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Doctor insights on: What Is The Drug Of Choice For The Peripheral Neuropathy In Diabetic Pt

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What is the drug of choice for the peripheral neuropathy in diabetic pt.?

What is the drug of choice for the peripheral neuropathy in diabetic pt.?

Neurontin (gabapentin): I typically start with Neurontin as it has a generic. Other drugs include Lyrica (pregabalin) and cymbalta, but they tend to be more expensive. Remember all drugs have side effects and the inial goal of treatment is sugar control. ...Read more

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Dr. Olav Jaren
1,333 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


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Can diabetic peripheral neuropathy be reversed?

Can diabetic peripheral neuropathy be reversed?

Some: Usually by getting a diabetic person's sugars tightly controlled, some of the neuropathy will be reversed. However, severe nerve damage is a permanent problem. Dr kurzweil review: there is no question that well-controlled diabetes helps prevent progression of the complications. I'm not aware of evidence that actual pathological changes in peripheral nerves can be reversed. ...Read more

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What are the features of diabetic peripheral neuropathy?

What are the features of diabetic peripheral neuropathy?

Several: Symptoms of diabetic peripheral neuropathy may include: tingling numbness (severe or long-term numbness can become permanent) burning (especially in the evening) pain. ...Read more

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Is peripheral neuropathy in some way related to diabetes?

Is peripheral neuropathy in some way related to diabetes?

Rather frequent: Amongst the major diabetes complications such as kidney and eye problems, is presence of nerve involvement. This is more common in type ii, and if ignored has potential for foot ulcers, and even amputations. Tight control of serum glucose is only part of this. A medical food metanx may be very useful. Not unique for nerve problems to be caused by different problems, and this needs evaluation. ...Read more

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Say I have peripheral neuropathy, does that mean I have diabetes?

Say I have peripheral neuropathy, does that mean I have diabetes?

Quite possibly not.: The major symptoms of the flu usually last for about 2 to 5 days without a condition which impacts immunity. In a healthy person it often takes a week or more to get back up to speed. It may take longer if you have leukemia. Discuss any concerns with your physician. Take care. ...Read more

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What happens if I have peripheral neuropathy, does that mean I have diabetes?

What happens if I have peripheral neuropathy, does that mean I have diabetes?

Neuropathy causes: There are many causes of neuropathy, diabetes mellitus is one of them. Many people with diabetes have neuropathy, but not all. Many people with neuropathy do not have diabetes. It is a good idea to be tested for diabetes mellitus, and to consider other causes as well. ...Read more

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How to treat non-diabetic peripheral neuropathy?

It depends: It depends on the etiology of what is causing the neuropathy. Often times in a diabetic the cause is the medical condition. In a non-diabetic where the diabetes is not the etiology one may look towards the back i.E herniated disc etc as a possible cause. Medications chosen are esentially the same. For both conditions nutrional supplements i.E l-methyl folate, (folic acid) alpha-lipoic acid and befotalamine. ...Read more

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Can dehydration increase the symptoms of diabetic peripheral neuropathy? Thanks!

Can dehydration increase the symptoms of diabetic peripheral neuropathy?  Thanks!

All stressors bad: Peripheral neuropathies (pn) are a progressive disorder. Stressors are usually metabolic and a worsening of the underlying cause for pn, so dehydration can be a temporary stressor. ...Read more

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How can you treat non-diabetic peripheral neuropathy in my feet?

How can you treat non-diabetic peripheral neuropathy in my feet?

Pain, numbness. : Non-diabetic neuropathy is treated the same way as diabetic neuropathy in most cases. If you have tingling, burning, and numbness, or even pain, it's often impossible to get normal sensation back. Some medications reduce the pain or tingling, but nothing can reverse numbness. See your doctor for possible oral or topical medications. ...Read more

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How do you manage care of a type 2 diabetic with hypertension and peripheral neuropathy?

How do you manage care of a type 2 diabetic with hypertension and peripheral neuropathy?

Educate yourself: Cut down on the sugar and salt. Cut down on the crabs (rice potatoes, bread) as they get converted to sugar. You may want to use alternative sweeteners. See a nutritionist. Make a change in your lifestyle now as many of the complications of diabetes are preventable. There are various causes of peripheral neuropathy. Have it evaluated and treated. ...Read more

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Have bilateral peripheral neuropathy, etiology unknown, ruled out diabetes and neuro found spiinal pulses ok; male age 60, onset 8 yrs. Options?

Have bilateral peripheral neuropathy, etiology unknown, ruled out diabetes and neuro found spiinal pulses ok;  male age 60, onset 8 yrs. Options?

Idiopathic: Many causes of neuropathy may not have a specific treatable cause. You may have a small fiber neuropathy that would need a biopsy for diagnosis. If there is pain involved then there are several meds that can help with symptoms. The best way to treat neuropathic symptoms us to treat the cause if the neuropathy. Makes it difficult if the cause cannot be determined. ...Read more

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Which b vitamins and in what size should I take for non-diabetic peripheral neuropathy?

Which b vitamins and in what size should I take for non-diabetic peripheral neuropathy?

Depends on the cause: Neuropathy is a condition resulting from abnormal nerve function. Neuropathy can be due to certain vitamin deficiencies, nerve damage due to trauma, alcohol consumption, radiation, 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

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Besides the common causes of peripheral neuropathy, what else could possibly cause it? No alcohol, no diabetes, or toxins

Everyone has toxins: Toxins are the cause of 95% of human disease. Everyone has them and most do not know it or which ones they have. You body probably is having a rough time getting g rid of the toxic load that you have , but do know about . Find a acam doctor who is experienced in determining the types of toxins and the extent to which you are affected and how to get rid of them. ...Read more

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What causes peripheral neuropathy if there is no history \of diabetes or alcohol abuse?

What causes peripheral neuropathy if there is no history \of diabetes or alcohol abuse?

Neuropathy can: also be secondary to chemotherapy. Additionally, some people develop neuropathy and the cause is not determined. Please see your doc. Natural supplement for this is Alpha Lipoic Acid. Check w/;professional for proper dose. Peace and good health. Needs to be 1200 mg daily or not helpful. Diagnosis or treatment not done here. ...Read more

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Severe progressive peripheral neuropathy. For 10 years. Type 2 diabetes for 2 years. ? Lupus?

Severe progressive peripheral neuropathy.  For 10 years.  Type 2  diabetes for 2 years. ? Lupus?

Abnormal nerve: Neuropathy is a condition resulting from abnormal nerve function. Neuropathy can be due to certain vitamin deficiencies, nerve damage due to trauma, alcohol consumption, radiation, 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

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What are the other causes of peripheral neuropathy if there is no history or diagnosis of diabetes or alcohol abuse?

What are the other causes of peripheral neuropathy if there is no history or diagnosis of diabetes or alcohol abuse?

Many: Many causes of peripheral neuropathy: peter dyck wrote a 2-volume textbook (2992 pages). Common causes: diabetes, thyroid conditions, others hormonal conditions, toxins (alcohol, insecticides, chemotherapy, lead, arsenic, agent orange, others), rheumatoid, lupus, vitamin deficiencies, copd, peripheral vascular conditions, & infections/immune conditions. In 30% of people, no cause can be found. ...Read more

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I am a diabetic. I took Norvasc (amlodipine) for two months. One day, iwoke up withe peripheral neuropathy. There was no gradualonset. Can Norvasc (amlodipine) bring this on?

I am a diabetic. I took Norvasc (amlodipine) for two months. One day, iwoke up withe peripheral neuropathy. There was no gradualonset. Can Norvasc (amlodipine) bring this on?

Unlikely: It is extremely unlikely to be brought on suddenly by the norvasc (amlodipine). Diabetes is a known cause of neuropathy, and probably the most common cause. It may have be so gradual that you didn't notice it, until 1 day you did. ...Read more

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Dr. Adam Lewis
498 doctors shared insights

Peripheral Neuropathy (Definition)

A generic medical term for dysfunction of the nerves that carry information to and from the central nervous system (the ...Read more


Dr. Bennett Machanic
1,449 doctors shared insights

Neuropathy (Definition)

Weakness, numbness, and pain from nerve damage, usually in ...Read more