Diabetic Neuropathy

वजन का बेवजह घटना, याददाश्त की समस्याएँ, कमजोरी और गहरी थकान जैसे लक्षणों को "सामान्य उम्र बढ़ने" की प्रक्रिया न समझें - ये किसी गंभीर समस्या का संकेत हो सकते हैं । इस लेख में डॉ शीतल रावल ऐसे 12  लक्षणों के बारे में बता रही हैं जो बुजुर्गों में अकसर पाए जाते हैं पर जिन्हें अनदेखा करने के बजाय आपको डॉक्टर की राय लेनी चाहिए।  वही लक्षण जो एक युवा व्यक्ति में एक कारण से हो सकते हैं वे बुजुर्गों में दूसरे कारणों से हो सकते हैं।  युवा व्यक्ति में शायद वे इतने गंभीर न हों, पर बुज़ुर्ग…

Symptoms like weight loss, memory loss, weakness, and fatigue should not be mistaken as a sign of the"normal aging" process. Dr. Shital Patel explains 12 common but misleading symptoms in the elderly and why you should seek a doctor's opinion instead of ignoring them.  Symptoms in the elderly can have very different causes than they may have in a young person. Many symptoms in the geriatric population may be masked by concurrent chronic ailments, injuries, age-related physiological…

Diabetic diarrhoea commonly occurs in people with poorly controlled insulin-dependent diabetes and can pose several challenges related to bowel movement, including constipation and fecal incontinence. Dr Shital Raval gives an overview. Diarrhea is a common and bothersome complication of diabetes. It is commonly seen in diabetic patients who have poorly controlled insulin-dependent diabetes and also a history of peripheral and autonomic neuropathy. The diarrhea comes and goes with periods of…

Testing/Diagnosis for Diabetic Neuropathy: Diagnosis of Diabetic Neuropathy usually depends on the patient's symptoms, full medical history, physical examination and tests. The physical examination may include checking of muscle tone and reflexes and verifying symptoms for Diabetic Neuropathy. Sensory testing of temperature, touch and vibrations is also done. The neurological examination would include checking of nerve stimuli and sensations. Tests: Nerve Conduction Velocity (NCV) test…

Many people with diabetes encounter difficulties with sex but are hesitant to address them. Some of you have asked us anonymously. Diabetologist Dr Rajiv Kovil from Mumbai offers some information and advice. Sexual problems (sexual dysfunction) are common among people with diabetes. Both men and women with diabetes experience sexual difficulties as a result of complications from the disease. How common is the problem? Although no official statistics are available for the extent…

These measures can help you manage the progression of diabetic neuropathy: Keep your blood pressure under control. Having both high blood pressure and diabetes greatly increases your risk of complications because both damage your blood vessels and reduce blood flow. Try to keep your blood pressure in the range your doctor recommends. Make sure you check in regularly.  Make healthy food choices. Eat a balanced diet that includes a variety of healthy foods, especially fruits, vegetables and…

There's a lot you can do to prevent or delay nerve damage. And, if you already have diabetic neuropathy (nerve damage), these steps can prevent or delay further damage and may lessen your symptoms.  The most important thing is to keep blood sugar levels under control: Healthy planned diet, physical activity and medications, if prescribed, can help you reach your target range. Use a blood glucose meter to check your daily levels. Get an A1C test (a lab test) at least twice a year to find…

The symptoms and signs of diabetic neuropathy depend on the type of neuropathy present with varying severity.  1. Peripheral neuropathy  This presents with numbness or tingling, pain or burning sensations, loss of sensation in the feet or lower legs and sometimes in the hands or arms. This affects the peripheral nerves, most commonly the nerves of the feet and legs.  2. Proximal neuropathy  This presents with one-sided pain in the hips, weakness in the thigh muscles, weight…

The treatment is based on the types of diabetic neuropathy  1. Peripheral neuropathy treatment Manage pain with standard analgesics Maintain HbA1c below 7% Avoid tobacco and narcotics Localised pain can be managed with topical capsaicin, antidepressants (duloxetine, amitriptyline, imipramine, desipramine, venlafaxine), anticonvulsants (carbamazepine, gabapentin, phenytoin), or antiarrhythmic drug mexilitine (oral lidocaine). 2. Proximal neuropathy treatment Manage joint pain with…

There are four types of diabetic neuropathy. 1. Peripheral neuropathy  This presents with numbness or tingling, pain or burning sensations, loss of sensation in the feet or lower legs and sometimes in the hands or arms. This is the most common type of neuropathy that affects the peripheral nerves, most commonly the nerves of the feet and legs.  2. Proximal neuropathy  This presents with one-sided pain in the hips, weakness in the thigh muscles, weight loss, difficulty getting up…