Diabetic neuropathy is a well-known complication of long standing diabetes. With diabetes affecting Sarly one in twelve persons in United States, diabetic neuropathy and its management becomes an important healthcare concern.
The neuropathy of diabetes can have many forms based on clinical presentation and the pattern of nerve involvement. Some forms are irreversible and continue to deteriorate, while others are self-limiting and improve on their own. Diabetic neuropathy may also involve autonomic nerves and present with manifestations like incontinence, erectile dysfunction, postural hypotension, diarrhea or constipation and numerous other. More commonly it may present with pain, altered sensations or even weakness of muscles. Presentation is often variable, and mixed with varying contribution from each type.
Almost all forms of diabetic neuropathy can be prevented by strict control of blood sugar levels. Although reversing all forms of diabetic neuropathy may not be always possible, but in most of the cases the progression can be halted or greatly slowed down by adequate therapeutic intervention. Central to the treatment is strict sugar control with the blood glucose in the desired range. It is very important that after being diagnosetc. can be prevented, or at least their progression hastened if the affected person strictly follows the doctor recommended therapeutic guidelines. Therefore, you should religiously follow the strict blood sugar level control guidelines given to you by your physician. Regular checking of your blood sugar by portable devices also helps in monitoring the control of blood glucose. Furthermore, you should not skip your medications and/or insulin.
Always remember, if you have type 2 diabetes and your blood sugar in not being monitored or controlled, then quickly you will likely start developing the many of the complications of diabetes, and with someone has poor blood sugar control, it is typically a vicious cycle with a downhill course. However you can end this cycle by monitoring blood sugar levels within the appropriate range. Lastly, it has been observed that diabetic patients who also smoke and drink alcohol are at greater risk of developing the neuropathy. So, while it is a good idea for everyone to stop smoking and drink responsibly, if you have been diagnosed as a diabetic you should avoid smoking and alcohol even more so as it increases the likelihood of diabetic neuropathy.