Diabetes

These measures can help you manage the progression of diabetic neuropathy: Keep your blood pressure under control. Having both high blood pressure and diabetes greatly increases your risk of complications because both damage your blood vessels and reduce blood flow. Try to keep your blood pressure in the range your doctor recommends. Make sure you check in regularly.  Make healthy food choices. Eat a balanced diet that includes a variety of healthy foods, especially fruits, vegetables and…

There's a lot you can do to prevent or delay nerve damage. And, if you already have diabetic neuropathy (nerve damage), these steps can prevent or delay further damage and may lessen your symptoms.  The most important thing is to keep blood sugar levels under control: Healthy planned diet, physical activity and medications, if prescribed, can help you reach your target range. Use a blood glucose meter to check your daily levels. Get an A1C test (a lab test) at least twice a year to find…

The symptoms and signs of diabetic neuropathy depend on the type of neuropathy present with varying severity.  1. Peripheral neuropathy  This presents with numbness or tingling, pain or burning sensations, loss of sensation in the feet or lower legs and sometimes in the hands or arms. This affects the peripheral nerves, most commonly the nerves of the feet and legs.  2. Proximal neuropathy  This presents with one-sided pain in the hips, weakness in the thigh muscles, weight…

The treatment is based on the types of diabetic neuropathy  1. Peripheral neuropathy treatment Manage pain with standard analgesics Maintain HbA1c below 7% Avoid tobacco and narcotics Localised pain can be managed with topical capsaicin, antidepressants (duloxetine, amitriptyline, imipramine, desipramine, venlafaxine), anticonvulsants (carbamazepine, gabapentin, phenytoin), or antiarrhythmic drug mexilitine (oral lidocaine). 2. Proximal neuropathy treatment Manage joint pain with…

There are four types of diabetic neuropathy. 1. Peripheral neuropathy  This presents with numbness or tingling, pain or burning sensations, loss of sensation in the feet or lower legs and sometimes in the hands or arms. This is the most common type of neuropathy that affects the peripheral nerves, most commonly the nerves of the feet and legs.  2. Proximal neuropathy  This presents with one-sided pain in the hips, weakness in the thigh muscles, weight loss, difficulty getting up…

Are you at risk? The following are the risk factors for Diabetic Neuropathy: Persistent hyperglycemia, HbA1c >8%, hypertension, hypercholesterolemia and duration of diabetes 

Prevention of Diabetes Type 1 diabetes cannot be prevented but onset of Type 2 diabetes in most cases may be prevented by watching your diet, managing your weight and changing your lifestyle. At the very least the progression of Type 2 diabetes can be managed. Regular screening for diabetes plays a very important role. Undergoing routine screenings for diabetes, especially if there is a family history of Type 1 / Type 2 diabetes or presence of risk factors can help detect the condition at an…

Managing blood sugars effectively is really important in reducing your risk of future diabetes complications. Untreated diabetes can lead to many serious complications. Complications of diabetes: Acute complications require immediate medical attention. Hypoglycemia: Occurs when blood sugar levels drop to dangerously low levels, resulting in symptoms such as weakness, dizziness, confusion, and in severe cases, seizures or loss of consciousness. Hyperglycemia: Prolonged high blood sugar levels…

There are number of treatments available to treat diabetes. Treatments are individualized based on factors such as age, overall health, and presence of other medical conditions. Image 1 - Type 1 vs Type 2 diabetes: Pancreas does not produce adequate insulin (Type 1 diabetes), or the body unable to use insulin appropriately (Type 2 diabetes) which results in impaired glucose metabolism For Type 1 diabetes, insulin injection is prescribed whereas for Type 2 diabetes, insulin or medications are…

Testing for diabetes is essential in identifying individuals with the condition or those at risk. Various tests are available to diagnose diabetes and assess blood sugar control. Here are some common tests for diabetes: Fasting Plasma Glucose (FPG): This is a blood test that is done first thing in the morning. You have to fast for eight hours before the test. You are allowed to drink water.  If your fasting blood glucose is 100 mg/dL - 125 mg/dL you are considered Prediabetic. If it…