Diabetic Neuropathy; a Serious and Common Complication of Type 1 and Type 2 Diabetes

 

Diabetic Neuropathy

Diabetic Neuropathy is a type of nerve damage that can occur if people have diabetes. It is a serious and common complication of type 1 and 2 diabetes. It’s a type of nerve damage caused by long-term high blood sugar levels. High blood glucose (sugar) levels can damage the small blood vessels that supply the nerves in the body. This stops essential nutrients reaching the nerves. As a result, the nerve fibers can become damaged, and they may disappear. Diabetic neuropathy most often damages nerves in the legs and feet.

This can result in nerves losing the ability to send signals to the rest of the body. Symptoms get worse over time, and may include burning or tingling in the legs, arms, and hands. The doctor can help treat the symptoms of Diabetic Neuropathy. Treatments focus on reducing pain and controlling other symptoms. These treatments work best if people manage their blood sugar by following the healthy diet, exercising, and taking medications as prescribed. Managing blood sugar is the most important thing one can do to reduce the risk of diabetic neuropathy.

While there’s no cure for diabetic neuropathy, managing blood sugar levels can reduce the risk or slow its progression and complications. Although there is no cure, use of tricyclic antidepressants can improve painful symptoms and prevent complications. Clinical trials have shown that tricyclic antidepressant drugs are effective for patients with painful diabetic neuropathy. There are several tricyclic antidepressants available for the treatment of Diabetic Neuropathy. The condition usually develops slowly, sometimes over the course of several decades.  

Diabetic Neuropathy is the most common complication of diabetes mellitus, affecting as many as 50% of patients with type 1 and type 2 diabetes mellitus. Currently, the FDA approved medications for painful diabetic neuropathies include duloxetine, pregabalin, tapentadol extended release, and capsaicin. The U.S. Food and Drug Administration (FDA) has also approved the use of spinal cord stimulation system for the treatment of diabetic neuropathy pain.

 

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