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Diabetes is a condition in which the body cells become unable to absorb glucose from blood either due to lack of insulin production by the pancreatic cells or due to the inadequate working of the target receptors. Symptoms of numbness, pain and tingling in arms, hands, fingers, legs, feet and toes; nausea, dizziness, weakness, vaginal dryness, erectile dysfunction, stiffness of wrist, hand, hip and knee, etc.
Other drugs such as duloxetine hydrochloride, amitriptyline, which are anti-depressants, are used to relieve pain in diabetic neuropathy.
Physical therapies such as muscle stretching, exercises and massages can help the patients who suffer from muscle cramps, spasms and weakness.
Electric nerve stimulation is a technique in which low voltage current is used to stimulate the nerves. Diabetes Neuropathy is not a life taking disease if one follows proper steps to keep the blood pressure and blood sugar levels in control. Diabetic neuropathy is a common condition that affects several people who are diagnosed with diabetes.
There are a number of drugs and treatments that attempt to treat this chronic disorder but they may have one or the other side effects. Transcutaneous electrical nerve stimulation, commonly known as TENs is an alternative therapy that uses electrodes to reduce the pain that is often caused due to diabetic neuropathy.
These low voltage electrodes transmit electrical impulses to the affected nerve and help reduce the pain.
Also, these electrical stimulation to the nerves help produce endorphin in the body that works as natural painkillers that blocks the feeling of pain in the affected nerve. In biofeedback, one of the most effective alternative cures for diabetic neuropathy, people learn to control their body responses for reducing the neuropathy pain. In biofeedback sessions, trained therapists apply electrical sensors to the affected parts of the body and monitor different physiological responses to the neuropathy symptoms. Later, it teaches you how your own body responds to different cues like flashing lights and beeping sound. Acupuncture is a very popular Chinese way of treatment through the use of small needles that are inserted in specific spots of pain.
Hypnosis works the best in relieving pain for the adults who are interested and motivated to help themselves.
In this technique, verbal repetition and several mental images are used to help relax your mind and body, so that you can cope better with the diabetic neuropathy pain. Different relaxation and visualization techniques include various exercises ranging from deep breathing to imaginary escapes from the painful diabetic neuropathy. Unfortunately, there isn’t a cure for neuropathy, but advances in neuropathy treatment have been proven beneficial to patients. For those suffering from diabetic neuropathy, the first step is to begin tight glycemic control. In addition to high level of sugar, overweight, high blood pressure and high cholesterol increase the risks of diabetic neuropathy.
Scientists are yet to ascertain how high blood sugar level for prolonged period damage nerves. Damages inflicted by diabetic neuropathy may vary with the type and nature of affected nerves. Diabetic neuropathy may trigger digestive problems like bloating, nausea, diarrhea and vomiting. Proximal neuropathy is common among old people suffering from type 2 diabetes for prolonged period. Tests like electromyogram (EMG) that reveals electrical activity of muscles may be used for identifying lack of reflexes. It is desirable to learn about symptoms and signs that are commonly associated with this nervous disorder arising out of uncontrolled diabetes. Diabetic neuropathy comes from chronic high blood glucose and is normally a frustrating and debilitating complication that can lead to painful neuropathy symptoms that may be hard to diagnose.
A lot of people normally complain about numbness or pain on their feet, though this is not the only symptom known for diabetic nerve pain. In the US pharmacy (including Florida), there are neuropathy treatment medications that can help relieve these symptoms in some individuals, though in most cases, finding a means to prevention is better than treating symptoms. On the brighter side though, the Diabetes Control and Complications Trial has revealed that keeping blood sugar in a healthy range lowers the risk of damage to the nerves by more than 50%. Speak to our physicians at NSI Intergrative Wellness about the symptoms that you are experiencing with your neuropathy. Sensory neuropathy: Normally referred to as peripheral neuropathy, or simply neuropathy) centers around the nerves relaying information to the brain about sensations from different parts of the body. Autonomic neuropathy: Targets the nerves controlling involuntary activity in the system, like in the stomach, intestine, bladder or the heart.
Motor neuropathy: on the other hand targets nerves which carry signals to muscles, thereby enabling you to move your fingers or walk, and is very rare with diabetes. Sensory neuropathy brings about numbness, pain or tingling in the extremities and in the long run you will not be able to experience heat, cold, and other sensations where affected. You can have either symmetric or asymmetric neuropathy (affecting both sides or one side of your body). Femoral neuropathy: very painful sensory neuropathy centered around your thigh muscles, and can be asymmetric or symmetric. Diabetic amyotrophy: motor neuropathy centered on your thigh nerves, and results in weakness together with or in place of some pain.
Gastroparesis: autonomic neuropathy targeting the stomach, in the process making it impossible to empty normally. Diabetic diarrhea: autonomic neuropathy which causes erratic functions in the small intestine.
Bladder neuropathy: a situation where the nerves in the bladder cannot respond well to the pressure when it fills up with urine and cannot allow it to empty properly either. Postural hypotension refers to autonomic neuropathy which brings about low pressure in the blood if you stand. Charcot joint is normally referred to as neuropathic arthropathy and happens when the bones in the feet fracture, leading to misalignment.
Unilateral foot drop will happen in the event that you are unable to pick up your feet as a result of nerve damage through blood vessel disease or compression. Peripheral neuropathy is normally used to refer to diseases that damage the nerves just outside the brain and the spinal cord. Another possibility is that intracellular metabolites get depleted and as a result nerves get damaged.
Several studies have however revealed that reduction in the flow of blood to the nerves can also bring about diabetic nerve disease.
For a good neuropathy treatment plan, you might want to speak to your physician, since most people do not really know what causes neuropathy.
Different tests such as electromyography and nerve conduction studies together with special observation can help rule out the possibility of other sources of the discomfort and in the process determine neuropathy. No miracle neuropathy treatment is available so far, though there are other helpful mechanisms in place. If you have neuropathy, you need to make sure that your blood sugar levels are maintained at a proper level, exercise often, and watch your weight. Exercise on the other hand strengthens damaged muscles, and keeps them well toned at the same time.
In such a situation, patients are more than willing to try their hands on any kind of pain reliever, including non-narcotics. Creams with capsaicin have also been recommended by some physicians in Florida and the US; an extract of the hot capsicum pepper and then you rub it on the affected part of the skin. Before you try any of these products, always make sure that you speak to your physician, and follow the instructions to the latter. You can however get capsaicin, approved by the FDA for pain over-the-counter in brand names such as ArthriCare® and Zostrix®. There are a number of antidepressants that also work just fine, such as Amitriptyline (Elavil®), desipramine (Norpramin®) or imipramine (Tofranil®), which are members of the tricyclic antidepressant category of drugs. The medication will block your pain, and this is why you have to take them at night when the pain is intense, to help tone down the pain and help them sleep. Some other useful drugs include anti-convulsants like phenytoin (Dilantin®), carbamazepine (Tegretol®) or gabapentin (Neurontin®), mexiletine (Mexitil®). Besides that however, nothing is conclusive about the rest of the nutritional supplements and treatments. There are other successful alternatives like acupuncture, meditation and biofeedback, and this is also encouraging, as long as it works well for you. There was a time back in the 19890s when aldose reductase inhibitors hit the market in all the US and Florida also, causing a frenzy. In the case of gastroparesis, where the stomach does not empty properly, our physicians can prescribe metoclopramide (Reglan®). If you are going through bladder neuropathy where the bladder doesn’t empty completely, bethanechol (Urecholine®) can work for you.


Male impotence occurs from damage to the blood vessels (versus psychological causes or due to medications such as anti-depressants or blood pressure medication) and this can be treated with drugs that are injected to induce an erection before sex or inserted into the end of the penis.
Drugs like Cialis, Levitra®, and Viagra® can also be used, though you have to consult your physician before using these drugs. Remember that using these drugs together with nitroglycerine tablets (a treatment for acute heart problems such as angina or heart attack) can be fatal. Particular blood pressure medication can be prescribed to patients that are struggling with postural hypotension or alternatively they can also use support stockings so that blood does not pool in their legs.
The biggest problem with neuropathy is the fact that over time, the nerves that are affected end up dying and you lose complete sensation in the area. You should have your shoes in mint condition to prevent pebbles or anything causing you harm without you realizing it.
It can take close to two years for the pain to turn into numbness, and this happens only when the nerve cells have been badly damaged.
Bringing your blood sugar level close to the normal range is considered the best option for treating your diabetic skin problems. People with poorly controlled diabetes are susceptible to bacterial infections of the skin.
As most Staphylococci infections are becoming resistant to penicillin, doctors usually recommend penicillin-like antibiotics flucloxacillin and methicillin for treating the infections. Itching of the skin in diabetics is a symptom of skin dryness, fungal infection or poor blood circulation. When the cells that form the skin pigments are destroyed by diabetes, the skin loses its natural color. When topical steroids cannot produce the desired result, your doctor may recommend psoralen photochemotherapy for treating the condition.
For people with extensive vitiligo that covers more than half of the body, micropigmentation or depigmentation is recommended.
This is a rare skin disorder related to diabetes that causes thickening of the skin on the upper back and back of the neck. Shiny circular or oval lesions that usually appear on the front of the legs are called diabetic dermopathy.
Medications that studies suggest can be used for treating NLD include tretinoin and hydroxychloroquine. The skin on the hands, fingers and toes of people with digital sclerosis is thick and waxy.
Drugs commonly used for treating this skin condition include statins, bile acid binding resins, fibrates, nicotinic acid and probucol. As a result, the cells are devoid of the proper glucose supply and the blood levels of glucose remain high.
The raised blood sugar levels can cause damage to the peripheral nerves resulting in peripheral neuropathy.
Neuropathy of motor nerves can lead to proximal muscle weakness whereas, that of sensory nerves can lead to loss of sensations and sensations of tingling and numbness in different parts of body. Although, it is an epileptic drug, it is helpful to ease the pain that occurs due to neuropathy.
It has proved to be useful in reducing the stiffness and pain symptoms of diabetic neuropathy and hence, improves mobility. Moreover, weight control is also necessary and a proper check and control of the diet must be carried out. This ailment is mostly characterized by severe nerve pain, loss of sensation and movement of the affected nerve.
Alternative cure for diabetic neuropathy works towards controlling the abnormally increased blood sugar and help cure the related problems. Though, these cures may be useful and are free from side effects, it is always wise to check with your doctor before including any of the alternative cures for treating diabetic neuropathy.
This method is helpful mainly because the electricity used through the TENs method sends messages to the brain to block the pain signals. Initially, this therapy is taught in hospitals and medical centers and later you can yourself control the pain responses. Once you understand this technique, you can recognize the various responses of your body and cure them through relaxation and guided imagery. Acupuncture is known to treat several people with diabetic neuropathy but it requires multiple sessions for you to notice some reduction in your neuropathy pain. It involves professionals who help take you to trance like state of mind where you can experience have high focus and concentration.
These techniques are taught to people in different hospitals or yoga centers that help them learn the ways to control pain through simple exercises. These numbers continue to climb as more and more diabetic patients are diagnosed with diabetic neuropathy.
Another way is to receive neuropathy treatment and relief that can eliminate pain and numbness in the hands and feet.
This is a condition where high level of sugar in blood damages nerves that are spread throughout our body.
It has been observed that about 50% of people suffering from high blood sugar are likely to be affected by this diabetic neuropathy. However, they have identified several factors that contribute in developing diabetes neuropathy. Neuropathy of diabetic patients may be caused from damaged blood vessels and inflammation of nerves. Nerve conduction velocity (NCV) test that records the speed of signals traveling along nerves may be used for evaluating the level of damaged nerves. Managing blood sugar level, keeping body weight and blood pressure under control are some common measures that can be followed to manage diabetic neuropathy. Some patients that have enjoyed some relief by controlling their blood sugar, exercising or keeping their weight under check, as well as some who have sought treatment from NSI Integrative Wellness Center in Clearwater, Fl. There are different symptoms that can be associated with neuropathy, depending on the regions where it is localized. Besides, keeping diabetes in check will also make your work easier in limiting damage as a result of neuropathy if it develops. Autonomic neuropathy in men causes impotence, neuropathy of the bladder, bloating in the stomach or diabetic diarrhea.
Mononeuropathy is a situation where only one type of nerve is affected, and polyneuropathy where so many are affected. It is normally symmetric and occasionally asymmetric and is the most prevalent type of neuropathy. The symptoms are similar to ulcers, hence malnutrition and hypoglycemic episodes can occur because the food will not be absorbed normally. In this case, your pulse will not accommodate the fluctuation in blood pressure, and as a result you will feel dizzy or faint. This causes disfigurement because there are no nerves to properly stimulate the feet, and as a result the muscles are not able to support your feet appropriately. Generally, diabetic neuropathy is believed to result from chronic nerve damage through high blood glucose. In one theory, too much sugar in the system interacts with aldose reductase, the enzymes in the Schwann cells. There are so many theories that have been advanced so far, including one that suggests that the pathway for protein kinase C, currently under study by George King, MD are induced by high blood glucose, and result in several complications, including neuropathy.
Different studies in the United States (in Florida as well), are currently going on with this regard, to improve the flow of blood to the nerves. These can reveal a situation where the nerves do not respond as they should normally, or a slight alteration in blood pressure if you sit from a reclining posture. A bone scan or an X-ray will come in handy with respect to diagnosing Charcot foot fracture. This is important in keeping your blood glucose closer to the normal limit and minimize damage to the nerves. Christopher Gibbons, MD, of Joslin, says neuropathy patients that exercise often feel less pain than those who don’t.
Pain medicines should be taken regularly throughout the day, instead of waiting for the pain to get out of hand. In some cases the creams block pain signals, though this is never the case for all the affected parties. They are not normally prescribed for depression, although having persistent pain for months can be depressing, according to Dr.
This however only works when vitamin deficiency is the cause of your neuropathy, or the vitamins will just be passed out through urine, very bright yellow urine, though the neuropathy treatment will not harm you. Be careful because vitamins that cannot be passed out through urine can be toxic, so try not to take too much of vitamin supplements to ease your pain. Sadly, none of these drugs have been effective, and their side effects to date are still a concern.


Alternatively, we can also use vacuum devices that induce an erection or surgical prosthesis. Besides that there are unsubstantiated claims that using these drugs can affect the retinal circulation, besides the common side effects.
If you have diabetes and high blood pressure, a good blend of lowering pressure mechanisms and medicine can stop your pressure from going so low immediately when you sit up, and you would need specific adjustments to realign this procedure effectively. Make sure that you monitor the affected area every other day for cuts or any problem that you do not feel. If you are affected, try to stay away from electric blankets, heating pads and so forth because you might end up setting yourself ablaze without knowing or feeling it. In the meantime, our aim is to make sure that we find viable ways of helping you manage the pain effectively, and keep the discomfort at bay, living a normal life irrespective of the challenges associated with this painful situation. Patients with a history of penicillin allergy are usually treated with erythromycin, vancomycin, rifampicin or clindamycin.
Using a mild soap while bathing and applying moisturizing lotion to the skin after bath help to moisten the dry skin and reduce itching. This condition known as vitiligo is characterized by discolored patches on the face, abdomen and chest. Treatment includes applying topical psoralen on the vitiligo patches and exposing the skin to artificial ultraviolet A light for about 30 minutes. Treatment for scleredema diabeticorum involves applying moisturizing lotion to soften the thickened areas of the skin. Ticlopidine, clofazimine, nicotinamide and perilesional heparin injections can reduce complications of NLD. When eruptive xanthomatosis does not respond to lipid lowering drugs, the bumps on the skin can be destroyed with laser therapy, excision, topical trichloroacetic acid or electrodesiccation.
According to an estimate, about 60-70 % of diabetes affected individuals suffer from peripheral neuropathy.
Due to an autonomic neuropathy, internal organ functions can be affected such as functions of heart, lungs, urinary system, sweat glands, etc. But the question arises, ‘how to treat diabetic neuropathy? Well, treatments for this consequence of diabetes include medications, physical therapies, nerve stimulations, and many more. Serotonin-norepinephrine reuptake inhibitors are also known to relieve pain due to neuropathy. It is recommended that you get the acupuncture treatment through licensed trainers after consulting your doctor.
The surge in this disease has caused many of Americans to wonder what the disease is and how it can affect them.
Possible signs and symptoms of peripheral neuropathy include: Numbness or reduced ability to feel pain or changes in temperature, especially in your feet and toes. While Autonomic Neuropathy affects internal organs, hands and feet are affected by Peripheral Neuropathy. In addition to numbness of feet and arms, normal functioning of heart and sex organs may be affected by this disease.
If you are older than 40 years and suffering from substantially high sugar level in blood then there is high chance of being affected by diabetic neuropathy.
There is a numbing or tingling effect in feet or hands. Autonomic nerves control heartbeat, sweating, sexual function, urination and digestion.
There may be problems in urination, erection and vaginal dryness due to diabetic neuropathy. Inability to focus, double vision, lower back pain and pain in different body parts may be caused by Focal Neuropathy.
People with high sugar level in blood should be educated about the factors that can accelerate or trigger diabetic neuropathy. Common symptoms are pain when urinating, fever and pain in the lower back, together with clouded urine. Nutritional deficiencies (B-12 and folate), chemical exposures, pressure on nerves, or medication especially in chemotherapy or treating AIDS can also bring about neuropathy. This interaction transforms the sugar to sorbitol, drawing more water to the Schwann cells and forcing them to swell. Infection in the urinary tract is also something that you need to take seriously, while other clues include constant diarrhea and constipation, and most importantly ulcer symptoms. From time to time, some people might actually experience side effects like irritation on the skin and eyes.
When you think about the pain too much, you will experience it, but when you keep your mind focused on something else, you will not feel the pain. Because of this reason, none of them have seen the light of the market yet, though a lot of research is still going on through some companies to figure out their effectiveness in dealing with neuropathy, says Dr. Sucralfate (Carafate®) can also be used together with this to get rid of additional acid that might be in the stomach, says Dr.
Most of the patients in this situation will often develop frequent urinary tract infections.
Using these drugs can induce sexual activity in individuals that are struggling with heart disease (diagnosed or undiagnosed).
After that you will have special shoes, and you might also need surgery to restore your feet to their normal shape. In the event that this is impossible, using Tylenol at intervals every few hours and antidepressants in the evening, coupled with exercise can help you manage the pain. Exposure to too much sugar circulating in the blood makes the skin vulnerable to infections and several other disorders. It works by fading the color of the unaffected areas of the skin, so that the entire body has a uniform light color. Applying bovine collagen to the affected areas can provide relief from this skin complication. Laser treatment is sometimes recommended for improving the condition of the skin affected by NLD.
However, reducing the blood sugar level is the best treatment for this diabetic skin complication. This skin condition is treated with lipid lowering drugs and cholesterol and fat restricted diet. Losing weight and applying skin-lightening creams to the affected areas are currently the only treatment for this skin disorder.
Therapeutic ultrasound, hot wax and short wave diathermy are also known to benefit by reducing pain and giving massage to muscles. Moreover, a careful monitoring of blood glucose level must be done to prevent its levels to rise in the blood. A big consequence of diabetic neuropathy is the loss of sensations of feet, infections of leg and foot; and foot and leg ulcers.
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When certain nerves are affected by diabetic neuropathy there are complications affecting blood circulation and functioning of heart.
Muscles, skin and soft tissues get damaged when level of blood sugar is not managed properly for prolonged period.
You are at a greater risk if you have neuropathy or have already lost sensation on your feet. These drugs have already shown promising results in animals, and there are clinical trials to be rolled out soon enough.
For this reason, we may prescribe prescribe chronic antibiotic therapy to minimize the bacterial level in your bladder and urinary tract. For this reason, make sure that you only get to use them upon the recommendation and approval of a physician. Most of these skin infections are caused by the colonization of the bacteria Staphylococci (staph). This process involves applying monobenzene to the unaffected areas of the skin until these areas match the discolored patches. Hence, the effected individuals must take great care of their feet and check every day for if any blister, cut or redness appears.
Antifungal medications commonly used for treatment include imidazoles, polyenes, allylamine, thiocarbamates, undecylenic alkanolamide, benzoic acid and ciclopirox olamine.
When your blood sugar level returns to the normal range, the blisters heal naturally within a few weeks.
I no longer take pill after pill for the pain and I can walk long distances now without the support of a shopping cart, cane etc.



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