If you have peripheral neuropathy, you may not feel an injury or sore on your foot. People with diabetes often have poor circulation, which makes it more difficult for wounds to heal. You can prevent or delay diabetic neuropathy and its complications by closely managing your blood sugar and taking good care of your feet. If you have diabetes, you can develop nerve problems at any time. Significant nerve problems (clinical neuropathy) can develop within the first 10 years after a diabetes diagnosis. The risk of developing neuropathy increases the longer you have diabetes.
A person with diabetes may develop diabetic neuropathy shortly into their condition. Glycated hemoglobin (A1C) goals may need to be individualized, but for many adults, the ADA recommends an A1C of less than 7.0%. Regular exercise can help keep blood sugar levels manageable by increasing insulin sensitivity, here meaning you’ll need to take less insulin each day. Getting enough sleep is also important, as we often crave high-carb foods when overly tired. Diabetic polyneuropathy (DPN) affects multiple peripheral sensory and motor nerves that branch out from the spinal cord into the arms, hands, legs and feet.
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It is also important to control other risk factors such as high triglycerides or cholesterol, treat high blood pressure and quit smoking. Daily aerobic exercises are shown to protect the nerves and improve neuropathy outcomes. Losing weight is also important if a patient is obese or overweight. The symptoms of diabetic neuropathy depend on the type of neuropathy and on which and how many nerves are affected. Diabetic neuropathy is the name experts give to nerve damage that arises as a complication of diabetes. It is a progressive condition, meaning that symptoms will worsen over time.
Symptoms can range from pain and numbness in your feet to problems with the functions of your internal organs, such as your heart and bladder. There are different types of diabetic neuropathy that affect different areas of your body, causing a variety of symptoms. If you have diabetes, it’s important to regularly check your blood glucose levels via and contact a doctor if you have any symptoms of neuropathy. Depending on the affected nerves, diabetic neuropathy symptoms include pain and numbness in the legs, feet and hands. It can also cause problems with the digestive system, urinary tract, blood vessels and heart. But for others, diabetic neuropathy can be quite painful and disabling.
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EMG checks the health of the nerves that are in control of the muscles. This prevents essential nutrients from reaching the nerves, which can cause damage. It typically affects the hip, buttock, or thigh on one side of the body. The American Diabetes Association (ADA) recommends that people living with diabetes have a glycated hemoglobin (A1C) test at least twice a year. This test indicates your average blood sugar level for the past 2 to 3 months.