Doctor insights on:
Cause Of Diabetic Nerve Problems
The brain and spinal cord communicates with what is occurring in the internal organs and limbs by nerve fibers where are like electrical wires with insulation (myelin) and the "copper" (axon). Within brain and spinal cord these nerves connect to other nerves via synapses on both axons and dendrites. A nerve can carry information regarding sensations, and ...Read more
Buzz: When there is too much sugar floating around in the blood, the nerves get drunk on it and go foggy, mumbling their electrical impulses back to the brain, tingly, and aren't aware of stimulus trying to warn them their is stone in your shoe or that heating pad has been on too long and is burning your skin or you have an infection in your foot when you stubbed your toe, because the nerves are drunk. ...Read more
Many facets: Sensory neuropathy is broken down into large fiber (loss of sensation, loss of proprioception) and small fiber (burning, tingling sensation). Motor neuropathy causes gait instability and deformities of the feet. Lastly autonomic neuropathy effects include stomach emptying and erectile dysfunction. ...Read moreSee 2 more doctor answers
Important question: We feel that the diabetic nerve complications involve blood flow in the small vessels that subserve peripheral nerve function, and thereby damage the central axon function which results in an axonal neuropathy. In general, the nerve problems do not readiliy respond to the usual basic diabetes drugs, but may benefit from a medical food metanx. ...Read moreSee 1 more doctor answer
Blood tests.: Have it evaluated and appropriately treated.Get a more detailed answer ›
For last 2 years have hypoglycemia through the day will drop to 45-70 due HKPP I believe. Could this cause diabetic neuropathy?
Totally confused: You think you have HKPP, an exceedingly rare disease. Why? Do you become completely paralyzed at times? Hypoglycemia may precipitate HKPP, not the reverse. Diabetes is a condition of persistently HIGH blood sugar, not low. Sounds like you've been doing "research" (grimace) on the Web & misinterpreted or misunderstood everything you've read. Need to find someone who will explain it all to you. ...Read more
Is there a long term problems & complications that's come with years of hypoglycemia with out diabetes? Could I still get diabetic neuropathy?
Could a blood sugar level of 104 fasting cause diabetic neuropathy? My legs are dry, shrinking and feel weak. I'm walking slower than normal.
Unlikely: In order to be diagnosed with diabetes, you have to show abnormalities in one of several ways: fasting glucose over 100 mg/dl, or HgA1c over 6.5% at two separate testing, or a random glucose test > 200 mg/dl. Therefore I would consider the level of 104 fasting mildly abnormal and unless it was elevated at other times in the past, that level by itself is unlikely to cause a true neuropathy. ...Read more
Mom has tinnitus cos of hearing loss caused by diabetic neuropathy.Left ear 30% & right ear 35% loss.ENT has giver her tinnex.Will it work.Advise.thx?
Unclear: A recent trial to examine this drug was suspended and trials of other drugs have not shown efficacy. Importantly, she should speak to her doctor for help managing her blood sugars to reduce the risk of further diabetic complications. There are alternatives to helping reduce the the severity of the tinnitus as well as associated side effects of the tinnitus. Please have her speak with her doctor. ...Read more
Neuropathy Relief: That's a good question. Do you mean relief from the condition, or relief from the symptoms? It is said that getting the blood sugar back to normal can eventually help the nerves heal. That is a worthy goal, and unfortunately difficult. Comments are appreciated. Symptomatic relief often occurs with medicine, either topical or oral. Gabapentin is a popular option, amitriptyline, etc. ...Read more
Diabetic neuropathy: There are several treatments for diabetic neuropathy. The treatments can be myofascial release, medications, injections like lumbar sympathetic block, and advanced treatment like neuromodulation. Please see a pain management doctor for comprehensive evaluation and treatment. ...Read moreSee 2 more doctor answers
Have it evaluated.: If the symptoms are due to neuropathy, topical capsaicin may be helpful for some, while others may benefit with oral medications. Watch you sugar intake, and have your vitamin b levels checked and supplemented as necessary. Consult with your physician for an appropriate plan of care. ...Read moreSee 1 more doctor answer
Get evaluated: If the symptoms are due to neuropathy, topical capsaicin may be helpful for some, while others may benefit with oral medications. Watch you sugar intake, and have your vitamin b levels checked and supplemented as necessary. Consult with your physician for an appropriate plan of care. ...Read moreSee 1 more doctor answer
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 ...Read moreSee 3 more doctor answers
Nerve Biopsy: There are new test that help diagnosis the degree and severity of diabetic neuropathy. Epidermal nerve fiber testing is a new way to test for neuropathy. Also having a emg/ncv (nerve flow test) perfomred will also assist in diagnosing neuropathy. A thorough clinical exam by your docotor will also help in diagnosisng your problem with tunning forks, and monofilament testing. ...Read moreSee 2 more doctor answers
Sensory, motor, Auto: Sensory neuropathy is broken down into large fiber (loss of sensation, loss of proprioception) and small fiber (burning, tingling sensation). Most patient’s state the numbness starts at the tips of the toes and slowly works it way up the legs. Motor neuropathy causes gait instability and deformities of the feet. Lastly autonomic neuropathy effects include stomach emptying and erectile dysfunction. ...Read moreSee 3 more doctor answers
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. ...Read moreSee 1 more doctor answer
Yes they are: These two conditions are identicalGet a more detailed answer ›
Sexual function: The first step is to see a urologist to determine if there is an organic cause for the inability to have an orgasm. Testosterone and PSA levels are often checked too. If there is no organic cause then psychological causes (e.g. marriage, divorce, sexual orientation) should be explored. ...Read more
Massive differences: Neuropathy is nerve damage.It often causes unpredictable pain or symptoms like numbness, weird sensations (paresthesias), hyperalgesia (very severe pain) or allodynia (pain from normally non-painful stimuli).Angiopathy is disease of the blood vessels that can cause leakage, blockage, or breakage of vessels.Hyperglycemia means "blood sugar" as in diabetes.It can lead to the other 2 problems. ...Read more
Approaches: Symptomatic relief for the pain, tingling, might use gabapentin, lyrica, (pregabalin) cymbalta, tricyclic antidepressants, and do pay attention to foot protection to prevent infections. The medical food metanx has been shown to decrease some symptoms and regenerate at least small fibres, but seems to take close to a year. ...Read moreSee 2 more doctor answers
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. ...Read moreSee 4 more doctor answers
Sensory, motor, Auto: Sensory neuropathy is broken down into large fiber (loss of sensation, loss of proprioception) and small fiber (burning, tingling sensation). Most patient’s state the numbness starts at the tips of the toes and slowly works it way up the legs. Motor neuropathy causes gait instability and deformities of the feet. Lastly autonomic neuropathy effects include stomach emptying and erectile dysfunction. ...Read moreSee 2 more doctor answers
Great question!!: You have entered into the frontiers of medicine, and briefly, we do have a prescription medical food, metanx, which has been biopsy proven to restore density of small fiber loss in diabetes. There is also some data to suggest better outcomes with very strict blood sugar control.. In europe, there are a few drugs which seem to offer further promise, but not yet on usa market. ...Read moreSee 1 more doctor answer
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