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Doctor insights on: Diabetic Neuropathy

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Dr. Payam Rafat
348 Doctors shared insights

Diabetic Neuropathy (Overview)

Diabetic neuropathy is a problem of the nerves seen in patients with diabetes. Diabetes damages the small blood vessels of the nerves, which may result in decreased or abnormal sensation.


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What kind of condition is diabetic nerve problems (neuropathy)?

What kind of condition is diabetic nerve problems (neuropathy)?

Foot ulcers etc.: Diabetic neuropathy (nerve disease), and may eventually lead to foot ulcers and amputation of lower limbs. ...Read more

Dr. Payam Rafat
348 Doctors shared insights

Diabetic Neuropathy (Overview)

Diabetic neuropathy is a problem of the nerves seen in patients with diabetes. Diabetes damages the small blood vessels of the nerves, which may result in decreased or abnormal sensation.


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What are the symptoms of diabetic neuropathy?

What are the symptoms of diabetic neuropathy?

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 more

Dr. Jan Lei Iwata Dr. Iwata
2 other doctors agreed
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Diabetic neuropathy (Tip)

If diabetic with neuropathy, make sure to check your skin that there's no open cuts. ...See more

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Living with Neuropathy (Checklist)

Monitor your blood sugar levels
Once
Wear loose-fitting shoes
Once
Abstain from alcohol
Once
Stop smoking
Once
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63 yr old male. Just diagnosed with diabetic peripheral neuropathy. Can this lead to circulation problems. A1c is 7. Blood sugar levels are in range.

63 yr old male. Just diagnosed with diabetic peripheral neuropathy. Can this lead to circulation problems. A1c is 7. Blood sugar levels are in range.

Can lead to PROBLEMS: I am unclear on what you mean with the term "circulation problems." are you referring to blockage of the cirulation by blood clots, atherosclerosis? Diabetes is often said to be a "small vessel type of disease process." meaning that infarcts and strokes occur in limited parts of the brain or heart. Truth though is diabetes affects large vessel as well...Meaning that clots can form and travel. ...Read more

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What are the tests for diabetic neuropathy?

What are the tests for diabetic neuropathy?

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 more

Dr. Craig Morton Dr. Morton
1 other doctor agreed
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Diabetic neuropathy (Tip)

There are a few good OTC creams that can help with the burning. One of the best is: www. Aculeve. Com. ...See more

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Treating a Pinched Nerve (Checklist)

Exercise and stretch
Once
Get an X-ray/MRI if pain lasts more than 4 weeks
Once
See a spine/pain specialist if pain doesn't improve
Once
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What to do if I'm suffering from a condition called diabetic neuropathy. Does anyone out there know if there is a cure.?

What to do if I'm suffering from a condition called diabetic neuropathy. Does anyone out there know if there is a cure.?

Diabetic neuropathy: Diabetic neuropathy has no known cure. Fortunately, there are treatments for diabetic neuropathy. The treatment mainly focuses on slowing progression of the disease, relieving pain, and restoring function. ...Read more

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How to treat diabetic neuropathy causing anorgasm in men?

How to treat diabetic neuropathy causing anorgasm in men?

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

Dr. Jan Lei Iwata Dr. Iwata
1 other doctor agreed
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Diabetic neuropathy (Tip)

B vitamins can sometimes help improve this. ...See more

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Are there treatment guidelines for diabetic neuropathy?

Are there treatment guidelines for diabetic neuropathy?

Yes: Every year the americal diabetes association publishes clinical practice guidelines. The guidelines should be available by contacting them. You could also try google. ...Read more

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Will hyperbaric oxygen treatments help with diabetic neuropathy?

Hyperbaric: There is no evidence that diabetic neuropathy is helped by hyperbaric oxygen treatments. It is not covered by CMS or other insurance companies. ...Read more

Dr. Jan Lei Iwata Dr. Iwata
1 other doctor agreed
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Diabetic neuropathy (Tip)

What do I do when I feel pins and needles sensation all the time? ...See more

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Any cure that you can recommend for my diabetic neuropathy?

Any cure that you can recommend for my diabetic neuropathy?

No cures: There are medications to reduce the symptoms of diabetic neuropathy and the best treatment is keeping excellant control of you blood sugars. Howevre, there is no cure. ...Read more

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I have diabetic neuropathy and I'm currently on lyrica (pregabalin) but I've been feeling a lot of muscle soreness is this normal from the pill?

I have diabetic neuropathy and I'm currently on lyrica (pregabalin) but I've been feeling a lot of muscle soreness is this normal from the pill?

Lyrica (pregabalin) side effect: Even though it is not common, Lyrica (pregabalin) can cause muscle cramp. If you believe you have muscle soreness from lyrica, (pregabalin) please talk to your doctor. ...Read more

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Diabetic neuropathy (Tip)

If no heart/pressure/kidney/diabetes, use exercise, raise feet above heart, support stockings. ...See more

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What is diabetic neuropathy?

What is diabetic neuropathy?

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 more

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Can diabetic neuropathy be cured?

Can diabetic neuropathy be cured?

Diabetic neuropathy: Diabetic neuropathy has no known cure. Fortunately, there are treatments for diabetic neuropathy. The treatment mainly focuses on slowing progression of the disease, relieving pain, and restoring function. ...Read more

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How common is diabetic neuropathy?

How common is diabetic neuropathy?

Common: Amongst the diabetic population. Keeping strict glycemic control can help ward off. ...Read more

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What exactly is diabetic neuropathy?

What exactly is diabetic neuropathy?

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 more

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What is done for diabetic neuropathy?

What is done for diabetic neuropathy?

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 more

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Could diabetic neuropathy be reversed?

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 more

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How to tell if I have diabetic neuropathy?

How to tell if I have diabetic neuropathy?

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 more

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How to get relief for diabetic neuropathy?

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

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What are the tests for diabetic neuropathy?

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 more

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What are the symptoms of diabetic neuropathy?

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 more

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How could I tell if I have diabetic neuropathy?

How could I tell if I have diabetic neuropathy?

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 more

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What's a good thing to take for diabetic neuropathy?

What's a good thing to take for diabetic neuropathy?

Several MEDS: Several medications may help diabetic neuropathy: lyrica, (pregabalin) gabapentin, tri-cyclics etc. Also vitamin supplement : metanx (pill 2x/day) may also help for 'painful diabetic neuropathy' check with a diabetic specialist. ...Read more

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Can anything be done to reverse diabetic neuropathy?

Can anything be done to reverse diabetic neuropathy?

Some times: If you are treating a particular nutritional deficiency, metanx may be of benefit. Neuropathy can be due to certain vitamin deficiencies, nerve damage due to trauma, alcohol consumption, side effects of certain medications, or due to certain medical conditions such as diabetes. Treatment varies depending on the cause of the problem. Have it evaluated and appropriately treated. ...Read more

Dr. Olav Jaren
1,344 Doctors shared insights

Nerve Damage (Definition)

A complete nerve transection will leave an area totally numb. The distribution of the numbers depends upon where the nerve was cut. A partial nerve injury may leave the area tingly or incompletely numb. Finally even if the nerve is not cut the swelling and bruising to the tea can affect the nerve as well. Usually we consider sharp penetrating injuries as likely having nerve lacerations when sensation is lost. A hand surgeon can examine the hand and pinpoint the site or extent of nerve injury and recommend ...Read more


Dr. Sheila Smith
159 Doctors shared insights

Diabetic Nerve Problems (Definition)

Also known as diabetes neuropathy, this is a family of nerve disorders caused by diabetes thta can cause symptoms such as pain, tingling, or numbness—loss of feeling—in the hands, ...Read more