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diabetic neuropathy

Defining diabetic neuropathy
Diabetic neuropathy which is a frequent problem resulting from diabetes is nerve damage in the body as a consequence of uncontrollably high blood sugar level. Although high blood sugar can cause damage to the nerve fibers throughout the body, diabetic neuropathy most frequently impairs the nerves of the legs and feet. Diabetes is said to be the leading factor in the development of neuropathy and neuropathy is the maximum source of high mortality rate in diabetes patients. There are four different types of diabetic neuropathy and these are peripheral, autonomic, proximal and focal.

 

Diabetic peripheral neuropathy:
This is one of the most common and frequent complication of diabetes and it is not inevitable. Uncontrolled blood sugar level for a long period of time can induce the onset of peripheral neuropathy and causes damage to the nerves in the extremities such as the hands, arms, legs and feet. Some of the common symptoms of peripheral neuropathy are numbness, loss of all sensations, stinging, pricking, pins and needles feeling, burning, stabbing and tingling sensations. Some peripheral neuropathy patients also complain of muscle weakness and loss of balance. They experience difficulty when trying to get up after sitting down or feel unsteady when they walk. The symptoms of peripheral neuropathy are devastating in their nature and can greatly affect the quality of a person’s life. The individual may not be able to detect any injury or infection in the hands and especially feet due to loss of sensation and this may instigate development of ulcers then amputation and ultimately death. Instead of being stoic and trying to ignore the subtle changes of peripheral neuropathy, it is recommended that diabetic patients address this issue and take a trip to their doctor to assess as to how to manage the pain and treat the symptoms because if peripheral neuropathy is addressed earlier, it can be reversed.

 

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Diabetic autonomic neuropathy:
Autonomic neuropathy is the outcome when nerve damage affects the involuntary body functions like the heart rate, digestion, perspiration, blood pressure, urination and some sexual functions. This can bring about a reduced or abnormal operation of the involuntary body functions. Some of the symptoms of autonomic neuropathy include:

 

• Faintness and dizziness when standing up from a sitting or lying position due to drop in blood pressure
• Difficulty faced when urinating, inability to completely empty the bladder which can initiate urinary tract problems and urinary incontinence
• Sexual complexities such as erectile dysfunction, problem faced by men during ejaculation and vaginal dryness in women
• Inability of the body to regulate normal body temperature leading to excessive or decreased sweating
• pupils become less responsive to light which can make it troublesome and an impediment to adjust the pupils from light to dark or drive at night
• Abnormal function of the digestive tract leading to symptoms like loss of appetite, diarrhea, constipation, nausea, vomiting, heartburn and bloating of the stomach

 

Diabetic focal neuropathy:
This type of neuropathy affects only one specific nerve and is also referred to as mononeuropathy. This nerve may be located either in the face, torso or legs. This neuropathy often develops abruptly and unexpectedly generally in old people and is accompanied by severe pain. Symptoms of focal neuropathy are resolved on their own within a few weeks or some months. Some of the symptoms of focal neuropathy are:

 

• Incapability to direct the eye, double vision or pain experienced behind one eye
• Bell’s palsy i.e. paralysis of one side of the face
• Extreme throbbing in the lower back or pelvis
• Pain in front of one thigh
• Aching experienced in the chest, stomach or side
• Pain in shin or foot
• Carpal tunnel syndrome

 

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Diabetic proximal neuropathy:
This is also referred to as diabetic amytrophy and it is the upshot of impairment of the nerves in the thighs, hips, buttocks or legs and this complication of diabetes more frequently transpires in old people suffering from type 2 diabetes. Symptoms are generally experienced on one side of the body, though they may be encountered on other side too. The symptoms do improve with time but they go downhill before perking up. Some of the common symptoms of proximal neuropathy are:

 

• Abrupt and acute pain in the thigh, hips or buttock
• Feeble and atrophied muscles of the thigh
• Exertion needed when trying to get up from a sitting position
• Swelling of the abdomen
• Unexplainable weight loss

 

Diabetic neuropathy is incurable but there are treatments available that can decelerate the progression of the disease, help in pain and symptom management and assist in dealing with complications and restore functions. But the best approach is taking preventative measures like keeping the blood sugar level under control, making healthy and nutritious food choices and partaking in regular physical activity.

Published on April 21, 13
By leo

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