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Welcome, medical contents search April 25, 2013
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Diabetic Neuropathy

more about Diabetic Neuropathy

  • Diabetes over time can lead to damage to the nerves in the body.  When the blood sugars are poorly controlled, the risk is greatly increased.

  • Feet/legs -- medications including Elavil and Neurotin
  • Must check your feet regularly.  Cut your nails properly and have a routine (every 3 months) foot and leg check by your doctor to prevent complications in the future.
  • Heart (lack of sensation) -- No treatment, but awareness that symptoms that may indicate a heart attack is going to happen (e.g., sweating, weakness, fatigue, or shortness of breath) because chest pain may not occur
  • Autonomic dysfunction -- no medications.  You should slowly rise from lying to sitting, or sitting to standing, and allow time in between (1-2 minutes) for the body to equilibrate.
  • Gastroparesis -- A medication called Reglan (metoclopramide) helps some individuals.

  • Primary areas affected
    1. Feet/legs -- nerve damage can result in the loss of sensation, burning, numbness, tingling, or pain
    2. Heart -- nerve damage can cause the loss of sensation to the heart.  Therefore, a person with diabetes may have a heart attack, and not feel any pain.
    3. Autonomic Dysfunction occurs when improperly functioning autonomic nerves impair the heart's ability to increase its rate when needed (for example when standing or exercising), causing lightheadedness or fainting.
    4. Gastroparesis occurs when the nerves to the stomach, intestines, and colon do not create a wave of intestinal contraction, causing food to "stop up," instead of pushing the food along into the next segment of intestine.

more about Diabetic Neuropathy

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