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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 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.
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.
Diabetes is a disease affecting the manner in which the body handles digested carbohydrates.
The many symptoms of diabetes include excessive urination, excessive thirst and hunger, sudden weight loss, blurred vision, delay in healing of wounds, dry and itchy skin, repeated infections, fatigue and headache. Type I Diabetes (juvenile diabetes, also known as insulin-dependent diabetes): The cause of type I diabetes starts with pancreatic inability to make insulin. If untreated, Type I or juvenile diabetes can lead to death within two to three months of the onset, as the cells of the body starve because they no longer receive the hormonal prompt to absorb glucose.
Type II Diabetes (non insulin dependent diabetes, also known as adult onset diabetes): This diabetes is a consequence of body tissues becoming resistant to the effects of insulin. A tendency towards Type II diabetes is hereditary, although it is unlikely to develop in normal-weight individuals eating a low- or even moderate-carbohydrate diet.
If treatment is neglected, both Type I and Type II diabetes can lead to life-threatening complications like kidney damage (nephropathy), heart disease, nerve damage (neuropathy), retinal damage and blindness(retinopathy), and hypoglycemia (drastic reduction in glucose levels). In theory, since it induced by diet, Type II diabetes should be preventable and manageable by dietary changes alone.


Diabetic neurology or Diabetic Neuropathy, is one of the most advanced conditions of Diabetes Type II, where patients suffer from damages to their nerves and other neurological problems.
The symptoms of Diabetes Mellitus are progressive in nature and with the aging of the disease, various symptoms start appearing in different parts of the body.
One of the most common symptoms of Diabetic Neuropathy is the tendency to feel full even after a small meal.
Sometimes the patients suffer from the symptoms of constipation, nausea and other problems related to the ingestion and digestion of food .Vomiting and throwing up after a few hours of having the food,is another common symptom of the development of diabetic neuropathy.
The beginning of the nerve damage is revealed by a burning or tingling sensation in the feet and hands. The numbness in the extremities of the hand and feet, are important symptoms that signal the beginning of this progressive disease. The damage caused in the nerves may lead to a complete loss of sensation and power of response to stimuli in the legs and feet. As the nerve damages spread to the various blood vessels and the heart, there is a feeling of lightheadedness called orthostatic hypotension when the patient stands up. The heart rate becomes faster than normal and the detection of angina, which is the pain in the chest that is a warning signal for heart attack or other diseases of the heart. The male diabetic patients develop sexual problems such as erectile dysfunctions while women face vaginal dryness or problems with their orgasms. The damages caused to the nerves, makes it difficult to understand the situations that may lead to the blood sugar falling to extremely low levels. Most patients suffering from diabetic neuropathy develop bladder problems such as leaking of urine and difficulties in emptying the bladder.
Patients suffering from diabetic neuropathy may find themselves sweating excessively, even when they are at rest or when the temperature is not too high. One of the major symptoms of Diabetic Neuropathy is blurring of the vision, appearance of cataract problems in the eyes, issues related to the retina, etc. The patient who has been diagnosed for diabetic neuropathy can suffer from sudden bouts of dizziness and muscle weakness.
The difficulty in remaining alert can lead to loss in concentration levels and work efficiency.
The symptoms of diabetic neuropathy develop as the nerves get damaged due to a deficiency of oxygen and blood flow to the nerves and uncontrolled sugar levels. There may be specific symptoms that are typically related to certain organs and their immediate functions, but it is important to note that the symptoms of diabetic neurology are not mutually exclusive of each other. It is important to keep a track of all the changes that occur in the different parts of the body as the disease progresses. 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. 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. 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.
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. If neglected, diabetes can cause extremely severe health complications, ranging from blindness to kidney failure. This means that around sixteen million people have been diagnosed with the disease, based only on national statistics.
Blood sugar level is regulated by insulin, a hormone secreted by the pancreas, which releases it in response to carbohydrate consumption.
While suggestive of diabetes, these symptoms can also be caused by other factors, and therefore anyone with symptoms suspicious of the disease should be tested.
While a great majority of Type I diabetics are young (hence the term Juvenile Diabetes), the condition can develop at any age.
Obese, sedentary individuals who eat poor-quality diets built around refined starch, which constantly activates pancreatic insulin secretion, are prone to develop insulin resistance.


Diabetes damages blood vessels, especially smaller end-arteries, leading to very severe and premature atherosclerosis. Nonetheless, the symptoms can be controlled by strict dietary monitering and insulin injections.
However, as so often happens, clinical theory is defeated by human nature in this case, as many diabetics (and many obese people without diabetes) find it personally impossible to lose weight or even stick to a diet free of starchy, sugary junk food. If you suspect you have diabetes or even are in a high risk demographic group, please see your doctor. One of the most important causes for the development of Diabetic Neurology is high blood sugar levels and high levels of blood pressure and hypertension along with many other reasons. The problems in the nerves occur in various places in the body over a period of time and the symptoms are dependent on the location of these affected nerves. The problems in digesting food leads to the elevation of blood sugar levels, causing other diabetic complications. The swelling of the abdomen, bloating and gastric problems are other common signs of the disease.
Abnormal sensations may start in certain parts of the body and this is known as Dysesthesia . It is common for patients of Diabetic Neuropathy to not feel pain when they step on something sharp. The sudden fall in the sugar levels can cause unconsciousness, dizziness and a complete collapse that needs immediate medical attention.
It is difficult for them to understand that their bladder is full and they need to urinate.
The changes that occur at this stage can cause various other problems connected to the eye and this can cause major discomfort to the patient. These symptoms usually start developing after the patient has lived with diabetes for over 20-25 years. These include the motor neurons, pain fibers and the autonomic nervous system. As all the nerves in the body are interconnected, the problems spread progressively to all the organs in different parts of the body. There are several symptoms of diabetic neuropathy and it is not necessary that all the symptoms occur in the same patient at the same point of time.
Proper management of the blood sugar levels can help in the control and prevention of this diabetic neurological problem to a certain extent.
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.
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.
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. It is recommended that you get the acupuncture treatment through licensed trainers after consulting your doctor.
The American Diabetes Association estimates that diabetes accounts for 178,000 deaths, as well as 54,000 amputees, and 12,000-24,000 cases of blindness annually.
Fasting plasma levels outside the normal limit demand further testing, usually by repeating the fasting plasma glucose check and (if indicated) initiating an oral glucose tolerance test. The pancreatic Islet of Langerhans cells, which secrete the hormone, are destroyed by the patient’s own immune system, probably because it mistakes them for a virus. In many cases the pancreas is producing a plentiful amount of insulin, however the cells of the body have become unresponsive to its effect due to the chronically high level of the hormone. Native peoples like North American Aboriginals, whose traditional diets never included refined starch and sugar until these items were introduced by Europeans, have very high rates of diabetes, five times the rate of caucasians. Diabetics are prone to foot problems because neuropathy, which afflicts about ten percent of patients, causes their feet to lose sensation. Implanted pumps which release insulin immediately in response to changes in blood glucose are in the testing stages.
So Type II diabetes is frequently treated with drugs which restore the body’s response to its own insulin, and in a few cases injections of insulin.
A cut or a blister may go unnoticed, as the nerves develop further damage. The sensation that is felt on touching something cold or hot is also lost, as the nerves fail to respond to different external stimuli. Thus, the symptoms are directly related to the age and duration of diabetes in the patients.
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.
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.
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. Blindness is twenty-five times even more common among diabetic patients in comparison with nondiabetics. Finally the pancreas will exhaust its over-active secretion of the hormone, and insulin levels fall to beneath normal.
Foot injuries, common in day-to-day living, go unnoticed, and these injuries cannot heal because of atherosclerotic blockage of the microscopic arteries in the foot. The symptoms start developing as and when the damages occur to the cranial nerves, nerves in the spinal cord and its branches and the nerves that mange the functions of the vital body organs such as bladder, stomach, heart and intestines. Use our form below to request your FREE screening, we will contact you at the number given to schedule your screening.
Hence, the effected individuals must take great care of their feet and check every day for if any blister, cut or redness appears. If current trends continue, by the year 2010 complications of diabetes will exceed both heart disease and cancer as the leading cause of death in America. Type I diabetes is most prevelant in the caucasian population and has a hereditary component. Though Type II diabetes isn’t as immediately disastrous as Type I, it can lead to health complications after many years and cause serious disability and shortened lifespan.
Gangrene and subsequent amputation of toes, feet or even legs is the result for many elderly patients with poorly-controlled diabetes. Usually these sequelae are seen sooner in Type I than Type II diabetes, because Type II patients have a small amount of their own insulin production left to buffer changes in blood sugar levels. 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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