Diabetic neuropathy (nerve damage)
About Diabetic neuropathy (nerve damage)
Diabetic Neuropathy is a complication of diabetes that results in damage to the nerves in the body. It is a common complication caused by uncontrolled hyperglycemia (high blood sugar levels) for an extended period of time. It most often damages nerves in the lower legs and feet called peripheral neuropathy. It may also cause autonomic neuropathy (heartburn, incontinence, impotence and difficulty emptying the stomach and bladder, dizziness when standing up suddenly) and mononeuropathy (numbness of a nerve in the limbs or vision problems). The incidence increases with age and length of time with uncontrolled diabetes. It may occur in both Type I and Type II diabetics.Symptoms
Symptoms vary depending on which nerves are affected. Peripheral neuropathy may cause numbness, tingling, burning, pain when walking, or increased sensitivity to light touch to the lower legs and feet. When the condition is more advanced, an individual may be at risk for development of skin ulcers, infections, and deformities. Autonomic neuropathy may cause incomplete bladder emptying, sexual function problems, stomach and bowel problems. Focal neuropathy may cause vision changes, foot drop, or radiating pain originating from the spinal cord.Tests & Diagnostics
A complete history and physical will be performed. If you do not have a past medical history of Diabetes, your provider will rule out elevated blood glucose with random and a fasting level test. A hemoglobin A1C can also help measure the success of controlling the glucose level over time. Other specific tests may include EMG / Nerve conduction studies and a 2-point discrimination test.Common tests: Electomyography (EMG), Hemoglobin A1C.
OTC sleep aids and supportive treatments
Prescription medications
Conventional treatment summary
Treatment depends on the level of involvement and the nerves involved. Blood glucose levels should be controlled to prevent further progression of the disease, decreasing pain with medication, and managing further complications. For more information contact the American Diabetes Association: 800-342-2383 or www.diabetes.orgMedical specialties
Internal Medicine · Family Practice · Diabetes, Endocrinology and Metabolism
This page is educational content, not medical advice. Always consult a qualified clinician for diagnosis and treatment of Diabetic neuropathy (nerve damage).