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The initial symptoms observed are reduced sensibility, burning sensation (occurring particularly at night and aggravating with contact) and tingling sensation in lower extremities  (pins-and-needles).
The clinical examination should include full neurologic examination of sensory and motor functions and reflex evaluation. Specific laboratory workup, as well as nerve conduction tests and electromyography can supplement the diagnostic control.
Further examinations should be conducted to rule out other causes of polyneuropathy in case the patient reports one of the following symptoms: acute onset, asymmetry of symptoms, great deal of pain, marked motor symptoms or rapid progression of motor symptoms.
Proper and effective treatment of diabetes mellitus with close blood glucose control, plays a major role in preventing and delaying the onset of symptoms in painful polyneuropathy.
Comparative studies on pharmacotherapies for painful diabetic polyneuropathy have demonstrated that tricyclic antidepressants are the most effective drugs. In the dosage of 120 mg, the number needed to treat (NNT) for more than 50% pain improvement was 4,9 patients (NNT 4,9), whereas in the 60 mg dosage the number to treat for  more than 50% pain improvement was 5,2 patients (NNT 5,2). If there is contraindication for Duloxetine (Cymbalta), the treatment should start with amitriptyline (Saroten).
Should the conservative treatment fail or serious intolerable adverse events occur from pharmacotherapy, Spinal Cord Stimulation (SCS) is indicated. According to the American Diabetes Association, oatmeal is good carbohydrate because of its high soluble fiber content. Besides, oatmeal is a great substitute for white bread as it is a more stable energy source. Instead, the ideal way is to cut down on the portions of starchy vegetables and still derive the nutritional benefits from them.
Green tea is an antioxidant and has been used since time immemorial to control blood glucose levels. Fenugreek seeds are rich in fiber (50% fiber) and reduce triglycerides, total cholesterol and insulin levels in addition to lowering blood glucose.
In this case cells present in our body fails to respond to insulin properly or it cannot use insulin. Usually symptoms of diabetes or diabetes symptoms in men and women are similar but some symptoms which are unique to males and they are noticeable in men. There is no prevention program to measure for type 1 diabetes but one who suffer with type 2 diabetes can often have a chance to prevent this condition by appropriate exercise and having normal weight by following healthy diet. All the above mentioned are some problems occur to a diabetic patient.This metabolic disorder can be prevented only by lifestyle modification.
This site is for information and support only and NOT a substitute for professional medical advice, diagnosis, or treatment. There are approximately 250 million people worldwide suffering from diabetes mellitus and 20-30 million of them suffer from neuropathy.


Nerve impairment is accompanied by microvascular dysfunction that affects the nerve vascular network. Painful diabetic polyneuropathy has to be differentiated from other types of polyneuropathy with the use of specific tests. Once symptoms begin, they rarely subside on their own and there is need for specific pharmacotherapy to cope with the neuropathic pain.
However, their administration in high and effective doses is limited due to adverse events often occurring. Treatment with gabapentin (Neurontin) has shown only small differences compared to amitryptiline (antidepressant).
As long as the patient reports more than 50% pain relief during the trial period, the final implantation of the neurostimulation system is performed.
Please always consult your doctor before taking any advice learned here or on any other website.
To break the monotony in your diet, you should try including new foods that also help in checking diabetes. Low-fat veggies also help in reducing weight as well as cholesterol of people suffering from type II diabetes.
Green tea is highly beneficial for people suffering from type I diabetes as it slows its progression rate.
A diabetic should opt for strawberries because it is rich in fiber and has high water content. Generally we will see this Type 1 diabetes before 40th year and often in early adulthood or teenage. All these problems may seen in children too who are suffering with this diabetes condition.Another kind of disorder called  Diabetic Ketoacidosis is a life threatening complication in patients with diabetes mellitus . Diabetes Symptoms and causes to occur this condition is similar to the condition of type-1 and type 2 diabetes. Our diet should be modified well including all fresh vegetables and fruits like whole grains and choosing polyunsaturated fats like nuts, vegetable oils , fish,eating less meat.
The risk and complications can be decreased through good management of diabetes by controlling blood glucose levels.
Diabetic polyneuropathy is closely correlated with the diabetic chronicity and blood glucose control. This is due to oxidation, which is caused by hyperglycaemia and other disorders of homeostasis and metabolism. Symptoms may be accompanied by trophic changes and poor wound healing due to microangiopathy.
The differential diagnosis from polyneuropathy of toxic aetiology is of particular high importance because it is a reversible condition.


According to the results of three studies, 45-55% of patients who received duloxetine reported more than 50% improvement in pain intensity compared to the comparator drug. In the Pregabalin (Lyrica) group, 39-46% of patients reported over 50% pain improvement with the dosage from 300 to 600 mg. There are 4 studies showing satisfactory results for SCS in painful diabetic polyneuropathy and the method is recommended in case the conservative treatment fails. Seafoods promote ‘good cholesterol’ levels in the body and improve the person’s cardiovascular health. So, give up your cookie and snack on a strawberry.Figs are great source of fiber that is essential for the health of diabetics. This enables the body to absorb the nutrients slowly and accounts for slower blood sugar rise in the bloodstream. Diabetes is due to either the pancreas may not produce enough insulin or cells of our body not responding properly to the insulin produced.
Patients who suffer with this Type 1 Diabetes will need to take insulin in the form of insulin for the rest of their life.
This results a shortage of insulin, generally it will happens in type 1 diabetes but it can occur with those people who are suffering with type 2 diabetes.
There is no cure to diabetes but we should follow the treatment for diabetes and diabetes risks are less severe in people who have well managed blood sugar levels.If you are suffering with this symptoms severely it is better to consult your doctor and proper medication should be taken to prevent the risks caused by diabetes.
Close blood glucose control determines the prevention of painful diabetic polyneuropathy to a significant extent. Special diet should be followed by every individual to control the levels of high glucose to normal levels. DKA  occurs in those who have already diabetes.Let us see symptoms of Diabetic Ketoacidosis. There are so many diabetes products are available in the market which helps to lessen the blood sugar levels .
Duloxetine (Cymbalta), pregabalin (Lyrica) and gabapentin (Neurontin) seem to have similar efficacy in painful diabetic polyneuropathy.
Both these herbs stimulate production of insulin and discourage insulin deactivation by the liver. By proper exercise and diet restrictions along with medication may get down the high blood sugar values to normal.



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Comments

  1. BOREC

    Burns within the flame of carbohydrate??- that means if you're continually carb but carb restriction.

    29.06.2015

  2. apocalypse

    Type 2 diabetes are developing the disease due to lifestyle changes.

    29.06.2015

  3. 1

    Because of intestinal microbiota interaction high Fat Ketogenic weight-reduction plan to handle their life-style.

    29.06.2015