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Some diseases consume the body like wildfire. Others are more like a slow burn. Diabetes is a malady that takes its time. If not controlled, diabetes slowly eats away at the body''ve broken the skin or suffered a cut or scrape on one of their feet. Bacteria can then set up housekeeping -- an invasion aided by impaired circulation and small vessel disease caused by diabetes. In some cases, these unnoticed infections can lead to raging infections and loss of the limb.
Despite many recent advances in diabetes treatment, neuropathy remains frighteningly common. About 60 to 70 percent of people with either type 1 or type 2 diabetes will eventually develop nerve damage, though not all of them will have symptoms.
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But if you have diabetes, remember this: the key to avoiding nerve damage is prevention. By carefully controlling your blood sugar, you can help keep your nerve cells out of harm''t smoke (and if you do, quit). Drink moderately, if at all, and talk to your doctor about how to bring your cholesterol and blood pressure within a normal range. Risk factors you can''ve had diabetes.
What are the symptoms of neuropathy?
It depends what kind of neuropathy you have, but symptoms often include pain, increased sensitivity, numbness, tingling, and decreased sensation in your feet. Hands or other parts of your body can be involved as well, but much less often. You may suffer from severe leg cramps at night, or feel as if your feet are sunburned even in the dead of winter. One or both of your feet may be swollen and warm to the touch. Some types of neuropathy can also lead to impotence (in men), frequent urinary tract infections, or nausea, bloating, and constipation.
What are the types of neuropathy?
These are the major types of diabetic neuropathy:
Distal symmetrical polyneuropathy. This is the most common diabetes-related nerve damage. The two main symptoms are decreased sensation -- which you may not even notice -- and pain, including numbness, tingling, deep aching, and increased sensitivity.
The nerves that carry sensations from the fingers, toes, and feet are usually the first to succumb to neuropathy. At first, a person may feel intense pain in these areas. The skin may become so sensitive that even the weight of a sheet can bring sheer agony. Over time, the pain fades and gives way to numbness. Many people also develop leg cramps, especially at night, as the nerves that control the muscles are damaged and may cause spasms.
In some cases, the joints in the feet can break down, causing a condition known as Charcot foot. As the nerves supplying the muscles with information are damaged, the muscles don''t get the oxygen they need. It comes on suddenly and usually affects just one area of the body, such as the head, thigh, or trunk. This kind of neuropathy tends to clear up by itself in a few days or weeks -- although damage to the thighs may last months or even years.
Entrapment neuropathy. This is a type of neuropathy many non-diabetic office and assembly line workers are familiar with: nerve damage related to movement or repetitive motion. The most common types are carpal tunnel syndrome (which affects the median nerve in the wrist) and tarsal tunnel syndrome (which affects the inside of the ankle). If you have diabetes, there''t directly control, including those in the stomach, bladder, intestinal tract, and genitals. Here are the most common forms of this neuropathy:
Gastroparesis is when you get nerve damage to the stomach. This condition can keep the stomach from emptying properly and cause unstable blood sugar. Symptoms of gastropareisis include nausea, bloating, vomiting, diarrhea, and constipation.
Bladder neuropathy occurs when you have nerve damage to the bladder. When the bladder loses nerves, it may feel empty even when it isn''t empty the bladder completely, and the constant pool of urine can lead to frequent bladder infections.
Erectile dysfunction is what happens when there is nerve damage to the penis. If nerves in the penis become deadened, a man may have difficulty achieving or maintaining an erection.
How is diabetic neuropathy diagnosed?
Doctors usually suspect neuropathy whenever a patient with diabetes complains of symptoms such as pain, numbness, tingling, or frequent urinary tract infections. After getting a detailed description of the symptoms you''s office, if necessary.
healthy glucose levels chart for women type 1 (⭐️ mellitus) | healthy glucose levels chart for women blood pressurehow to healthy glucose levels chart for women for In one common test, a doctor attaches a disk to the skin over a muscle. The disk releases small, usually painless electric shocks, and a needle measures how quickly the electricity moves along the nerves. In a patient with neuropathy, the impulse will be unusually slow.
In a similar test, known as an electromyogram (EMG), a doctor may insert a needle into the muscles to measure the electrical flow in deeper nerves. This test can determine whether the nerves are breaking down or healing. The doctor may also do a gastric emptying test to check for autonomic neuropathy.
What can I do to prevent neuropathy?
Tightly controlling your blood sugar with insulin and other diabetes medications, if necessary, is the best way to keep your nerve cells healthy. (Tight, or good, control is generally between 70 and 130 milligrams before meals and under 180 milligrams after eating, with a glycated hemoglobin under 7 percent.) However, you shouldn''t be restored. But the right treatment can ease the symptoms of neuropathy and greatly improve a person''re suffering from a burning pain or increased sensation, the doctor may treat you with a topical ointment called capsacin to relieve pain.
If you have a pins-and-needles sensation or shooting pain, your doctor may prescribe medicines approved specifically to help with this problem, such as antidepressants like duloxetine (Cymbalta) or anticonvulsants like pregabalin (Lyrica).
New guidelines that the American Diabetes Association released in 2017 urge physicians not to prescribe narcotics (opioids) as a first or even second-line treatment for diabetic nerve-related pain; as physician and study leader Rodica Pop-Busul, MD, PhD, explained, overprescription of opioids for neuropathy had resulted in addiction. Besides duloxetine and pregabalin, doctors could consider gabapentin or tricyclic antidepressants, the guidelines noted, but warned that the latter two carried the risk of more serious side effects and drug interactions.
If you''re suffering from erectile dysfunction (ED), consult with your physician or a diabetes specialist. You may be prescribed an oral medication such as phosphodiesterase inhibitors like sildenafil (Viagra). Other possible options include vacuum erection devices and inflatable implants. (Diabetes Review also suggests that "")
healthy glucose levels chart for women treatments google search (⭐️ gene) | healthy glucose levels chart for women januviahow to healthy glucose levels chart for women for If you have symptoms of Charcot foot, such as redness, swelling, and warmth, you should see a podiatrist or orthotist. He or she may immobilize your foot in a cast or splint while your foot heals. You may also need to protect the other foot with braces or crutches. In advanced cases, surgery may be necessary.
If you have an entrapment neuropathy, such the 1 last update 07 Jul 2020 as carpal tunnel syndrome, and pain, you may be treated with steroid injections (watch for temporarily increased blood sugars), braces, or surgery.If you have an entrapment neuropathy, such as carpal tunnel syndrome, and pain, you may be treated with steroid injections (watch for temporarily increased blood sugars), braces, or surgery.
What else can I do to cope with neuropathy?
If you already have neuropathy, the following tips can help you manage the condition.
Avoid alcohol and cigarettes (especially the latter). They can worsen nerve damage.
Don''t feel the for 1 last update 07 Jul 2020 need.Don''t feel the need.
Take off your shoes and socks at every visit to the doctor and have him or her check the 1 last update 07 Jul 2020 your feet.Take off your shoes and socks at every visit to the doctor and have him or her check your feet.
Protect your feet by wearing comfortable shoes that fit properly. Don''/encyclopedia/search.aspx' target="" method="">