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Managing
Your Diabetic
Nerve Pain
An estimated 65% of people who have been diagnosed with diabetes suffer some form of diabetic nerve pain. Neuropathies are another name for these disorders relating to the nerves. Symptoms may vary, including minor discomfort, numbness and tingling. Nerve damage can occur in the appendages-hands, feet and legs. Also, the organs can be affected as well: heart, stomach and others. Diabetic nerve pain can afflict anyone who has diabetes, but the risk increases with the longer the duration of the condition and the older the individual. With younger people, the risk is higher with obesity. Cause of diabetic nerve damage The simplest answer to the cause of diabetic nerve damage is sugar. Sugar that is in the blood breaks down the protective layer of the verve cells known as the outer sheath. Once the sheath is compromised, the result is a gradual failure which is unpleasant to the individual, or the tingling, the numbing and the discomfort is felt. Combined with high levels of blood sugar, other factors include drugs and/or alcohol, issues with the metabolism and a predetermined disposition towards nerve disease. There are four different classes that diabetic nerve pain can fall into: Peripheral (includes the arms and hands, legs and feet), autonomic (includes the heart, sweat glands, digestive system, and all major organs), proximal (hips and legs) and focal (includes the eyes and face, chest, abdomen and legs). Peripheral mainly focuses on nerve pain or damage in the legs and arms. It is characterized by tingling, numbing or a burning sensation. Other problems include muscle or reflex problems. Some cases have included problems with the feet, altering the way a person walks. Autonomic mainly focuses on areas pertaining to the heart, blood pressure and blood sugar levels. It is also, autonomic refers to digestive and sexual organs. Symptoms include spells of sweating, loss of energy and possibly even heart palpitations. Proximal neuropathy affects nerves in the head, the lower body region and the legs. Symptoms include blurry or poor vision, shooting pain in the lower back or the shins or the feet and chest pain. Focal affects different areas, but the pain or sensations are specific in the location. A good example of focal neuropathy is carpal tunnel syndrome. Symptoms include tingling and loss of muscular control in the designated area. Prevention Problems occur because of lack of consistency in blood sugar levels. Keeping the blood sugar levels in the range of normal levels is the best prevention for diabetic nerve pain. If there have been issues with keeping the blood sugar levels normal, then it may be a good idea to schedule an examination with a professional to see if there are any conditions that are signs of a larger problem emerging. Treatment Treatment will begin with blood sugar levels, a top priority in restoring the system to a normal level. This will prevent any further damage from ensuing. There may be pain medications prescribed for the current issues, depending on the severity. Duloxetine is a medication specifically designed to alleviate pain for individuals who are suffering from diabetic nerve pain. The feet are a major target when it comes to diabetic nerve pain, so if there have been any difficulties with blood glucose levels, this is a good area to check. If there are problems, check the feet on a daily basis to prevent further damage arising from cuts, blisters or sores. From
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