What is diabetic neuropathy?
It is a type of nerve damage caused by uncontrolled diabetes that leads to numbness and sometimes pain and weakness in the hands, arms, feet and legs. Diabetic neuropathy can affect the digestive tract, heart and genitalia. The longer a person has diabetes, the greater the risk of neuropathy.
What are the symptoms and signs of diabetic neuropathy?
The symptoms and signs of diabetic neuropathy depend upon the type of neuropathy that is present. There are four types of diabetic neuropathy peripheral neuropathy:
♦ Increased sensitivity to touch
♦ Loss of balance and coordination
♦ Serious foot problems, such as ulcers, infections and deformities.
Autonomic neuropathy: The autonomic nervous system controls heart, bladder, lungs, stomach, intestines, sex organs and eyes. Diabetes can affect the nerves in any of these areas, possibly causing:
♦ Lack of awareness that blood sugar levels are low
♦ Bladder problems, including urinary tract infections or incontinence
♦ Increased or decreased sweating, problems of regulating body temperature
♦ Inability of body to adjust blood pressure and heart rate, leading to sharp drops in blood pressure after sitting or standing
♦ Difficulty of eyes to adjust from light to dark.
♦ Sudden, severe pain in thighs, hips or buttock
♦ Weak and atrophied thigh muscles
♦ Difficulty rising from a sitting position
♦ Abdominal swelling, if the abdomen is affected
♦ Weight loss.
Signs and symptoms depend on which nerve is involved and may include:
♦ Difficulty focusing your eyes, double vision or aching behind one eye
♦ Pain in your shin or foot, lower back or pelvis, front of thigh. Sometimes chest or abdomen.
Importance of physiotherapy for diabetic neuropathy:
Physiotherapy has a significant role in the treatment and prevention of diabetic neuropathy. Specific exercise programme including range of motion, muscle strengthens and gait training can improve gait pattern or walking in patients with diabetic neuropathy. Evidence shows that resistant strengthening exercises lower blood glucose level. A proper physiotherapy intervention will help to alleviate from the symptoms of diabetic neuropathy and also improve overall quality of life.
How to prevent diabetic neuropathy?
Keeping diabetes under control is the best way to prevent or stop the progression of diabetic neuropathy and other complications of diabetes. Monitoring your blood glucose levels, avoiding smoking, getting aerobic exercises, strengthening exercises, balance training, taking your medications as prescribed, proper foot care and being active is the best way to prevent it