Mononeuropathy may also cause nerve problems in the eyes and face, leading to:
Print Diagnosis A doctor can usually diagnose diabetic neuropathy by performing a physical exam and carefully reviewing your symptoms and medical history. Your doctor will check your: Overall muscle strength and tone Tendon reflexes Sensitivity to touch and vibration Also at every visit, Diabetic neuropathy doctor should check your feet for sores, cracked skin, blisters, and bone and joint problems.
The American Diabetes Association recommends that all people with diabetes have a comprehensive foot exam at least once a year. Along with the physical exam, your Diabetic neuropathy may perform or order specific tests to help diagnose diabetic neuropathy, such as: Your doctor will brush a soft nylon fiber monofilament over areas of your skin to test your sensitivity to touch.
This noninvasive test is used to tell how your nerves respond to vibration and changes in temperature. This test measures how quickly the nerves in your arms and legs conduct electrical signals.
It's often used to diagnose carpal tunnel syndrome. Often performed along with nerve conduction studies, EMG measures the electrical discharges produced in your muscles. If you have symptoms of autonomic neuropathy, special tests may be done to determine how your blood pressure changes while you are in different positions, and whether you sweat normally.
Treatment Diabetic neuropathy has no known cure. The goals of treatment are to: Slow progression of the disease Relieve pain Manage complications and restore function Slowing progression of the disease Consistently keeping your blood sugar within your target range is the key to preventing or delaying nerve damage.
Doing so may even improve some of your current symptoms. Your doctor will determine the best target range for you based on several factors, such as your age, how long you've had diabetes and your overall health. For many people who have diabetes, the American Diabetes Association generally recommends the following target blood sugar levels: Other important ways to help slow or prevent disease progression include keeping your blood pressure under control and maintaining a healthy weight and lifestyle.
Relieving pain Many prescription medications are available for diabetes-related nerve pain, but they don't work for everyone. Side effects are always possible. When considering any medication, talk to your doctor about the benefits and drawbacks to determine what might work best for you. Pain-relieving prescription treatments may include: Some medications used to treat seizure disorders epilepsy are also used to ease nerve pain.
The American Diabetes Association recommends starting with pregabalin Lyrica.
Others that have been used to treat neuropathy are gabapentin Gralise, Neurontin and carbamazepine Carbatrol, Tegretol. Side effects may include drowsiness, dizziness and swelling. Some antidepressants disrupt the chemical processes in the brain that make you feel pain. You don't need to have depression for these medicines to ease nerve pain.
Two classes of antidepressants have been used for neuropathy treatment. Tricyclics, including amitriptyline, desipramine Norpramin and imipramine Tofranilmay provide relief for mild to moderate symptoms. But side effects can be bothersome and include dry mouth, sweating, weight gain, constipation and dizziness.
Serotonin and norepinephrine reuptake inhibitors SNRIs may ease pain with fewer side effects. The American Diabetes Association recommends duloxetine Cymbalta as a first treatment. Another that may be used is venlafaxine Effexor XR. Possible side effects of SNRIs include nausea, sleepiness, dizziness, decreased appetite and constipation.
Sometimes, an antidepressant may be combined with an anti-seizure drug or pain-relieving medication. Managing complications and restoring function Your diabetes health care team will likely include different specialists, such as doctor that treats urinary tract problems urologist and a heart doctor cardiologistwho can help prevent or treat complications.
Treatment depends on the neuropathy-related complication you have: Some medications can interfere with bladder function. Your doctor may recommend stopping or changing medications.
A strict urination schedule or urinating every few hours timed urination while applying gentle pressure to the bladder area below your bellybutton is recommended.Diabetic neuropathy is a complication of diabetes causing damage to the nerves.
The nerve damage from diabetic neuropathy causes intense pain, numbness, or tingling in the part of the body affected by the condition. Diabetic neuropathy pain can be relived and managed through natural remedies and therapies, diet, and if necessary, medications. Diabetic neuropathy is nerve damage that is caused by diabetes.
Over time, high blood glucose levels, also called blood sugar, and high levels of fats, such as triglycerides, in the blood from diabetes can damage your nerves.
Diabetic neuropathy is a type of nerve damage that can occur if you have diabetes. High blood sugar (glucose) can injure nerves throughout your body.
Diabetic neuropathy most often damages nerves in your legs and feet. Depending on the affected nerves, symptoms of diabetic neuropathy can range from. Autonomic neuropathy is damage to nerves that control your internal organs.
Autonomic neuropathy can lead to problems with your heart rate and blood pressure, digestive system, bladder, sex organs, sweat glands, eyes, and ability to sense hypoglycemia. Proximal neuropathy is a rare and disabling.
Care guide for Diabetic Peripheral Neuropathy. Includes: possible causes, signs and symptoms, standard treatment options and means of care and support. Diabetic neuropathy is nerve damage due to uncontrolled high blood sugar.
Know the signs and how to take steps to prevent this diabetes complication.