Diabetic neuropathy is a form of nerve injury brought on by persistently high blood sugar seen in diabetes. The treatment of diabetic neuropathy should start as soon as diabetes is diagnosed.
The primary care physician must be vigilant about the onset of neuropathy or its presence at the initial diabetes diagnosis due to the catastrophic repercussions, like impairment and amputation, of failing to detect diabetic polyneuropathy.
The symptoms of diabetic neuropathy can be treated by specialised or home remedies. The diabetes treatments include treating a particular type of diabetic neuropathy. The following symptoms can be treated using the various treatments:
- Diarrhoea or constipation
- Increased heart rate
- Dizziness when you stand up
- Difficulty with walking
- Muscle weakness
- Vision trouble, such as double vision
- Numbness/pain in your hands or feet
- Loss of sense of touch
- Erectile dysfunction
- Bloating or fullness
- Nausea, vomiting, or indigestion
- Abnormal sweating
- Burning sensations
- Bladder problems, such as incomplete bladder emptying
- Vaginal dryness
A doctor can identify diabetic neuropathy by examining the patient’s symptoms and medical history. The patient may be requested to undergo a physical examination by the doctor. It will measure your heart rate, blood pressure, muscle tone, and sensitivity to cold and touch. A filament test is one of the most used tests for diagnosing diabetic neuropathy.
Medical professionals use the following tests to diagnose diabetic neuropathy:
- Filament test: Your skin is rubbed with a smooth nylon fibre (monofilament) to gauge your touch sensitivity.
- Sensory test: It is a painless test that determines the reaction of nerves to vibration and temperature changes.
- Nerve conduction test: This examination evaluates how rapidly your arms and legs’ nerves transmit electrical information.
- Electromyography: This examination, also known as needle testing, is sometimes conducted concurrently with nerve conduction investigations. The electrical impulses from your muscles can be counted by electromyography.
- Autonomic evaluation: It may be necessary to undergo specific tests to check your perspiration and blood pressure fluctuations in various situations.
It is essential to maintain the blood sugar levels consistently within the ideal range to avoid or postpone nerve damage. Maintaining healthy blood sugar levels can help with some of the symptoms. A healthcare professional will determine the patient’s ideal target range based on age, duration of diabetes, and general health.
Keeping the blood pressure under control, maintaining a healthy weight, and engaging in regular physical activity are crucial to help halt or prevent neuropathy from worsening.
The medicines can be taken as a combination medication by consulting a medical professional. The different types of medicine are as follows:
- Anti-seizure medications: Some seizure disorder drugs are also used to relieve nerve pain. The side effects are drowsiness, vertigo, and swelling in the hands and feet.
- Antidepressants: Even if you don’t have depression, antidepressants can be helpful in relieving nerve pain. Mild to moderate nerve pain may be reduced by tricyclic antidepressants. Another type of antidepressant with fewer side effects that may help with nerve pain is serotonin and norepinephrine reuptake inhibitors.
They may occasionally be taken together. These medications can also be combined with over-the-counter painkillers.
Some alternative methods are capsaicin, alpha-lipoic acid, acetyl-L-carnitine, transcutaneous electrical nerve stimulation, and acupuncture.
These methods can be used to prevent the symptoms of neuropathy:
- Maintain a healthy blood pressure level.
- Make wholesome food selections.
- Daily exercise.
- Speak with your physician or physical therapist.
- Quit smoking.
A critical and frequent consequence of type 1 and type 2 diabetes is diabetic neuropathy. If you have diabetes, consult a doctor when you experience pain, tingling, numbness, or weakness in your feet or hands. Your doctor may advise drugs or lifestyle modifications to manage symptoms and prevent problems depending on the type of neuropathy. The discomfort brought on by diabetic neuropathy may be managed with medication. It has been demonstrated that several drugs can reduce symptoms. Acupuncture and Capsaicin are alternative therapies you might wish to consider. When combined with medication, alternative therapies might offer more alleviation.