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Diabetic Neuropathy

Overview

Diabetic neuropathy is a disorder belongs to family of nerve disorders in which nerve gets damaged due to high blood sugar levels. Those people who have diabetes gradually suffer from nerve damage. It has been observed that about 60-70% of people those who have diabetes normally suffer from some kind of neuropathy. Although, diabetes results in nerve problems that can occur at any age, risk increases with age. Nerve damage-diabetic is the alternative name of the condition.


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Causes

The condition is mainly caused due to prolonged exposure to high blood sugar levels and decrease blood flow. However, it is wrong to say that the condition is only caused due to one factor. Nerve damaged is caused due to many factors. Some of the most possible causes of nerve damage are:

  • The first and foremost metabolic factors like excessive exposure to diabetes, high blood glucose levels, low level of insulin, abnormal fat levels, etc
  • Autoimmune factors like inflammation in nerves, etc.
  • Mechanical injury of nerves like carpal tunnel syndrome.
  • Lifestyle factors like excessive intake of alcohol, smoking, etc

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Signs & Symptoms

It is not necessary that people affected from Diabetic Neuropathy always experience some kind of symptoms. Some people experience symptoms, whereas some experience tingling, numbness, pain in the feet. Some of the common symptoms of the condition are:

  • Constipation
  • Nausea and vomiting
  • Diarrhea
  • Muscle cramps
  • Weakness
  • Excessive pain in feet and legs
  • Numbness
  • Loss of sense of cold or warm
  • Vision changes
  • Speech impairment
  • Drooping eyelid
  • Impotence
  • Loss of bladder control
  • Rapid heart rate
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Prevention

Control over blood sugar level helps in preventing occurrence of Diabetic Neuropathy among people. In addition to this, regular foot care also helps in preventing the condition to a significant level.


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Treatments
Conservative Treatment Modern Medicine

The treatment of diabetic neuropathy aims at reducing the symptoms of the disease and preventing the disease from getting worse. It is very important to take a strict control over the blood sugar level in order to treat the condition well. Medications are given for reducing symptoms like pain in the legs, feet, etc. Medications that are normally recommended are:

  • Antidepressants drugs like doxepin, duloxetine, etc
  • Anti-seizure medications like carbamazepine, valproate, gabapentin, etc
  • Analgesics are also given
  • PDE-5 (Phosphodiesterase type 5) drugs like sildenafil, tadalafil, etc.

It is very important to go for regular foot examination so that small infections and foot injuries can be treated at the right time.

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