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Neuropathy Tips

Peripheral Neuropathy - How To Put A Check On It?

Peripheral Neuropathy - How To Put A Check On It?

The sensation of pain and numbness are quite common in patients suffering from high blood sugar. If you are suffering from nerve damage from high blood sugar, chances are you have diabetic peripheral neuropathy. The discomfort can affect your mood and overall quality of life. But with some easy to follow steps can help you keep peripheral neuropathy under control.

  1. Keep your blood sugar levels under control: Your first task is to manage your blood sugar levels under control and with the passage of time it will damage the peripheral nerves and pave the way for diabetic neuropathy. If you can keep your blood sugar levels within a healthy range, you will be able to reduce the risk of nerve damage by about 60 percent. You should talk to your doctor first since a rapid drop in the blood sugar levels can prove to be even worse.
  2. Get the right level of Vitamin D: Your skin functions by producing Vitamin D in response to sunlight and it is immensely helpful in shielding against nerve pain. It has been found people who have lower levels of this nutrient are more likely to suffer from more pain. In case it is hard to get the recommended daily intake from food only, you will have to take supplement pills.
  3. Keep away from smoking: We all know that smoking causes the blood vessels to constrict which hampers circulation. If you don’t quit smoking, your peripheral nerves may not be able to nutrient-rich blood which would make pain worse.
  4. Take a warm bath: Warm water is not just relaxing, it can also improve circulation all through the body. It can provide instant relief. But it is worthy of mention here that since diabetic neuropathy leads to loss of sensation, you should ensure that the water isn’t too hot before you jump in.
  5. Seek resort to over the counter medications: There is a host of painkillers available for easing mild to moderate ache stemming from diabetic neuropathy. These include ibuprofen, aspirin, naproxen and acetaminophen. But before taking any of these pills, you should consult with an expert who can choose the right medicine for you.
  6. Get up and move: Exercise can combat pain in a variety of ways. It helps in keeping blood sugar levels under control which, in turn, can hinder nerve damage. Workout increases blood flow to the extremities while also uplifting your mood. It will help you get rid of stress so that you can better deal with the symptoms of peripheral neuropathy. In a study conducted by the University of Kansas, it was found that people who exercise regularly didn’t face any trouble in doing daily activities.
  7. Consider carpal tunnel surgeryWhen the patient is suffering from localized peripheral nerve compression that affects the hands, carpal tunnel surgery can be considered as a last resort to achieve pain relief, reduced incidence of ulceration, increased range of movement and balance, preservation of limbs and improved quality of life.

With these few tips, you will be able to manage the peripheral neuropathy better.

Diabetic Neuropathy - Can Ayurveda Help?

Diabetic Neuropathy - Can Ayurveda Help?

How to manage diabetic neuropathy naturally?
Diabetic neuropathy is a chronic medical condition that results in nerve damage. This occurs due to the inefficient use of insulin hormone in the body. More than 60 diabetic patients show one or the other signs of neuropathy. The latter can aggravate to more complicated problems, if the blood sugar levels are not kept in check. Here is a list of some natural remedies that will help you fight diabetic neuropathy.

  1. Controlling the blood sugar level: It is important to maintain a healthy blood sugar level to prevent any further damage to blood vessels, nerves, skin, eyes and other parts of the body. The best way to keep your blood sugar in check is by maintaining a healthy diet, exercising on a daily basis and living a stress-free life. Frequent blood sugar tests should be conducted to ensure that the readings are within the accepted level.
  2. A proper diet: Diet of a person has a direct effect on the blood sugar levels. Intake of refined carbs and sugar drinks should be strictly avoided to stabilize blood sugar. Fresh fruits and vegetables that are rich in vitamins and fiber, and are antioxidant in nature should be consumed regularly. Other food items such as wild-caught fish, olive oil, nuts, avocado, coconut oil, egg whites (albumen), legumes and stevia greatly help in maintaining blood sugar level.
  3. Exercise and physical activity: A study conducted by the Journal of Diabetes Complications in 2012 reported that daily exercise significantly helps a diabetic neuropathy patient to bring down the blood sugar to a more acceptable level. Walking for a span of 30-45 minutes daily, performing mild exercises, cycling and swimming lower the blood sugar level. They also help the body in using the insulin in a much better fashion, reducing cholesterol and improving blood circulation in the body. Additionally, daily exercise strengthens muscles and increases mobility.
  4. Refrain from toxic chemicals: Chemicals such as pesticides, beauty products and unnecessary antibiotics can lead to kidney stone formation for a patient of diabetic neuropathy. Toxic wastes in the blood aggravate the symptoms of diabetes leading to other complications. Consumption of alcohol or any other nicotine-related products should be stopped as well. They tend to damage the nerve and increase the risk of heart attacks and cardiac arrests.
  5. Stress management: Stress is another culprit responsible for enhancing diabetic neuropathy. It not only escalates the blood sugar level but also increases the chance of cardiac-related diseases such as cardiac arrest and strokes. Exercise, meditation, practising hobbies, spending time with friends and family are a few ways of relieving stress. Studies have shown that alternative treatments such as acupuncture can also relieve you from stress to a great extent.
4306 people found this helpful

Diabetes - Role Of Homeopathy In Treating It!

Diabetes - Role Of Homeopathy In Treating It!

Diabetes or diabetes mellitus is referred to as a group of disorders that are characterized by a high blood sugar level. Diabetes mellitus occurs when the secretion of insulin (a pancreatic hormone responsible for converting the sugar from consumed foods into energy) is insufficient or the body cells do not properly respond to insulin. Insufficient secretion of insulin causes glucose formation in the bloodstream and mixes with the urine.

The psychological factors responsible for Diabetes Mellitus. In majority (not all), this disease originates with some recent stress in life. This disease is an epidemic in late thirties till fifties. In this age, a person is productive in his profession and most of the time there are job or financial issues that play a very vital role in generating stress and hence Diabetes.

Mostly, in my practice patients reported, before developing Diabetes, a recent financial loss or strain, love disappointment, a betrayal, or fear of loosing a job etc., sedentary habits, diet and genetic factors are secondary. Homeopathy keep such things in account before prescribing and in many cases Diabetes is irreversible. Thers is a vast field of diabetic complications where Homeopathy has a lot to offer. One of them is diabetic neuropathy. For example pain in soles, nerves, lack of energy, sexual dysfunctionmood disorders, diabetic ulcer etc.

Homeopathy For Diabetes

In homeopathy, the main focus is on functioning of the pancreas in efficient insulin production. There are specific medicines which are used effectively in the treatment of all the stages of the diseases.

Homeopathic treatment can help improve the general health of a person with diabetes:

If a person with diabetes is in good health, his or her insulin requirements will be steady and the blood glucose well controlled at the same time.  Homeopaths resort to different approaches towards diabetes Management of Blood Sugar. First is when the blood sugar level is very high, the priority is to control it and there are homeopathic remedies that could reduce the sugar.

Homeopathy regards health as a state of balancing the equilibrium of the life force. Whatever treatment is taken it’s always advisable to be in regular touch with the doctor and keep sharing the health status with the doctor. The homeopathic preparations useful for diabetes are as follows:

  1. Phosphoric acid: Useful remedy for diabetes with the symptoms of recurrent physical or mental exhaustion, loss of memory and numbness in the feet.

  2. Abroma Augusta: This homeopathic preparation is useful for diabetics who show the symptoms of polyuria, an increased sensation of hunger and weakness in the muscles.

  3. Syzygium Jambolanum: Useful in reducing the blood sugar level quickly and effectively. This homeopathic preparation is also useful to cure diabetics with the symptoms of polyuria, increased sensation of thirst and long-term ulcers.

  4. Gymnema Sylvestre: This Homeopathic preparation acts as a useful remedy for diabetics who are experiencing the symptoms of weight loss with a severe lack in energy levels.

  5. Uranium Nitricum: This homeopathic preparation is a useful cure for diabetes with the symptoms of depressionnausea, irregular urination, severe pain in the back, delayed menstrual periods in women, significant pain in the head and dry skin.

5404 people found this helpful

Diabetic Neuropathy - Can Ayurveda Help?

Diabetic Neuropathy - Can Ayurveda Help?

Diabetes is a group of metabolic disorder in which the blood glucose level remains persistently high and requires lifelong medications, diet control and several other factors to maintain it in the normal level. Person having diabetes commonly end up with a serious complication called as ‘diabetic neuropathy’. It is also referred as peripheral neuropathy in which the peripheral nerves which are responsible for caring the impulse towards and away from the brain get affected. The symptoms may vary depending upon the type of nerve that gets affected but most commonly people may experience pain, numbness and tingling sensation over the arms and lower extremities.

The most important thing to be done in curing diabetic neuropathy is to maintain the blood sugar level to normal always with proper medication, diet and adequate physical exercises. Ayurveda uses a few precious herbs to cure diabetic neuropathy, which are identified by our ancestors before many decades. Some of the herbs are: 

  1. Ashwagandha which is also referred as Indian Ginseng is the best herb which has many medicinal effects and mainly used for ailing the disorders of the nervous system. This herb acts on the nerves and also improves the strength and physical stamina. It also used for relieving the pain over the calf muscles, loss of weight because of diabetes, neuropathy, stress, frequent urination and nerve exhaustion.
  2. Manjishtha is an herb used in Ayurveda as a treatment for several diabetic complications. It treats not diabetic neuropathy but also cures diabetic nephropathy and retinopathy. It acts as a best remedy for several chronic infections and inflammations. It has been noted that it has a calming effect on the nervous system thus it can also be used for the treatment of epilepsy.

Ayurvedic treatment for diabetic neuropathy

  1. Abhyangam, in which the whole body is massaged gently with the medicated oil to improve the circulation of blood, causes nerve stimulation effect and also relieves stress. They concentrate mainly on the foot (Padabhyanga) which is commonly affected in neuropathy.
  2. Sirodhara deep relaxation and revitalisation of the central nervous system which is found to get affected in neuropathy.
  3. Ksheeradhoomam, it is a process done for the problems of the nervous system and other neck problems by applying a special type of medicated steaming.
3073 people found this helpful

Peripheral Neuropathy - How Can Physiotherapy Take Care Of It?

Peripheral Neuropathy - How Can Physiotherapy Take Care Of It?

Peripheral neuropathy (PN) is damage to or disease affecting nerves, which may impair sensation, movement, gland or organ function, and affects other aspects of health, depending on the type of nerve affected. The treatment by a physical therapist helps in reducing symptoms and improves an individual’s quality of life. As the cause, type, and symptoms of peripheral neuropathy can vary, the approach to care also varies. Physical therapy is helpful in maintaining strength, mobility, and function. 

Strengthening exercises for peripheral neuropathy moderately improve muscle strength. Exercising can help, when done regularly. They further reduce the neuropathic pain and also helps in controlling the blood sugar levels.

Objectives of physiotherapy include:

  • Maintaining and improving functions via a range of motion through stretching.

  • Strengthening muscles which include exercising against increasing resistance, use of weights and isometric exercise.

  • Balance training helps in providing stability and prevents falls.

  • Braces or splints can be used to enhance balance and posture.

  • Splinting is used in the treatment of compression mononeuropathies, such as carpal tunnel syndrome.

Following recommendations and care are provided by physiotherapist:

  • Moderate intensity exercise- It helps to improve strength and physical function.

  • Never gliding activities- Includes exercises shown by a physiotherapist who will help you move and glide your nerves.

  • Balance and coordination activities - Your physiotherapist works on strategies to improve your balance and coordination. Improving balance and coordination helps to decrease your risk of falling and injuries that arise due to it. Balance exercises are a crucial part of the recovery of peripheral neuropathy. Balance training is important in overcoming the feeling of stiffness and unsteadiness, especially among elderly people.

  • Education – Your physiotherapist educates you on how to safely manage peripheral neuropathy. It mainly focuses on improving your safety, preventing further complications, and finding alternative ways to perform certain tasks.

  • Kinetic therapy in peripheral nerve injuries- It should not be started until the late stage of nerve regeneration when progressive strength return can be seen. After an injury to the nerve, physiotherapeutic methods are used to eliminate paresis and to restore the normal function of muscles as well as to improve circulation.

  • Electrostimulation – It plays an important role in the treatment of various neuromuscular dysfunctions.

  • Magnetotherapy- It is used where a pulsed low-frequency magnetic field is applied. It has well-known effects on enhancing enzymatic activity, oxy-reductive processes and proper blood circulation resulting in better oxidation and conduction characteristics of regenerating peripheral nerves. It enhances the regeneration of nerve fibers.

  • Bio-laser stimulation- where low energy biostimulation lasers are used in palatial, continuous manner. Laser radiation can also be used to rejoin the nerve stumps.

5102 people found this helpful

Diabetes - Know Natural Medications As Per Ayurveda

Diabetes - Know Natural Medications As Per Ayurveda

Diabetes or madhumeha, is a serious disease that affects many people worldwide today. Diabetes, which is referred to as maha-roga is the excess of glucose in the blood. As a result, you cannot consume sweetened food, get excess urges to drink water or urinate. However, Ayurveda has the most effective solutions to control diabetes naturally. Read on to know what best natural medications are there to cure diabetes.

1. Gymnema Sylvestre or Gurmar
It is one of the most effective remedies for diabetes. It is a hypoglycemic component, which makes it ideal for treating diabetes. It helps in reducing dependency on insulin by regeneration of residual beta cells of the pancreas.

2. Coccinia indica
It is another herb which regulates diabetes very well. This plant contains components which, after consumption of carbohydrates, prevent the sudden increase in blood glucose level. It can also prevent any adverse effect on other organs of the body due to diabetes. It is found to reduce oxidative stress amongst diabetes patients by surging the Vitamin-C levels in the plasma, and also prevents the fluctuations in fatty acid levels amongst diabetes patients.

3. Azadirachta Indica or neem
It is one of the most common household antiseptics and a wonderful cure for diabetes. It enables high glucose tolerance and also prevents diabetic neuropathy, which may cause severe fatalities.

4. Morus Indica or Mulberry
It is a food that is experimentally proven to reduce diabetes. Daily consumption of mulberry leaves for 15 days at a stretch have been beneficial in limiting approximately 38% of diabetes cases among its consumers. It also protects you against oxidative stress by building the antioxidant defence system of the body and is also known to correct any lipid-profile abnormality. It also delays the possibility of the appearance of cataract as a result of diabetes.

5. Momordica Charantia or bitter gourd
It is another common remedy found in most Indian households. Even though it is extremely bitter in taste, its medicinal properties are exemplary and are extensively used in Ayurvedic medicines. It also targets the beta cells of the pancreas to help boost up insulin secretion by increasing their number. Bitter gourd also helps to release more insulin by way of regeneration of the pancreas.

6. Eugenia Jambolana or Indian Jamun
This Ayurvedic cure reduces blood sugar level and increases the release of insulin. The extract of "jamun" seeds help in the healing of wounds quicker, usually impaired by diabetes.

7. Trigonella Foenum or methi
It is another household ingredient that serves medicinal purposes in case of diabetes patients. Even 1gm of fenugreek seeds could reduce diabetes sharply in a short span of 2 months. This benefit is because of the presence of diosgenin, a compound with hypoglycemic properties.

However, all these medicinal plants should be advisably consumed under proper guidance from professional practitioners only.

5474 people found this helpful

Diabetes - How Ayurveda Can Help?

Diabetes - How Ayurveda Can Help?

Diabetes or madhumeha, is a serious disease that affects many people worldwide today. Diabetes, which is referred to as maha-roga is the excess of glucose in the blood. As a result, you cannot consume sweetened food, get excess urges to drink water or urinate. However, Ayurveda has the most effective solutions to control diabetes naturally. Read on to know what best natural medications are there to cure diabetes.

1. Gymnema Sylvestre or Gurmar
It is one of the most effective remedies for diabetes. It is a hypoglycemic component, which makes it ideal for treating diabetes. It helps in reducing dependency on insulin by regeneration of residual beta cells of the pancreas.

2. Coccinia indica
It is another herb which regulates diabetes very well. This plant contains components which, after consumption of carbohydrates, prevent the sudden increase in blood glucose level. It can also prevent any adverse effect on other organs of the body due to diabetes. It is found to reduce oxidative stress amongst diabetes patients by surging the Vitamin-C levels in the plasma and also prevents the fluctuations in fatty acid levels amongst diabetes patients.

3. Azadirachta Indica or neem
It is one of the most common household antiseptics and a wonderful cure for diabetes. It enables high glucose tolerance and also prevents diabetic neuropathy, which may cause severe fatalities.

4. Morus Indica or Mulberry
It is a food that is experimentally proven to reduce diabetes. Daily consumption of mulberry leaves for 15 days at a stretch have been beneficial in limiting approximately 38% of diabetes cases among its consumers. It also protects you against oxidative stress by building the antioxidant defence system of the body and is also known to correct any lipid-profile abnormality. It also delays the possibility of the appearance of cataract as a result of diabetes.

5. Momordica Charantia or bitter gourd
It is another common remedy found in most Indian households. Even though it is extremely bitter in taste, its medicinal properties are exemplary and are extensively used in Ayurvedic medicines. It also targets the beta cells of the pancreas to help boost up insulin secretion by increasing their number. Bitter gourd also helps to release more insulin by way of regeneration of the pancreas.

6. Eugenia Jambolana or Indian Jamun
This Ayurvedic cure reduces blood sugar level and increases the release of insulin. The extract of "jamun" seeds help in the healing of wounds quicker, usually impaired by diabetes.

7. Trigonella Foenum or methi
It is another household ingredient that serves medicinal purposes in case of diabetes patients. Even 1gm of fenugreek seeds could reduce diabetes sharply in a short span of 2 months. This benefit is because of the presence of diosgenin, a compound with hypoglycemic properties.

However, all these medicinal plants should be advisably consumed under proper guidance from professional practitioners only.

3092 people found this helpful

Diabetes - Have Ayurvedic Remedies To Tackle It!

Diabetes - Have Ayurvedic Remedies To Tackle It!

Diabetes or madhumeha, is a serious disease that affects many people worldwide today. Diabetes, which is referred to as maha-roga is the excess of glucose in the blood. As a result, you cannot consume sweetened food, get excess urges to drink water or urinate. However, Ayurveda has the most effective solutions to control diabetes naturally. Read on to know what best natural medications are there to cure diabetes.

1. Gymnema Sylvestre or Gurmar
It is one of the most effective remedies to diabetes. It is a hypoglycemic component, which makes it ideal for treating diabetes. It helps in reducing dependency on insulin by regeneration of residual beta cells of the pancreas.

2. Coccinia indica
It is another herb which regulates diabetes very well. This plant contains components which, after consumption of carbohydrates, prevent the sudden increase in blood glucose level. It can also prevent any adverse effect on other organs of the body due to diabetes. It is found to reduce oxidative stress amongst diabetes patients by surging the Vitamin-C levels in the plasma and also prevents the fluctuations in fatty acid levels amongst diabetes patients.

3. Azadirachta Indica or neem
It is one of the most common household antiseptics and a wonderful cure for diabetes. It enables high glucose tolerance and also prevents diabetic neuropathy, which may cause severe fatalities.

4. Morus Indica or Mulberry
It is a food that is experimentally proven to reduce diabetes. Daily consumption of mulberry leaves for 15 days at a stretch have been beneficial in limiting approximately 38% of diabetes cases among its consumers. It also protects you against oxidative stress by building the antioxidant defence system of the body and is also known to correct any lipid-profile abnormality. It also delays the possibility of the appearance of cataract as a result of diabetes.

5. Momordica Charantia or bitter gourd
It is another common remedy found in most Indian households. Even though it is extremely bitter in taste, its medicinal properties are exemplary and are extensively used in Ayurvedic medicines. It also targets the beta cells of the pancreas to help boost up insulin secretion by increasing their number. Bitter gourd also helps to release more insulin by way of regeneration of the pancreas.

6.  Eugenia Jambolana or Indian Jamun
This Ayurvedic cure reduces blood sugar level and increases the release of insulin. The extract of "jamun" seeds help in the healing of wounds quicker, usually impaired by diabetes.

7. Trigonella Foenum or methi
It is another household ingredient that serves medicinal purposes in case of diabetes patients. Even 1gm of fenugreek seeds could reduce diabetes sharply in a short span of 2 months. This benefit is because of the presence of diosgenin, a compound with hypoglycemic properties.

However, all these medicinal plants should be advisably consumed under proper guidance from professional practitioners only.

4714 people found this helpful

Diabetic Foot Management & Prevention!

Diabetic Foot Management & Prevention!

Prolonged diabetes and high sugar levels can cause damage to nerves and blood vessels. This results in foot numbness and wounds on the foot do not heal and change color with time. There are two types of diabetic foot problems that affect people who have prolonged diabetes: Diabetic Neuropathy and Peripheral Vascular Disease. These are described as follows:

Diabetic Neuropathy:

Diabetic neuropathy is a condition in which the patient has numbness in the foot. Such a condition makes it difficult for the patient to feel the pain and sensation in the foot.

Peripheral Vascular Disease:

Peripheral vascular disease results in the problem of blood flow in hands and legs. Fat deposits block blood flow which further causes heart problems.

Apart from these, the nerve damage in diabetic patients can also be caused due to high sugar levels, high blood pressure, and weight issues. This may lead to neurological problems including lack of sensation in the foot. In such cases, patients tend to have soreness and irritation in their feet but that is not felt by them. Such neurological problems require immediate attention from doctors.

Symptoms of Diabetic Foot:

The signs of diabetic feet differ from person to person. However, the symptoms mentioned below are common with such diseases:

  1. A color change of the foot

  2. Soreness

  3. Wounds on foot which are not healing

  4. Swelling

  5. Numbness in foot

  6. Tingling and deformity

  7. Red streaks and stains on socks

Diabetic Foot Management Practices:

Keeping feet healthy and clean is the key to managing a diabetic foot. Keeping a few things in mind will help the sugar patient delay or prevent diabetic foot problems. Some of these are:

  1. Check feet on a routine basis for any kind of change. This can be done by the patient himself or someone else.

  2. Wash and clean feet.

  3. Wear cotton socks which are comfortable and support feet the whole day. Shoes should be worn with proper fitting and size so that deformity in the feet does not occur.

  4. Do feet exercises (or full body exercises if possible) daily to promote blood flow.

  5. Trimming nails is essential. Looking to ingrown and remove them to avoid infections is also an important preventive measure.

  6. It is essential to keep a check on blood sugar. The sugar should be checked daily and it is also suggested to keep a log for the same.

  7. Smoking is prohibited and should be avoided to lower the risk of the diabetic foot.

Prevention of Diabetic Foot:

Diabetes can cause problems in many parts of the body and foot is very common to get affected among diabetic patients. It is necessary to prevent and take cautions that can lead to foot ulcers, infections, gangrene, and foot deformity.

A diabetic foot disease can lead to amputation of feet. Contact a doctor when you notice foot problems like ulcers, infections and tingling sensation. There are different treatments available in medical science for managing diabetic foot and diabetic neuropathy.

Successful procedures like endocrine surgeries have been found to be very useful for fighting diabetic foot problems. The surgery is performed on the patient to remove decaying tissues and glands. Surgery may vary depending upon the condition of the patient. However, it has been noticed that with proper care and prevention of diabetic foot problems can be treated with non-surgical treatments of medicine as well.

Conclusion:

Diabetic feet are one of the most common problems that may occur to diabetic patients. This is why it is advisable to consult a doctor as soon as a patient experiences or notices any of the symptoms.

2520 people found this helpful

what is diabetic ?

what is diabetic ?

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 pain and numbness in your legs and feet to problems with your digestive system, urinary tract, blood vessels and heart. Some people have mild symptoms. But for others, diabetic neuropathy can be quite painful and disabling.

Diabetic neuropathy is a common and serious complication of diabetes. But you can often prevent diabetic neuropathy or slow its progress with tight blood sugar control and a healthy lifestyle.

Signs and symptoms :

Peripheral Neuropathy symptoms:

Numbness or reduced ability to feel pain or temperature changes.
Tingling or burning sensation.
Sharp pains or cramps.
Increased sensitivity to touch — for some people, even the weight of a bedsheet can be painful.
Muscle weakness.

Autonomic Neuropathy symptoms :

This type usually affects the digestive system, especially the stomach. It can also affect the blood vessels, urinary system, and sex organs.

Bloating
Diarrhea
Constipation
Heartburn
Nausea
Vomiting
Feeling full after small meals

Radiculoplexus neuropathy :
Severe pain in a hip and thigh or buttock that occurs in a day or more
Eventual weak and shrinking thigh muscles
Difficulty rising from a sitting position
Abdominal swelling, if the abdomen is affected
Weight loss

Mononeuropathy:

Shin or foot
Lower back or pelvis
Front of thigh
Chest or abdomen
Difficulty focusing
Double vision
Aching behind one eye
Paralysis on one side of your face (Bell's palsy)

Causes:

Damage to nerves and blood vessels
The exact cause likely differs for each type of neuropathy. Researchers think that over time, uncontrolled high blood sugar damages nerves and interferes with their ability to send signals, leading to diabetic neuropathy. High blood sugar also weakens the walls of the small blood vessels (capillaries) that supply the nerves with oxygen and nutrients.

However, a combination of factors may lead to nerve damage, including:

Inflammation in the nerves caused by an autoimmune response. The immune system mistakes nerves as foreign and attacks them.
Genetic factors unrelated to diabetes may make some people more likely to develop nerve damage.
Smoking and alcohol abuse damage both nerves and blood vessels and significantly increase the risk of infection.

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, your 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 doctor may perform or order specific tests to help diagnose diabetic neuropathy, such as:

Filament test. Your doctor will brush a soft nylon fiber (monofilament) over areas of your skin to test your sensitivity to touch.
Quantitative sensory testing. This noninvasive test is used to tell how your nerves respond to vibration and changes in temperature.
Nerve conduction studies. This test measures how quickly the nerves in your arms and legs conduct electrical signals. It's often used to diagnose carpal tunnel syndrome.
Electromyography (EMG). Often performed along with nerve conduction studies, EMG measures the electrical discharges produced in your muscles.
Autonomic testing. 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.

Prevention:

You can prevent or delay diabetic neuropathy and its complications by keeping tight control of your blood sugar and taking good care of your feet.

Blood sugar control
Use an at-home blood sugar monitor to check your blood sugar and make sure it consistently stays within target range. It's important to do this on schedule. Shifts in blood sugar levels can accelerate nerve damage.

The American Diabetes Association recommends that people with diabetes have the A1C test at least twice a year. This blood test indicates your average blood sugar level for the past two to three months. If your blood sugar isn't well-controlled or you change medications, you may need to get tested more often.

Foot care
Follow your doctor's recommendations for good foot care.

Foot problems, including sores that don't heal, ulcers and even amputation, are a common complication of diabetic neuropathy. But you can prevent many of these problems by having a comprehensive foot exam at least once a year, having your doctor check your feet at each office visit and taking good care of your feet at home.

To protect the health of your feet:

Check your feet every day. Look for blisters, cuts, bruises, cracked and peeling skin, redness, and swelling. Use a mirror or ask a friend or family member to help examine parts of your feet that are hard to see.
Keep your feet clean and dry. Wash your feet every day with lukewarm water and mild soap. Avoid soaking your feet. Dry your feet and between your toes carefully by blotting or patting with a soft towel.

Moisturize your feet thoroughly to prevent cracking. Avoid getting lotion between your toes, however, as this can encourage fungal growth.

Trim your toenails carefully. Cut your toenails straight across, and file the edges carefully so there are no sharp edges.
Wear clean, dry socks. Look for socks made of cotton or moisture-wicking fibers that don't have tight bands or thick seams.
Wear cushioned shoes that fit well. Always wear shoes or slippers to protect your feet from injury. Make sure that your shoes fit properly and allow your toes to move. A podiatrist (foot doctor) can teach you how to buy properly fitted shoes and to prevent problems such as corns and calluses.

If problems do occur, your doctor can help treat them to prevent more-serious conditions. Even small sores can quickly turn into severe infections if left untreated.

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