What is Diabetic Neuropathic Pain

Healthy-best.blogspot.com- Diabetic neuropathy is a type of nerve damage that occurs because of diabetes. High blood sugar levels in a prolonged period of time can lead to damage to the nerve fibers in the whole body, such as the limbs, feet, circulation, heart, gastrointestinal tract, and urinary tract.

Diabetic Neuropathies including the serious complications of diabetes.

Diabetic neuropathy is not curable, but the drug may resolve the symptoms arise.

Keep your sugar levels and live a healthy life pattern to avoid the disease. Diabetic neuropathy sufferers while on, keep your blood sugar levels and lead healthy life patterns can slow the progression of the disease.

Symptoms Of Diabetic Neuropathy

Diabetic neuropathy symptoms generally develop gradually and the new sufferers notice it after significant nerve damage occurs. Based on the location of the damaged nerve, diabetic neuropathy is divided into four types, namely mononeuropathy, autonomic neuropathy, neuropathy, as well as femoral neuropathy peripheral.

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Focal neuropathy or Mononeuropathy regarding certain nerves in the face, torso, or legs. Although symptoms can feel painful, this condition can be improved by itself within a few weeks or months. Symptoms arising from the mononeuropathy of which are:

• Paralyzed on one side of the face.

• Pain in the shins, feet, hips, lower back, quads, chest, or abdomen.

• The pain behind the eye, the eye is the hard to focus or double vision.

Types of neuropathy diabetic autonomic neuropathy are next, that is, a condition which can cause damage to the nervous system that regulates various functions of the body, such as the digestive, urinary, genital, and the vascular system (blood vessels). The symptoms caused by other things:

• On the digestive system: bloating, diarrhea, constipation, vomiting, or pain midriff.

• On the vascular system: heartbeat becomes more rapid, low blood pressure, dizziness, nausea, vomiting, or gaze into the dark after standing up quickly (orthostatic hypotension).

• On the genital system: erectile dysfunction, vaginal dryness, or hard orgasm

• On the urinary tract: bloating, incontinence of urine, or difficulty emptying the bladder (urinating at the time seemed not completely).

The third type of diabetic neuropathy is femoral neuropathy, or often called diabetic amyotrophy, namely the condition that attacks the nerves located in the hips, thighs, buttocks, or legs. The symptoms caused by other things:

• Difficult to get up from a sitting position.

• Abdomen became swollen.

• Great Pain at the waist, thighs, or buttocks.

Symptoms and Cuases Neuropathy - Diabetes

Types of diabetic neuropathy that is peripheral neuropathy. The most abundant type of inflicted this cause damage to the peripheral nervous system, especially in the legs and feet.

Symptoms that can appear in the form:

• Tingling in the lower leg, or feels hot.

• Pain or Cramping.

• Diminished Reflexes.

• Loss of balance and coordination.

• Weak Muscles.

• Serious trouble on the feet, such as serious infections, ulcers, the pain of joints and bones, or change forms (deformities).

• Numbing or decreased ability to feel the pain and temperature changes.

Causes Of Diabetic Neuropathy

Diabetic neuropathy is caused by a combination of several factors. The main factor is the high blood sugar levels in a long time which makes the walls of the blood vessels (capillaries) become weak, so can't give the intake of oxygen and nutrients to the nerves. In the end, the nerve cells become damaged.

While other factors that play a role in diabetic neuropathy is nerve inflammation, genetic factors are caused by an autoimmune response, as well as the habit of consuming alcohol and smoking, which causes damage to the nerves and blood vessels.

The risk of diabetic neuropathy experienced will be higher if:

• Diabetes suffered for a long time with blood sugar levels are not maintained properly.

• Experience a disruption in the kidneys so that toxins in the blood rise and can cause nerve damage.

• Smoking. The habit of smoking can cause the arteries are narrowed and hardened, so that blood flow to the feet is reduced. These conditions make injuries more difficult to heal.

• Having excess body weight.

Diagnosis Of Diabetic Neuropathy

Early diagnosis of diabetic neuropathy is made based on the symptoms, medical history, and physical examination. To enforce the diagnosis, done some examination of other support, including:

• Inspection Speed the nerve Conductivity (KHS), to assess the speed of nerve impulse by the groom on the hands and feet.

• Examination of the neural response to changes in temperature and vibration.

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• Examination of the autonomic nervous system, to detect the occurrence of autonomic neuropathy in patients who exhibit symptoms. In this examination, the patient's blood pressure measurements are performed in a variety of positions, as well as the ability of the patient's body is also assessed for diaphoretic.

• Filament Test to check for sensitivity to touch.

• Electromyography (EMG) Tests, to measure the magnitude of the electrical impulses in the muscles. This inspection was performed in conjunction with an examination of KHS.

Treatment Of Diabetic Neuropathy

Diabetic neuropathy treatment is done with the goal of slowing the progression of the disease, relieve pain and cope with the complications, as well as restoring the functions of the body.

Disease progression can be slowed by way of keeping sugar levels in accordance with age, a period affected by diabetes, the emergence of other health issues if there are health conditions sufferers, and thoroughly.

Safe sugar levels for diabetics under the age 59 years is between 80 to 120 mg/dL, while the safe sugar levels in diabetics over the age of 60 years or have other medical conditions is 100 to 140 mg/dL

Another way to slow down the progression of diabetic neuropathy is to maintain blood pressure, do a lot of physical activity, smoking cessation, avoidance of alcohol, maintaining a balanced weight, as well as implementing the healthy eating pattern.

Drugs are commonly given to overcome pain, muscle cramps, and other symptoms that may arise, including:

• Antidepressants such as nortriptyline, duloxetine, desipramine, or-or.

• Anti seizure , such as gabapentin, carbamazepine, or pregabalin.

• Lidocaine in the form of a patch.

• Capsaicin Cream.

Administering drugs are often combined with physical therapy or acupuncture, which can also relieve the pain.

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To restore bodily functions as well as cope with the complications that come up, here are some kinds of responses:

• To overcome the low blood pressure (hypotension), sufferers are encouraged to implement healthy living patterns, drinking, and doing a lot of sitting position or stand up slowly.

In addition, the wearing of a corset to stomach or compression socks are also recommended by doctors. Hypotension in orthostatic can be used a number of drugs to cope with their symptoms.

• For digestive problems, other than with drugs for indigestion, doctors would advise sufferers to change eating patterns, such as reduced fiber and fat, consuming foods that are soft and easy to digest, and eating more often with a portion a little bit.

• For issues related to the urinary tract (especially the loss of control over the bladder), can be addressed with medication therapeutic techniques antispasmodic, urinating in futures, as well as the fitting pessaries or rings that are inserted into the vagina in order to prevent the leakage of urine/bedwetting.

• For the issue of sexual dysfunction in men, could be overcome with the drug sildenafil, vardenafil, or tadalafil. However, these medications are not necessarily safe for everyone.

Another way to do it by the use of vacuum tools to enhance blood flow to the penis. For the problem of vaginal dryness in women, can be addressed with special lubrication of the vagina.

Complications Of Diabetic Neuropathy

Serious complications that can arise from diabetic neuropathy disease are:

• A decreased sensitivity to the symptoms of hypoglycemia (low sugar levels) that appear.

• Digestive problems, such as constipation, diarrhea, and gastroparesis.

• Excess Perspiration or otherwise reduced due to sweat glands are not functioning normally.

• Urinary tract infections and incontinence of urine.

• Charcot joint Disease, namely the condition characterized by swelling of the joints, decreased sensation, until the defects or changes the form of the joint.

• Death of the tissues of the foot. The infection spreads due to diabetes may cause tissue death that did not experience a leg can be treated so that it had to be amputated.

References:
Bansal, v. et. Al. (2006). Diabetci Neuropathy. Postgrad Med J. 82 (964), pp 95 – 100.
Callaghan, b., et. Al. (2012). Diabetic Neuropathy: Clinical Manifestations and Current Treatments. Lancet Neurol. 11 (6), pp. 521 – 534.
Hormone.org (2018). Diabetic Neuropathy.
Mayo Clinic (2018). Diseases and Conditions. Diabetic Neuropathy.
Stoppler, MedicineNet (2017). Diabetic Neuropathy: Symptoms, Causes, Diagnosis, and Treatment.
WebMD (2017). What Is Diabetic Neuropathy?

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