthest from the heart, any problems with blood flow can leave feet without enough circulation. Results can include numbness, loss of foot strength, and worse. Fortunately, there are some good ways to heal and protect your feet. As Birgitta I. Rice, MS, RPh, CHES, wrote here, much of the pain and numbness people with diabetes experience comes from nerve damage. The nerves are injured both by poor circulation and by high glucose levels. We really need healthy nerves. (As a person with a nerve disease, I know about this.) According to Rice, “Loss of nerve fibers can result in muscle weakness, numbness, loss of reflexes, foot deformities, change in gait, and impaired balance and coordination. Loss of sensitivity to pain or temperature can also occur, leading in turn to blisters and sores from foot injuries that go unfelt.” Numbness is dangerous. Sometimes, people can have a pebble in their shoe and not notice it. Others may get in a hot bath and not realize their feet are being scalded. These kinds of seemingly minor things can lead to infections, which don’t heal because of having poor circulation. This is the major pathway to losing a leg to amputation. People with diabetes are eight times more likely than other people to have a lower leg amputated. If you just woke up one day with numb feet, you would notice a big difference and ask about ways to treat it. It doesn’t work that way, though. Numbness comes on slowly over years, so you don’t notice day-to-day changes. Also, severe pain often comes before numbness, so that the numbness is perceived as a relief rather Continue reading >>

What Can I Do For Numb, Painful Feet And Legs?

What Can I Do For Numb, Painful Feet And Legs?

My husband was diagnosed with diabetes almost a year ago. At first he was experiencing numbness in his feet. Over the past few months, he began having pain as well, sometimes as far up his leg as his calf. What can we do to help these symptoms? I have read that vitamin E and even flaxseed oil are good for the circulation. Would those be helpful? Continue reading >>

Diabetic Neuropathy Quiz: Test Your Medical Iq

Diabetic Neuropathy Quiz: Test Your Medical Iq

What is diabetic peripheral neuropathy? How are nerves damaged from diabetes? Diabetic peripheral neuropathy is avoidable. Why is diabetes troublesome for the feet? For people with diabetes, the best way to care for the feet is to... A serious consequence of untreated peripheral neuropathy is... Often seen with diabetes, ______________ refers to a disease of the nerves that function automatically. Diabetic peripheral neuropathy can be cured. Continue reading >>

Diabetic Foot Pain

Diabetic Foot Pain

by Kenneth B. Rehm, DPM Includes photo of Dr. Kenneth B. Rehm, DPM Diabetes is one of the most common reasons people seek relief for painful feet. With diabetes, four types of foot problems may arise in the feet. Nerve Problems due to Diabetes The most common contributor to diabetic foot pain is a nerve problem called Peripheral Neuropathy. This is where the nerves are directly affected by the disease process. There are basically three types of peripheral neuropathy: sensory, motor, and autonomic neuropathy. A large percentage of pain diabetic patients complain of is due to sensory neuropathy. This can show up as "sensitive pain," where the amount of pain is not proportional to the amount of insult that is causing it. For instance, just touching the skin or putting a sheet over your feet in bed could be painful. This can be present at the same time as numbness in the feet. Sensory neuropathy symptoms can include burning, tingling or a stabbing pain. Relief is foremost on someone's mind when painful neuropathy has raised its ugly head. The first thing to do is to check your blood sugar for the past several weeks to see if there has been a trend toward high blood sugar (Editor's Note: The A1c test is traditionally employed to determine this, and should be repeated about every three months.) Persistent high blood sugar can contribute to this type of pain. Massaging your feet with a diabetic foot cream, or using a foot roller, often takes the edge off the pain. Vitamin B preparations are often recommended; and there are a variety of prescription medications that do work. Using cushioned, supportive shoes and foot support inserts is always needed to protect the feet from the pounding, rubbing and irritating pressures that contribute to neuropathic pain. Motor neuropathy can Continue reading >>

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