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diabetic neuropathy…

 

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diabetes, nerve damage, central nervous system, nerve damage, diabetic, diabetic neuropathy, common complication of diabetes mellitus, nerves, a result of hyperglycemia, high blood sugar levels, diabetes commonly develop temporary, permanent damage to nerve tissue, nerve injuries, decreased blood flow, high blood-sugar levels, more likely to develop, blood-glucose levels, poorly, controlled, diabetics, not develop nerve damage, develop this condition relatively early, on average, onset of symptoms occurs 10 to 20 years after diabetes has been diagnosed, 50% of people, diabetes, eventually develop nerve damage, peripheral nerve injuries, affect cranial nerves, nerves, spinal column, branches, type of neuropathy, nerve injury, tends to develop in stages, early on, intermittent pain, tingling is noted, in the extremities, particularly the feet, in later stages, pain is more intense, constant, a painless neuropathy develops, pain sensation is lost to an area, greatly increases the risk of severe tissue injury, pain no longer alerts the person to injury, autonomic neuropathies affect the nerves that regulate involuntary vital functions, the heart muscle, smooth muscles, glands, low blood pressure, diarrhea, constipation, sexual impotence, autonomic neuropathies, numbness, tingling, decreased sensation to a body part, loss of sensation to a body part, diarrhea, constipation, loss of bladder control, impotence, facial drooping, drooping eyelid, drooping mouth, vision changes, dizziness, weakness, swallowing difficulty, speech impairment, muscle contractions, symptoms vary depending on the nerves, symptoms other than those listed, develop gradually over years, physical examination, neurological, sensory tests, reveal many neuropathies, a common early finding, absence of ankle reflexes, goals of treating diabetic neuropathy, prevent progression, reduce the symptoms, tight control of glucose is important, prevent progression, to reduce the symptoms, topical treatment, capsaicin, oral medication, amitriptyline, gabapentin, carbamazepine have been used successfully, analgesics, pain medications, rarely of much benefit, in the treatment of painful neuropathy, regular foot exams, important to identify small infections, prevent progression, foot injuries go unnoticed, too long, amputation required, mechanisms of diabetic neuropathy, poorly understood, treatment alleviates pain, control some associated symptoms, the process, progressive, an increased risk of injury, feet, loss of sensation, small infections, progress to ulceration, skin, soft tissue breakdown, require amputation, motor nerve damage, lead to muscle breakdown, imbalance, signs, symptoms of diabetic neuropathy develop, clear now that tight control of blood sugar level, hemoglobin a1c < 7.0, prevents the development of neuropathy in 60% of type 1 diabetics, decreases the severity of symptoms, regular foot care, prevent a small infection from progressing.


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