Diabetic neuropathy? Especially in the feet and toes.

Multiple factors. 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. To improve and prevent further deterioration diet and exercise is the key. Keep blood sugars under control.
I agree. This is a difficult disease to treat but it is possible to get good results. Tight control of you glucose levels will help the progression of further damage to nerves but will not reverse already damaged nerves. Treatment includes good diabetes control, oral medications, topical medications, and there is some anecdotal evidence for spinal cord stimulation.
Possible symptoms. Depending on the affected nerves, symptoms of diabetic neuropathy can range from a numbness and tingling sensation, possibly a burning sensation, to an uncomfortable painful sensation of the extremities. Get evaluated by a professional to determine the exact cause of the neuropathy in order to get the appropriate treatment.
Do EMG. Electromyography can provide a specific pattern to confirm the clinical neuropathy and can rule out potential superimposed nerve compression which might be causing a tarsal tunnel syndrome. If EMG not illustrative, consider diabetic small fibre neuropathy, which can be confirmed on punch biopsy.
Microvas. Dm neuropathy treatment in the lower extremity is usually treated with medication to alleviate the pain associated with neuropathy. Recently there has been some promising research showing a treatment called microvas to help alleviate the symptoms and restore bablance. The idea is that increasing micro circulation will improve nerve function in turn take away the neuropathy symtpoms.
Very difficult. First do everything you can to controll your diabetes: fix your nutrition and exercise almost every day. There are several good medd to help including Neurontin and lyrica (pregabalin). Please consult with your family doc to review your options.

Related Questions

What is foot drop, how is it treated/managed. Diabetic neuropathy and diabetic vascular disease?

Neuro-muscular. Foot drop is a manifestation of neuromuscular disorder from many causes, including, vitamin deficiency, lead poisoning, leprosy, alcoholism etc. You may consult this site for more info. http://www.mayoclinic.org/diseases-conditions/foot-drop/basics/causes/con-20032918. Read more...
WHY? First, find the etiology/reason for the drop foot. You're so young to have PVD and neuropathy. Maybe a NCV and EMG. Then, start w/ some type of bracing before surgery. Read more...

What does diabetic neuropathy in the feet and toes feel like? Does taking prescription metanx help? . Been type-1 for 30+ years

See a Podiatrist. Typically patients complain of burning pain in feet and toes. Some patients present with no feeling at all. I recommend you find a local podiatrist who has experience caring for diabetics. Read more...
Bad. Diabetic neuropathy in feet and toes, usual symptoms include burning, tingling, numbness, and pain. One or a combination of the symptoms may occur. I have had mixed results with metanx which is mainly a Folic Acid on steroids which aids nerve health. Read more...
Most common. Symptoms are burning, sharp pains pins and needles =, numbness, tingling, cold or hot. Worse at night. Mentanx is good medication for diabetic neuropathy. Read more...
Metanx may help. Depending on the affected nerves, symptoms of diabetic neuropathy can range from a numbness and tingling sensation, possibly a burning sensation, to an uncomfortable painful sensation of the extremities. Get evaluated by a professional to determine the exact cause of the neuropathy in order to get the appropriate treatment. Read more...
Variable symptoms. Typical is numbness, tingling, coldness, or burning, and variation of pain. Foot weakness may be present. If you take metformin, might check for b-12 deficiency, in addition. Metanx is fda approved and has been shown to improve nerve fibre density and reduce symptoms, but could take 6-12 months, and best to take twice daily. Read more...

What should you do for diabetic neuropathy pain in your feet?

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 more...
Varied. First. Get your glc level under control. For acute symptoms there are holistic meds such as neremedy and metanx. Traditional meds such as Cymbalta (duloxetine) neurontin, lyrics, elavil, quinine(can drink diet tonic water). Topical creams are also available . Laser treatment, light thespy and even surgeries are available. Read more...

What is the best solution to diabetic neuropathy in feet?

Nothing. Tight blood sugar control will slow the progression of neuropathy. Nothing will fix it. Some medications will help with the pains of neuropathy. Read more...
No single cure. Diabetic neuropathy is complicated problem.What works for one person wont work for all. Medications, vitamins, therapy are some options. Read more...
Many possibilities. Topical capsaicin may be helpful for some, while others may benefit with oral medication such as Pregabalin (lyrica), Amitriptyline (elavil), duloxetine (cymbalta), Gabapentin (neurontin), Carbamazepine (tegretol), or valproate (depakote) to reduce the painful symptoms in the feet due to neuropathy. Watch you sugar intake, and have your vitamin b levels checked and supplemented as necessary. Read more...
Several options. . There are several options for treating diabetic neuropathy ranging from topical creams to oral medications. Keep your blood sugar well controlled to prevent the neuropathy from getting worse. See you doctor for a prescription and individualized recommendations. Read more...

Feet hurt from diabetic neuropathy but why do they swell as well?

Swelling = edema. Can be the result of kidney dysfunction - also related to diabetes - see the primary care doctor and ease up on any sodium containing foods. Read more...
Swelling. This could be vascular or kidney and both related to diabetes. See your endocrinologist or family doc. Read more...
Many possibilites. Some causes of swelling of the feet can include systemic problems such as hypertension, and problems with the kidneys and localized issues such as arthritis, infection, lymphatic obstruction, blood clots, varicose veins, trauma (fracture, sprain, and tendonitis) and side effects to medication. Have it evaluated by a professional and get the appropriate treatment. Read more...

What is the best solution to diabetic neuropathy in hands, feet?

I like Metanx . As an option, have had good success with it. You need a prescription. Read more...
Depends on the cause. The symptoms of diabetic neuropathy may be caused due to a variety of different factors. Factors that may contribute to the symptoms include vitamin deficiency, nerve damage, and nerve compression. Get evaluated by a professional to determine the exact cause in order to obtain the best possible treatment. Read more...
Several options. There are several options for treating diabetic neuropathy, ranging from topical creams to different kinds of oral medications. See your doctor for a prescription and individualized recommendation. Read more...

Which is the optimum solution to diabetic neuropathy in hands and feet?

MANY things. Could be peripheral neuropathy. See a doctor for treatment options. There are many medical foods (metanx, neuremedy, etc.) that can be helpful and even reverse some of the symptoms. 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 more...
What's the cause ? Neuropathy simply means nerve injury. Peripheral nerves control many things including sensation, motor function and automatic things like sweating, goosebumps. Injury to peripheral nerves can occur from diabetes, trauma, and many other metabolic processes as well as many medicines. With so many causes, the key is to find out the cause and the a treatment can be identified. Read more...

Can diabetic neuropathy give a feeling like you toes arent there?

Yes it can. Diabetic neuropathy can cause symptoms such as those you described, and also has been associated with symptoms of pain, numbness, burning sensation, and tingling to name a few. The feeling you describes makes neuropathy dangerous since patients can get sores or wounds and not feel it and then it gets infected. I would also suggest you check with your doctor regarding your circulation. Read more...
Yes. 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. Diabetic neuropathy is nerve damage and therefore can never be 100% restored. To improve and prevent further deterioration diet and exercise is the key. Read more...