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Diabetic Neuropathy

Diabetic neuropathy is a type of nerve damage that can occur if you have diabetes uncontrolled diabetes can affect all over the body. It mostly effect nerves of feet and legs. Diabetic neuropathy can cause numbness and pain in feet and  the legs and it can affect the digestive system, urinary tract, heart and blood vessel. Some people feel mild symptoms of it and for others, it is quite painful and disabling. It is a serious complication but it can be preventable with good sugar control and healthy lifestyle.

Cause:

Uncontrolled sugar level effect the small blood vessels that supply the nutrient and oxygen to the nerves. It interfere the ability of nerves to send signal and cause diabetic neuropathy.

There are many factors which lead to nerve damage.

1) Inflammation in nerves:

It occur due to autoimmune response. Body take it as a foreign and attack them

2) Genetic factor:

This cause unrelated to diabetes but some people more likely develop nerve damage.

3) Alcohol use and smoking:

Excessive use of alcohol and smoking may affect the nerves which leads to neuropathy.

Risk factors:

Any diabetic patient can develop neuropathy but these risk factors may increase the risk of nerve damage.

Diabetes history;

If you have diabetes especially uncontrolled diabetes, your risk of developing neuropathy increase.

Damage the kidney:

Uncontrolled diabetes can damage the kidney as well. Kidney send the toxins to the blood again which leads to nerve damage.

Being overweight:

If your BMI is greater than 24 you may increase the risk of diabetic neuropathy.

Smoking:

Smoking hardened and narrows your arteries, decrease the blood flow to your feet and legs.

Poor blood sugar:

Uncontrolled diabetes for longer period increase the risk of diabetic neuropathy.

Complications:

Diabetic neuropathy can cause a number of complications.

     Damage of joint:

Due to damage of nerve joint will deteriorate and this condition is called charcot joint. This condition mostly occur in the small joints in the feet. Joint swelling, loss of sensation instability and sometimes joint deformity. Treatment will help you to heal and prevent further joint damage

Urinary incontinence and urinary tract infections:

If the nerve damage, bladder will not fully empty as result bacteria will build up in bladder and kidney which leads to urinary tract infection.

Ability to feel to urinate when nee can also effect by nerve damage as a result urinary incontinence.

Unawareness of hypoglycemia:

When blood sugar level is less than 70mg/dl then it is called hypoglycemia which leads to sweating, shakiness and fats heart beat but if you have autonomic neuropathy you will not feel these symptoms.

Sexual dysfunction:

Autonomic neuropathy may damage the nerve that effect the sex organ. Women feels the difficulty of arousal and lubrication while mean may have problem of erectile dysfunction.

Sweating:  nerve damage can effect on sweat glands. Diabetic people who have autonomic neuropathy may feel excessive sweating during night and eating. People who feel no sweating or too little sweating can be life threatening.

Problem in digestive system:

Diabetes related nerve damage may lead to gastroparesis which effect digestion and severely effect the nutrition. Symptoms include are vomiting, nausea and bloating.

Preventions:

You can delay or prevent dibateic neuropathy by keeping good control of your diabetes and foot care.

Control your blood sugar:

Monitor your sugar level on daily basis for maintain record. According to American diabetic association diabetic patient should do HbA1c twice a year.

Foot care:

These are the following preventions for maintaining your blood sugar level.

1) Check your feet on regular basis

2) Keep your feet dry and clean.

3) Carefully, trim your nails.

4) Wear dry and clean socks.

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