What is Diabetic Neuropathy?

Diabetic Foot PainDiabetic neuropathy is a long-term complication of both Type 1 and Type 2 diabetes. It affects the nerves of the body. There is no cure for neuropathy.


Causes of Neuropathy

Neuropathy, or damage to the nervous system, can have many causes. An injury or exposure to toxins can harm the nerves. Several chronic diseases can also affect the integrity of nerves over a long period of time. Parkinson’s, multiple sclerosis and other conditions such as autoimmune diseases can cause damage to nerves. But diabetes is the biggest risk factor for neuropathy today.


Nerves Damaged by Abnormal Blood Glucose

Neuropathy is a long-term complication of diabetes, which means it typically takes many years for neuropathy to develop. Nerve damage happens over time, due to prolonged exposure to the damaging effects of high blood glucose levels. The longer a person has diabetes, the higher the risk of developing neuropathy, especially if their disease is not controlled well.


Preventing or Reducing the Risk

Good glucose control, a balanced eating plan and exercise can help fend off neuropathy. But sometimes, as in Type 1, no matter how tight the control, how balanced the diet or how much exercise a person gets, neuropathy can strike — simply because of the sheer length of time the person has had diabetes. Also, many times, people who suffer from Type 2 diabetes don’t even know they have the disease for many years. Much damage can occur during that time.


Treating Neuropathic Pain

For mild to moderate pain, Tylenol or NSAIDS, such as Motrin or Aleve might be prescribed. Some of the more common medications for neuropathic pain include tricyclic antidepressants (TCAs) such as Elavil and Amitril. When TCAs are used to treat chronic pain, the dosage is much lower than for treating depression. certain medications (duloxetine hcl) is an SSRI, another kind of antidepressant medicine which shows success at treating both neuropathic pain and any underlying depression that also might exist.


How to Cope

Occasionally neuropathy does not respond well to treatments for pain or it may get worse. For some people, it can lead to serious disability. If it hurts to walk, or if muscles are weak, it’s hard to perform the activities of daily living. Try to pace yourself. Plan activities ahead of time, so you know what to expect. Don’t try to do everything in one day. Ask for help or support from family and friends. Talking to a counselor or therapist can help with feelings of depression or anxiety.


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