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Diabetic Peripheral Neuropathy

Updated: 4/28/2022
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Diabetic peripheral neuropathy is a pain problem dealing with the nerves of the body that some people with Diabetes will suffer from during their lifetime. This type of neuropathy occurs in the arms, hands, legs and feet of the patient suffering from diabetes and causes severe nerve pain. The sensory nerves, the motor nerves, and the autonomic nerves are the three nerve systems commonly affected by diabetic peripheral neuropathy. The sensory nerves enable people to feel pain, temperature, and touch. The motor nerves control the body’s muscles, giving them strength and tone. The autonomic nerves allow the body to perform involuntary functions such as sweating.

Diabetic peripheral neuropathy does not develop out of the blue in one day. Instead, this problem develops over a lengthy period of time and worsens over time. Some diabetes patients develop this problem well before they are diagnosed with diabetes. If patients suffer from diabetes for a long period of time they are more at risk to develop diabetic peripheral neuropathy. This problem causes a loss of sensation in the body of the patient, which can lead to the development of skin ulcers that can become infected and might not heal.

If a patient’s sensory nerves are affected then he or she will likely experience numbness or tingling in the feet, pain or discomfort in the legs, burning feet, sharp pain or a prickly feeling in the feet. If a patient’s motor nerves are affected then he or she will likely experience muscle weakness, loss of muscle tone in the feet or lower legs, a loss of balance, and changes in foot shape that can lead to increased pressure. If a patient’s autonomic nerves are affected then he or she will likely experience dry feet and cracked skin. These two symptoms are the same symptoms of walking around barefoot so anyone that is overweight and continues to suffer from these symptoms should see a doctor to make sure they are not diabetic.

The following tips should help people with diabetes prevent developing diabetic peripheral neuropathy nerve pain:

• Keep blood sugar levels under control.

• Wear well-fitting shoes to avoid getting sores.

• Inspect your feet every day.

• Visit your foot and ankle surgeon on a regular basis for an examination to help prevent the foot complications of diabetes.

• Have periodic visits with your primary care physician or endocrinologist.

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Diabetic peripheral neuropathy is the most common type of nerve damage related to diabetes. It is classified by pain or lack of feeling and is most commonly found in the extremities of the body, such as in the feet and hands.

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Methylcobalamin, which is a form of the vitamin B12, is mainly used for the treatment of pernicious anemia, peripheral neuropathy, diabetic neuropathy, lateral sclerosis, and others.


Why do I have burning and tingling in my legs feet and toes?

Wearing very tight-fitting shoes, standing for long on high heels for women, standing for longer hours and perhaps in the heat. When the whether is too hot your feel tend to swell causing them to heat up, standing on the same spot for a long period.


What causes numbness and tingling of the feet and ankles?

Tingling of the hands and feet could be the result of several conditions. The most common cause is nerve damage called diabetic neuropathy from having diabetes. Unknown causes are referred as idiopathic. It could also be caused by nerve entrapment such as carpal tunnel syndrome, ulnar nerve palsy, perineal nerve palsy or radial nerve palsy. Systemic diseases such as kidney disorders, some blood diseases, chronic inflammation, connective tissue disorder, liver disease, cancer, or benign tumors may also cause tingling in the hands and feet. Deficiency in Vitamins E, B1, B6, B12, thiamine and niacin may also cause tinging of the extremities.


Numbness in thumb and index finger?

If you have numbness beginning in fingers or toes, and you're diabetic, there's a strong possibility you're beginning to suffer from diabetic neuropathy (see links). This is very bad, since it means that your high blood sugar levels are beginning to cause permanent and progressive damage to your body. You can easily lose hands or feet within the next decades from this beginning. Eyes and kidneys are at risk too. Your best way to avoid these problems in future is to get much stricter with your daily blood sugar control. Work your way down, combining food and insulin changes, until your blood sugar is below 120 when fasting, and below 140 even right after meals. Test yourself before, 1 hour after, and 2 hours after meals and look up lower GI foods and short-acting insulins to avoid large blood sugar spikes or long-lasting high periods. If you're not currently taking insulin, your diet control and medication are not adequate. You'll need to begin testing your own blood sugar frequently at home (meters are cheap), and learning to change your food choices and medication doses to meet the targets above. If that doesn't work, consult your doctor about starting insulin. Also, there is increasing evidence that methylcobalamin (a special form of B-12 available widely) can help address and even reverse diabetic neuropathy, but its effects are limited if your blood glucose remains high. The attached links will help with your research on neuropathy and blood sugar control.


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Related questions

What is the code for diabetic peripheral neuropathy?

250.60 and 357.2


What is the standard treatment protocol for diabetic neuropathy?

Often, oral medications are prescribed to treat diabetic neuropathy. These medications can include anti-depressants. Duloxetine and pregabalin are approved by the U.S. Food and Drug Administration specifically for treating painful diabetic peripheral neuropathy


What is a good diabetic peripheral neuropathy surgeon?

A good diabetic peripheral neuropathy surgeon performs a procedure on patients who suffer nerve problems from having diabetes. The condition gets worse with age and surgery most times can relieve some of the pain associated with the disorder.


What are four types of diabetic neuropathy?

1. Peripheral 2. Focal 3. Autonomic 4. Proximal


What is the definition of diabetic peripheral neuropathy?

Diabetic Peripheral neuropathy is nerve damage caused by chronically high blood sugar and diabetes. It can lead to many things including but not limited to numbness, loss of sensation, and sometimes pain in your feet, legs, or hands. More can be found at www.webmd.com


What are the medical uses for methylcobalamin?

Methylcobalamin, which is a form of the vitamin B12, is mainly used for the treatment of pernicious anemia, peripheral neuropathy, diabetic neuropathy, lateral sclerosis, and others.


Can Diabetic neuropathy cause muscle twitching or spasms in fingers?

It can, although peripheral neuropathy usually occurs first in the feet.


How is peripheral neuropathy caused?

Diabetes, alcoholism , diseases of the autoimmune system such as rheumatoid arthritis and lupus, and exposure to health damaging substances can cause peripheral neuropathy.


What are symptoms of diabetes neuropathy?

a condition where nerve endings, particularly in the legs and feet, become less sensitive. Diabetic foot ulcers are a particular problem since the patient does not feel the pain of a blister, callous, or other minor injury


Does diabetic neuropathy treatment have any risks?

The treatment plan for diabetic neuropathy depends on your symptoms and the type of neuropathy that you have. Treatment focuses on reducing current symptoms and preventing the condition from getting worse.


What does foot pain main for a diabetic?

Peripheral Neuropathy is the common diabetic foot pain cause. You can access www.webmd.com for more information to your specific issues. If not taken care of properly, this can cause serious damage. Find out more at http://www.emedicinehealth.com/diabetic_foot_care/article_em.htm.


Where can I get diabetic neuropathy treatments?

The family physician and a neurologist are the traditional specialists in recognizing and treating peripheral neuropathy.