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A 46-year-old member asked:

How to tell if i have diabetic neuropathy?

6 doctor answers13 doctors weighed in
Dr. Robert Breiner
Podiatry 34 years experience
Filament testing: There is a standardized test using a small monofiliment that is touched to the skin. Your podiatrist or internest can do this test for you to test for lack of skin sensation in different areas, usually in the feet.
Dr. Payam Rafat
Podiatry 22 years experience
Get tested: Symptoms of diabetic neuropathy can range anywhere from a numbness and tingling sensation, possibly a burning sensation, to an uncomfortable painful sensation of the extremities. For some, these symptoms are mild, while for others, they can be severe and disabling. Have you physician examine and test you to determine if you have developed neuropathy so that you may prevent possible complications.
Dr. Libby Putnam
Podiatry 12 years experience
Pain, numbness. : When diabetics have uncontrolled blood sugars their nerves pay the price over time. They can have tingling, burning, and numbness, and once it happens it's impossible to get normal sensation back. Some medications reduce the tingling, but nothing can reverse numbness.
Dr. David Lipkin
Internal Medicine 52 years experience
Take this home test:: Test each foot with the Ipswich test: Compared to the standard monofilament test, it was able to detect neuropathy("positive test") in 3 out of 4 patients. If the test is normal("negative") it's unlikely you have neuropathy. Lightly touch the tips of 1st, 3rd & 5th toe for 1 second. Loss of sensation in two or more toes = neuropathy. SEE: bit.ly/1vsGZXn
Dr. Dennis Giannini
Physical Medicine and Rehabilitation 36 years experience
See your doctor: He/she may want to do laboratory testing and/or emg/ncs (electromyogram/nerve conduction testing). Most common symptoms are burning or stabbing or electrical pain in feet and/or hands.
Dr. Libby Putnam
Podiatry 12 years experience
Pain, numbness. : When diabetics have uncontrolled blood sugars their nerves pay the price over time. They can have tingling, burning, pain, a "tight" feeling, and numbness, and once it happens it's impossible to get normal sensation back. Some medications reduce the tingling, but nothing can reverse numbness.

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A 35-year-old member asked:

Can you tell me about taking nortriptylin for diabetic neuropathy?

1 doctor answer2 doctors weighed in
Dr. Ronald Krauser
A Verified Doctoranswered
A US doctor answeredLearn more
See details: It is an older therapy which can benefit some cases of diabetic neuropathy. These days, newer meds such as Neurontin or Lyrica (pregabalin) are more popular.
A 29-year-old member asked:

What is diabetic neuropathy?

5 doctor answers13 doctors weighed in
Dr. Shaun Machen
Orthopedic Surgery 29 years experience
Foot ulceration: Diabetics have loss of protective sensation to their feet. This occurs because excess glucose in the blood causes pathological changes to the nerves. Poor sensation can lead to the development of sores or ulcers. Diabetic also have poor blood supply to their feet so it is difficult to heal the ulcers. The ulcers can get infected and cause gangrene of the foot.

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Last updated Mar 12, 2015
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